Nursing home · Top rated by CMS
Hi'olani Care Center at Kahala Nui
4389 Malia Street, Honolulu, HI 96821 · Map
Non profit - Corporation · 20 certified beds
Hi'olani Care Center at Kahala Nui is a Medicare-certified nursing home in Honolulu, Hawaii. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 5.75 hours per resident per day, above the Hawaii average of 4.71. Its most recent inspection on Jun 27, 2024 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hi'olani Care Center at Kahala Nui compares
This facility vs. the Hawaii and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Hawaii avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.75 | 4.71 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.91 | 1.63 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.55 | 2.73 | 2.34 | above avg |
| Nursing staff turnover | 22.9% | 36.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 10.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 27, 2024 inspection was corrected by July 31, 2024
What inspectors found at Hi'olani Care Center at Kahala Nui
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 27, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jun 27, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jun 27, 2024 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jun 27, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jun 27, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 27, 2024 · Full report (PDF) - Potential for harm
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 Deficiencies · Jun 27, 2024 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Jun 27, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 10, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 10, 2023 - Potential for harm
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 Deficiencies · Aug 10, 2023 - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Aug 10, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4389 Malia Street
Honolulu, HI 96821 - CMS certification #
- 125055
- Ownership
- Non profit - Corporation
- Certified beds
- 20
- Avg residents/day
- 17.6
- Provider type
- Medicare and Medicaid
- First certified
- 2005-11-21
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hi'olani Care Center at Kahala Nui using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Straub Clinic And Hospital, Honolulu. 4.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Maunalani Nursing and Rehabilitation Center, Honolulu. 1.4 miles away, straight line.
- Nearest home health agency office
- Mastercare Homecare & Healthcare, Honolulu. 4.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Longs Drugs. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 96821 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Liberty Dialysis Hawaii - Kaimuki Dialysis, Honolulu, 1.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars)
Usrc Kapahulu Dialysis Center, Honolulu, 2.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Usrc Beretania Dialysis, Honolulu, 3.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 96821.
St Francis Hospice, office in Honolulu, 5.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Islands Hospice, office in Honolulu, 5.5 miles away, straight line (CMS family survey rating 3 of 5 stars)
Bristol Hospice - Hawaii, LLC, office in Honolulu, 5.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Straub Clinic And Hospital, Honolulu. 0.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In East Honolulu, HI, risk to homes is greater than 89% of communities in Hawaii and 97% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively high, tornado very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Hi'olani Care Center at Kahala Nui a good nursing home?
CMS gives Hi'olani Care Center at Kahala Nui an overall rating of 5 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hi'olani Care Center at Kahala Nui staffed?
Hi'olani Care Center at Kahala Nui reports 5.75 total nurse hours per resident per day, compared with the Hawaii average of 4.71.
Has Hi'olani Care Center at Kahala Nui had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Hi'olani Care Center at Kahala Nui have?
Hi'olani Care Center at Kahala Nui is certified for 20 beds.