KULA HOSPITAL
KULA HOSPITAL is a 105-bed nursing home in KULA, Hawaii. CMS has certified it for Medicare and Medicaid since 1967-01-01. It averages 92.3 residents a day.
What harm was found in the violations cited at KULA HOSPITAL?
CMS lists 32 health-inspection deficiencies for KULA HOSPITAL since 2022-06-30, 12 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2025-01-08.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-01-08 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2024-09-19 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-06-06 | F0727, F0812 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-06-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-06-06 | F0550, F0657, F0686, F0726, F0757, F0880, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. | D |
| 2023-06-05 | F0838, F0880 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. / Provide and implement an infection prevention and control program. | F |
| 2023-06-05 | F0656, F0725 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2023-06-05 | F0550, F0578, F0604, F0655, F0677, F0732, F0842, F0925 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Post nurse staffing information every day. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2022-06-30 | F0886 | Perform COVID19 testing on residents and staff. | E |
| 2022-06-30 | F0600, F0641, F0656, F0677, F0689, F0700, F0880 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide and implement an infection prevention and control program. | D |
How is KULA HOSPITAL staffed?
| Measure | This facility | HI average |
|---|---|---|
| Total nursing staff turnover (%) | 53.9 | 36.4 |
| Average number of residents per day | 92.3 | 81.9 |
Who owns KULA HOSPITAL?
KULA HOSPITAL is registered with CMS as Non profit - Corporation, operates under the legal business name MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | KAISER FOUNDATION HOSPITALS | since 12/24/2015 |
| CORPORATE DIRECTOR | GOODFELLOW, TAMAR, HEW, MARY, SUTHERLAND, RICHARD, TAKITANI, ANTHONY, YAMAMOTO, JOHN | since 03/31/2021 |
| CORPORATE OFFICER | CARTWRIGHT, DEBRA, CHOUCAIR, BECHARA, DECOSTA-GALDEIRA, SHELBY, EBERSOLE, WADE, FULTON, LYNN, HANENBURG, THOMAS, KOVAL, PENNY, SHITAMOTO, BARRY | since 01/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | KAISER FOUNDATION HOSPITALS, CARTWRIGHT, DEBRA, EBERSOLE, WADE, FULTON, LYNN, KOVAL, PENNY, SCOTT, KENNETH | since 01/01/2017 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | FULTON, LYNN | since 12/24/2025 |
| ADP OF THE SNF | CARTWRIGHT, DEBRA, EBERSOLE, WADE, FULTON, LYNN, KOVAL, PENNY, SCOTT, KENNETH | since 01/01/2024 |