Skilled nursing facility · CMS certification number 125062
HALE KUPUNA HERITAGE HOME, LLC
KOLOA, Hawaii · Medicare and Medicaid
Certified beds, as filed in Care Compare: 84
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $10,628.00 · Payment denials: 0. The most recent penalty on file: March 12, 2026, Fine, $10,628. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,869,766 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,481,580 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,388,186 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,074,594 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $313,592 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $577 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $314,169 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $314,169 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 30,744 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 305 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,914 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,922 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,141 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 5 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 8 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,864.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 612.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436534, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,284,438 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,315,345 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,969,093 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,258,778 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$289,685 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $395,946 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $106,261 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $106,261 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,680 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,680.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392975, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,280,908 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $420,049 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,860,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,473,539 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $387,320 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $375,990 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $763,310 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $763,310 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,095 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,339.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 462.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363395, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,234,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,273,863 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,960,880 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,600,486 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$639,606 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $945,676 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $306,070 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $306,070 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,174 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,221.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 330.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332963, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 17, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,925,093 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,661,684 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,263,409 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,882,274 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$618,865 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,030,849 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $411,984 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $411,984 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,356 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 995.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 406.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304715, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,804,013 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,188,396 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,615,617 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,136,138 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $479,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $432,562 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $912,041 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $912,041 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,240 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,280.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 351.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272528, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 30, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,161,946 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,550,941 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,611,005 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,508,559 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,102,446 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $388,295 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,490,741 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,490,741 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,156.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 328.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238769, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,236,954 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,428,944 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,808,010 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,904,582 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $903,428 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $465,020 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,368,448 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,368,448 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,808 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 51 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,134.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 506.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209373, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,084,084 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,628,795 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,455,289 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,142,889 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $312,400 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $727,018 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,039,418 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,039,418 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,025 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,078.84 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 446.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172920, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,913,505 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,005,934 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,907,571 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,002,625 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$95,054 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $689,379 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $594,325 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $594,325 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,321 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 558.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 297.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142302, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,220,646 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,953,898 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,266,748 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,220,358 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $46,390 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $758,171 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $804,561 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $804,561 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,538 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,134.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 550.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1109794, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,684,245 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$72,357 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,756,602 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,369,420 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $387,182 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $785,355 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,172,537 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,172,537 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,466 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 390.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 254.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1077654, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,016,245 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$73,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,090,072 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,116,614 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$26,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $792,620 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $766,078 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $766,078 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,362 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 456.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 354.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040553, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for June 7, 2011 to December 31, 2011 — a reporting period of 207 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 14, 2012.
None of these figures is carried on this report.
CMS report record 1004257, read from the public cost report file SNF10FY2011.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HATA, RANDALL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/12/2009 |
| KISHABA, RICHARD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/12/2009 |
