HAWAII MEDICAL CENTER EAST

The information listed below provides an in-depth look into the type and quality of care offered at Hawaii Medical Center East. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

HAWAII MEDICAL CENTER EAST
2230 LILIHA STREET
HONOLULU, HI 96817
(808) 547-6011

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

75%

Number of Residents and Certified Beds

  • Residents: 39
  • Certified Beds: 52

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Kaneohe | Pearl City | Ewa Beach

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Hawaii Medical Center East. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-1616.1%
ADL Index Range: 2-105.2%
Total Percent:21.2%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-162.2%
Total Percent:2.2%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-50.9%
Total Percent:0.9%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.3%
ADL Index Range: 6-1012.8%
ADL Index Range: 0-525.0%
Total Percent:42.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-102.0%
ADL Index Range: 0-57.9%
Total Percent:9.9%
 

Low Rehabilitation

Rehabilitation 45 Minutes Per Week Minimum
  • Three days any combination of three rehabilitation disciplines
  • Two services of restorative nursing six days per week
ADL Index Range: 0-101.3%
Total Percent:1.3%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
10.6%
ADL Index Range: 2-16
- Isolation for active infectious disease
1.9%
Total Percent:12.5%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 2-5
- No Signs of depression
0.4%
ADL Index Range: 0-1
- No Signs of depression
9.6%
Total Percent:10.0%
 

Rating Details For Hawaii Medical Center East

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours50 Minutes1 Hour and 50 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 60 Minutes1 Hour and 8 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 11 Minutes2 Hours and 38 Minutes
Total Licensed Nurse Hours2 Hours and 50 Minutes2 Hours and 58 Minutes
Total Nurse Hours5 Hours5 Hours and 36 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Hawaii are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityHawaii Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair39%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores23%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%6%
Percent of Long-Stay Residents Who Lose Too Much Weight37%7%
Percent of Long-Stay Residents Who Were Physically Restrained4%6%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder90-100%63%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%85%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores7%10%
Percent of Short-Stay Residents Who Have Delirium-2%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain10%18%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 08/13/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Keep All Essential Equipment Working Safely.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/27/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/27/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/07/2009
  • Correction Date: 07/08/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/27/2009
Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 09/25/2009
  • Correction Date: 11/27/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/13/2010
  • Correction Date: 09/21/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Hawaii Medical Center East, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Resident Rights

Let the Resident Refuse Treatment or Refuse to Take Part in an Experiment.
  • Complaint Filed: 08/24/2009
  • Correction Date: 10/02/2009
Source: Medicare Nursing Home Compare; Hawaii Department of Health - Retrieved 2011