Maunalani Nursing and Rehabilitation Center

5113 Maunalani Circle · Honolulu, HI · 96816 · 8087320771

100 certified beds Non profit - Other

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results have improved across recent cycles.

Red flags

RN staffing in the bottom 10% nationally

0.10 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

0.60 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

99% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 68
Serious harm & abuse 20% 88
Staffing 20% 18
Federal penalties 15% 57
Trend 10% 90
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day0.603.48 min · 4.1 strong
RN hours / resident-day0.100.55–0.75
Weekend hours / resident-day0.52≈ weekday level
Nursing turnover / year99%median 45%
Fines (3-yr window)2 · $32,133

Inspection citations (21 in the current record)

  • Actual harm · G August 14, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 15, 2025 · Quality of Life and Care

  • Actual harm · G October 18, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 9, 2024 · Quality of Life and Care

  • Potential for harm · E October 18, 2024 · found via complaint

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected November 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 18, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 9, 2024 · Quality of Life and Care

  • Potential for harm · D October 18, 2024 · found via complaint

    Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

    Corrected November 9, 2024 · Nursing and Physician Services

  • Potential for harm · D August 29, 2024

    Ensure each resident receives an accurate assessment.

    Corrected September 23, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D August 29, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 23, 2024 · Quality of Life and Care

  • Potential for harm · D August 29, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 23, 2024 · Resident Rights

  • Potential for harm · D August 31, 2023

    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.

    Corrected September 24, 2023 · Resident Rights

  • Potential for harm · D August 31, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected September 24, 2023 · Quality of Life and Care

  • Potential for harm · D August 31, 2023

    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.

    Corrected September 24, 2023 · Pharmacy Service

  • Potential for harm · D August 31, 2023

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected September 24, 2023 · Nutrition and Dietary

  • Potential for harm · E August 31, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 24, 2023 · Nutrition and Dietary

  • Potential for harm · E August 31, 2023

    Provide and implement an infection prevention and control program.

    Corrected September 24, 2023 · Infection Control

  • Potential for harm · E August 31, 2023

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected September 24, 2023 · Environmental

  • Potential for harm · D October 14, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 17, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D October 14, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 17, 2022 · Quality of Life and Care

  • Potential for harm · D October 14, 2022

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected November 17, 2022 · Quality of Life and Care

  • Potential for harm · D October 14, 2022

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected November 17, 2022 · Nutrition and Dietary

  • Potential for harm · E October 14, 2022

    Provide and implement an infection prevention and control program.

    Corrected November 17, 2022 · Infection Control

  • Potential for harm · E October 14, 2022

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected November 17, 2022 · Environmental

Federal penalties

DateTypeAmount / length
August 14, 2025Fine$24,115
October 18, 2024Fine$8,018

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125013 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.