Maui County, Hawaii · Nursing home
Hale Makua - Kahului
3 of 5 overall from CMS
472 Kaulana Street, Kahului, HI 96732
At a glance
- Overall rating 3 of 5 Below the state average of 3.7
- Nurse time per resident, per day 4.87 hours Below the state average of 4.97
- Nursing staff who left in a year 32.2% Below the state average of 36.4%
- Health citations, last 3 inspection cycles 59 6 at the harm level or above
- Fines in 3 years $170,249 3 fines
- Certified beds in use 84.8% of 252 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Hale Makua - Kahului is a 252-bed nursing home in Kahului, Hawaii (Maui County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 4.87 nurse staffing hours per resident per day, below the Hawaii average of 4.97. CMS lists 3 fines totaling $170,249 in the past three years.
- Certified beds
- 252
- Residents per day (average)
- 213.6
- Certified since
- 1967 (59 yrs)
Non profit - Other Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Hale Makua - Kahului
Chosen from this home's public data.
- CMS lists 3 fines totaling $170,249 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 10 health deficiencies in the latest inspection cycle (the standard inspection on Jan 9, 2026 plus complaint and infection-control inspections); the Hawaii average is 9.5. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 4.26 hours per resident on weekends against 4.87 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Hawaii average 3.7
- Health inspections 2 of 5 Hawaii average 3.0
- Staffing 5 of 5 Hawaii average 4.4
- Quality measures 4 of 5 Hawaii average 4.3
The vertical line marks the Hawaii average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.87 h Hawaii average 4.97
- Nurse aides 2.65 h Hawaii average 2.88
- Licensed practical nurses 0.75 h Hawaii average 0.34
- Registered nurses 1.47 h Hawaii average 1.75
- All staff, weekends 4.26 h Hawaii average 4.41
How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the Hawaii average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover32.2%
- Hawaii average36.4%
- Registered nurse turnover20.7%
- Hawaii average31.5%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Hawaii and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Hawaii | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 22.5% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.3% | 4.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.6% | 2.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 1.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.3% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 1.6% | 1.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% | 96.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.4% | 20.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.8% | 9.1% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.7% | 95.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.8% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.8% | 17.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.5% | 11.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.76 | 1.09 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.68 | 0.88 | 1.78 |
Short-stay residents
| Measure | This home | Hawaii | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.4% | 82.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.5% | 84.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% | 19.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 19.2% | 10.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 59 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 5 involved actual harm; the rest were graded as no actual harm. 21 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 18, 2024: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 9, 2026 | 10 | 3 |
| Oct 18, 2024 | 19 | 0 |
| Oct 19, 2023 | 30 | 2 |
Hawaii homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (59)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 23, 2026)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 16, 2025)
-
EPotential for more than minimal harm, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 14, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 14, 2025)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Aug 21, 2024)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 18, 2024)
-
EPotential for more than minimal harm, pattern
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 20, 2024)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 18, 2024)
-
DPotential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Nov 18, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 16, 2024)
Showing the 30 most recent of 59.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 18, 2024 | Fine | $71,019 |
| Aug 12, 2024 | Fine | $55,640 |
| Oct 19, 2023 | Fine | $43,590 |
Hawaii homes averaged 0.7 fines and $19,339 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Hawaii
- Size2 of 42 by certified beds
- Hawaii average residents per day81.9
- ChainNone listed
- Resident or family councilResident
- Homes in Maui County4
Common questions
What is the CMS star rating for Hale Makua - Kahului?
Hale Makua - Kahului has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 5 and quality measures is 4.
How many beds does Hale Makua - Kahului have?
Hale Makua - Kahului has 252 certified beds. It averages 213.6 residents per day, about 84.8% of its certified beds.
How much nursing care do residents get at Hale Makua - Kahului?
The home reports 4.87 hours of nurse staffing per resident per day, including 1.47 hours from registered nurses. The Hawaii average is 4.97 hours and 1.75 hours from registered nurses.
Has Hale Makua - Kahului been fined?
Yes. CMS lists 3 fines totaling $170,249 in the past three years.
Does Hale Makua - Kahului accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Hale Makua - Wailuku 90beds 82.2%in use 4.61nurse hours a day
- 2 of 5 Kula Hospital 105beds 87.9%in use –nurse hours a day
- 5 of 5 Lanai Community Hospital 10beds 81.0%in use 12.42nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Maui County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 125007. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.