Hale Makua - Kahului — Skilled Nursing Facility Profile (CCN #125007)

Kahului, Hawaii · CCN 125007 · Phone: 8088772761 · 252 beds · Ownership: Non Profit - Other

Hale Makua - Kahului is a Medicare-certified skilled nursing facility (CCN 125007) in Kahului, Hawaii. FileFlo scores its CMS survey-readiness at 55/100 (Material Gaps).

Free CMS Survey-Readiness Audit · 3 minutes · No signup

Run a CFR-cited survey readiness audit on Hale Makua - Kahului

Walks every Condition of Participation at 42 CFR Part 484/483/418. Pulls the CCN's data from CMS Compare. Every gap names its CFR section + F-Tag.

Run free audit →

24-page PDF · F-Tag-by-Tag prep · Plan of Correction template · Joint Commission tracer prep · Unsubscribe anytime

Compliance Indicator: 55/100 — Material Gaps

About Hale Makua - Kahului

Hale Makua - Kahului is a Medicare- and Medicaid-certified skilled nursing facility in Kahului, Hawaii, operating under CMS Certification Number (CCN) 125007. 252-bed facility. Non Profit - Other. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Hale Makua - Kahului has held its Medicare/Medicaid certification for approximately 59 years (certification date on file: 1967-01-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Maui County): Hale Makua - Kahului operates in Maui County alongside 3 other Medicare-certified SNFs in our Hawaii cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Compliance Red Flags

Special Focus Facility status: Hale Makua - Kahului appears on the CMS Special Focus Facility list (status: SFF). SFF designation is reserved for facilities with a persistent pattern of substandard quality of care — typically high deficiency counts across consecutive surveys. CMS conducts a standard survey approximately every six months on SFF facilities (vs. up to fifteen months for non-SFF) and tracks two consecutive improved surveys as the exit criterion. Facilities that fail to improve over 18-24 months on the SFF list face termination of their Medicare provider agreement under 42 CFR 488.456.

Abuse Icon present: CMS has applied the Abuse Icon to Hale Makua - Kahului's Care Compare listing. The icon flags facilities cited for substantiated abuse, neglect, exploitation, or misappropriation findings under the F600-series Long-Term Care Resident Rights and Abuse / Neglect F-tags within the most recent two survey cycles, where citations met the scope-and-severity threshold defined in CMS Care Compare's Five-Star Quality Rating Methodology. The icon stays in place until the facility completes a full survey cycle with no further qualifying citations.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 16. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Hale Makua - Kahului received 3 CMS fines totaling $170,249. Last documented standard health survey: 2024-10-18. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 171.5. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

CMS Enforcement Actions

Total enforcement penalties assessed in the most recent reporting window: $3. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.

Staffing Detail

Hale Makua - Kahului already meets the cadre-specific minimums scheduled to take effect on the May 2027 timeline under 89 FR 40876 (RN 1.419 HPRD vs the 0.55 floor; nurse-aide 2.767 HPRD vs the 2.45 floor). The constraint going forward is sustaining these levels under turnover pressure.

Total nurse staffing: 4.84 hours per resident day (HPRD), which is 1.36 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for non-rural facilities by May 2027.

Staffing mix: RN 1.419 HPRD, LPN 0.654 HPRD, CNA 2.767 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2027 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 1.06 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Total nurse staff turnover: 29.7% annualized — moderate.

RN-specific turnover: 22.8% annualized. RN turnover above 50% is the single strongest correlate with QM rating decline in CMS's own internal analyses.

Administrator turnover events in the most recent reporting window: 1. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.

Chain Context and Facility Type

Hale Makua - Kahului is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as urban (within a metropolitan statistical area). Urban SNFs typically face higher acuity post-acute admissions, more competitive labor markets, and stricter local-jurisdiction infection control requirements layered on top of federal CoPs.

How Hale Makua - Kahului Compares to Peers in Hawaii

Peer comparisons use a same-state cohort of 42 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Hale Makua - Kahului is 55/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

Be the first to share your experience with Hale Makua - Kahului

Reviews from residents, family members, and facility staff help others making care decisions. All reviews are verified and PII-scrubbed before publishing.

Share your experience →

How Are You Using This Page?

This page serves four common audiences. Pick the path that matches your reason for visiting.

📋 I run this facility (administrator, DON, compliance lead)

Run a free CMS Survey-Readiness Audit for Hale Makua - Kahului. The audit walks F-tag preparedness across 42 CFR Part 483 in about three minutes. No signup, no payment. Start the audit for Hale Makua - Kahului →

🤝 I help SNFs prep for surveys (consultant)

White-label F-Tag preparation tools + 25% recurring commission per client referral. Skilled nursing consultants typically serve 8-30 facilities; FileFlo replaces the spreadsheet handoffs you used to do post-engagement. See SNF Consultant Partner Program →

🩺 I place patients post-discharge (hospital discharge planner)

Filtering high-quality SNF post-acute providers? FileFlo's free Provider Network gives verified facility quality data, F-Tag history, 5-star ratings, and Special Focus status to vet placements. Get free Provider Network access →

💼 I'm evaluating SNFs for acquisition (M&A, diligence buyer)

Pre-acquisition compliance diligence across multiple facilities? Get a free batch compliance report (up to 5 CCNs at once) with F-Tag history, deficiency trends, Special Focus status, and CMP exposure. Request batch report →

Frequently asked questions about Hale Makua - Kahului

Is Hale Makua - Kahului Medicare-certified, and where is it located?

Hale Makua - Kahului is a Medicare-certified skilled nursing facility (CMS Certification Number 125007) in Kahului, Hawaii.

How survey-ready is Hale Makua - Kahului?

FileFlo scores Hale Makua - Kahului's CMS survey-readiness at 55/100 (Material Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Hale Makua - Kahului meet?

As a Medicare-certified skilled nursing facility, Hale Makua - Kahului is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Hale Makua - Kahului prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Hale Makua - Kahului — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Hale Makua - Kahului is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

← Browse All Nursing Homes · Hawaii Nursing Homes · Healthcare Compliance Guide · F-Tag Response Playbook · CMS CoPs Guide

Compare the best SNF compliance software →

Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

Run free audit on CCN 125007 →