Nursing homeActive

Kula Hospital

100 Keokea Place, Kula, HI 967908088781221105 certified beds · 92 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
32
0311
Penalties · 3 yrs
none on file
Last survey
2025-01-08
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Hawaii Office of Health Care Assurance · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-01-08Complaint010CMS-2567 (Care Compare)
2024-09-19Complaint001CMS-2567 (Care Compare)
2024-06-06Standard0100CMS-2567 (Care Compare)
2023-06-05Standard0120CMS-2567 (Care Compare)
2022-06-30Standard080CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Hawaii Office of Health Care Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-01-08Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-28Record 125003-20250108-F609
2024-09-19Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-19Record 125003-20240919-F600
2024-06-06Standard survey · 10 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F550
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F689
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F726
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F727
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-21Record 125003-20240606-F908
2023-06-05Standard survey · 12 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F550
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F578
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F604
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F677
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F725
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F732
F838Conduct 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F838
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F880
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-31Record 125003-20230605-F925
2022-06-30Standard survey · 8 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F600
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F689
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F700
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F880
F886Perform COVID19 testing on residents and staff.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-08-14Record 125003-20220630-F886

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
Total nursing staff turnover54%
Facility
Hawaii
National
Hawaii 36% · National 46%
Registered nurse turnover31%
Facility
Hawaii
National
Hawaii 32% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityHawaiiNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.2%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.1%1.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
25.5%11.9%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.1%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
18.1%16.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
3.4%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
8.6%9.1%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Kaiser Foundation Hospitals
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Cartwright, Debra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ebersole, Wade
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fulton, Lynn
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kaiser Foundation Hospitals
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Koval, Penny
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Scott, Kenneth
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cartwright, Debra
Individual
CORPORATE OFFICERNOT APPLICABLE
Cartwright, Debra
Individual
ADP OF THE SNFNOT APPLICABLE
Choucair, Bechara
Individual
CORPORATE OFFICERNOT APPLICABLE
Decosta-Galdeira, Shelby
Individual
CORPORATE OFFICERNOT APPLICABLE
Ebersole, Wade
Individual
ADP OF THE SNFNOT APPLICABLE
Ebersole, Wade
Individual
CORPORATE OFFICERNOT APPLICABLE
Fulton, Lynn
Individual
ADP OF THE SNFNOT APPLICABLE
Fulton, Lynn
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Fulton, Lynn
Individual
CORPORATE OFFICERNOT APPLICABLE
Goodfellow, Tamar
Individual
CORPORATE DIRECTORNOT APPLICABLE
Hanenburg, Thomas
Individual
CORPORATE OFFICERNOT APPLICABLE
Hew, Mary
Individual
CORPORATE DIRECTORNOT APPLICABLE
Koval, Penny
Individual
CORPORATE OFFICERNOT APPLICABLE
Koval, Penny
Individual
ADP OF THE SNFNOT APPLICABLE
Scott, Kenneth
Individual
ADP OF THE SNFNOT APPLICABLE
Shitamoto, Barry
Individual
CORPORATE OFFICERNOT APPLICABLE
Sutherland, Richard
Individual
CORPORATE DIRECTORNOT APPLICABLE
Takitani, Anthony
Individual
CORPORATE DIRECTORNOT APPLICABLE
Yamamoto, John
Individual
CORPORATE DIRECTORNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Hawaii.

No county cost figures on file for Maui.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Hale Makua - Kahului
Kahului
14.5 mi2026-01-090536
Hale Makua - Wailuku
Wailuku
15.7 mi2026-01-300170
Lanai Community Hospital
Lanai City
37.2 mi2026-04-020170
Honoka'a Hospital & Skilled Nursing
Honokaa
72.0 mi2024-11-220130
Life Care Center Of Kona
Kailua Kona
82.8 mi2024-09-250272
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01