| KOP, ARNOLD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| LO, WESLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2020 |
| LORE, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2022 |
| MCCLENNON, PAMELA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2025 |
| MORIKUNI, SUANNE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2015 |
| OHANA PACIFIC MANAGEMENT COMPANY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/16/2025 |
| SMITH, JOEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2025 |
| UKAUKA, LEA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/18/2021 |
| UKAUKAU, BLOSSOM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/18/2021 |
| MORIKUNI, SUANNE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2015 |
| KISHABA, SANDRA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2025 |
| HATA, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/12/2009 |
| KISHABA, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/12/2009 |
| KOP, ARNOLD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| LO, WESLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| LORE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2022 |
| MCCLENNON, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2025 |
| MORIKUNI, SUANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2015 |
| OHANA PACIFIC MANAGEMENT COMPANY INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/12/2009 |
| SMITH, JOEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HALE KUPUNA HERITAGE HOME, LLC (enrollment ID O20110323000349).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/12/2009 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| RICHARD S KISHABA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10 | 11/12/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S. KISHABA 2010 DYNASTY TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 90 | 7/30/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW LORE | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ARNOLD WH KOP | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLOSSOM LUANA UKAUKAU | Individual | ADP OF THE SNF | Not stated in the filing | 8/18/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOEL GREGORY SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LEA UKAUKA | Individual | ADP OF THE SNF | Not stated in the filing | 8/18/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | ADP OF THE SNF | Not stated in the filing | 12/16/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PAMELA MCCLENNON | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL I HATA | Individual | ADP OF THE SNF | Not stated in the filing | 11/12/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S KISHABA | Individual | ADP OF THE SNF | Not stated in the filing | 11/12/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUANNE MORIKUNI | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY LO | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUANNE MORIKUNI | Individual | CORPORATE OFFICER | 0 | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW LORE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ARNOLD WH KOP | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOEL GREGORY SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/12/2009 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| PAMELA MCCLENNON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL I HATA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/12/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD S KISHABA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/12/2009 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SUANNE MORIKUNI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WESLEY LO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- February 1, 2026: SUANNE MORIKUNI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RANDALL I HATA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KURT S AKAMINE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUANNE MORIKUNI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUANNE MORIKUNI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUANNE MORIKUNI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BLOSSOM LUANA UKAUKAU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 18, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ARNOLD WH KOP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ARNOLD WH KOP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PAMELA MCCLENNON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PAMELA MCCLENNON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANDREW LORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANDREW LORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WESLEY LO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WESLEY LO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S KISHABA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S KISHABA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S KISHABA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RANDALL I HATA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RANDALL I HATA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOEL GREGORY SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOEL GREGORY SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S. KISHABA 2010 DYNASTY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 30, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LEA UKAUKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 18, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Recent changes on this record
- February 1, 2026: SUANNE MORIKUNI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RANDALL I HATA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KURT S AKAMINE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUANNE MORIKUNI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUANNE MORIKUNI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUANNE MORIKUNI (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BLOSSOM LUANA UKAUKAU (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 18, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ARNOLD WH KOP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ARNOLD WH KOP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PAMELA MCCLENNON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: PAMELA MCCLENNON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since April 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANDREW LORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ANDREW LORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WESLEY LO (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: WESLEY LO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S KISHABA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S KISHABA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S KISHABA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RANDALL I HATA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RANDALL I HATA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: OHANA PACIFIC MANAGEMENT COMPANY INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 12, 2009. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOEL GREGORY SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JOEL GREGORY SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RICHARD S. KISHABA 2010 DYNASTY TRUST (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 30, 2010. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LEA UKAUKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since August 18, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 29, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 20, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 17, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- October 28, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 30, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 11, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 23, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- September 17, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- September 9, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- June 28, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- September 14, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 12, 2026 | March 12, 2026 | 8 | 4 |
| 2 | September 6, 2024 | September 6, 2024 | 7 | 1 |
| 3 | September 22, 2023 | September 22, 2023 | 10 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 12, 2026 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | April 26, 2026 |
| March 12, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | April 26, 2026 |
| March 12, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | April 26, 2026 |
| March 12, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | April 26, 2026 |
| March 12, 2026 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | April 26, 2026 |
| March 12, 2026 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | April 26, 2026 |
| March 12, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 26, 2026 |
| March 12, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 26, 2026 |
| September 6, 2024 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | October 21, 2024 |
| September 6, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | July 17, 2024 |
| September 6, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | October 21, 2024 |
| September 6, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | October 21, 2024 |
| September 6, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | October 21, 2024 |
| September 6, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 21, 2024 |
| September 6, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | October 21, 2024 |
| September 22, 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
| September 22, 2023 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | No | Deficient, Provider has date of correction | November 1, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 12, 2026 | Fine | $10,628 | 138969 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | HALE KUPUNA HERITAGE HOME, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-06-07 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Kauai |
| Telephone Number | 8087427591 |
| Chain Name | OHANA PACIFIC MANAGEMENT CO. |
| Chain ID | 382 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 84 |
| Average Number of Residents per Day | 45.3 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
Get an email when this record changes
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On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for HALE KUPUNA HERITAGE HOME, LLC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Hawaii at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 125062.