Provider Name: 15 CRAIGSIDE
Address: 15 CRAIGSIDE PLACE, HONOLULU, HI 96817
Phone: (808) 523-7000
County: Honolulu (020)
Ownership Type: Non profit - Corporation
Certified Beds: 45
Average Residents Per Day: 43.7 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: CRAIGSIDE RETIREMENT RESIDENCE
First Approved Date: July 6, 2012
Affiliated Entity: ()
Retirement Community: Y, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: (2)
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.57817, LPN Staff Hours Per Day: 0.2347, RN Staff Hours Per Day: 1.8948, Licensed Staff Hours Per Day: 2.1295
Total Nurse Staff Hours Per Day, per resident: 4.70771
Weekend Nurse Staff Hours: 4.12362, Weekend RN Staff Hours: 1.3727
PT Staff Hours Per Day, per resident: 0.0958
Nurse Staff Turnover: 24.4, Nurse Turnover Note:
RN Turnover: 35.3, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0856, Case Mix LPN Hours Per Day: 0.6390, Case Mix RN Hours Per Day: 0.3027
Adjusted Nurse Aide Hours Per Day, per resident: 2.51831, Adjusted LPN Hours Per Day: 0.2710, Adjusted RN Hours Per Day: 2.3581
Total Adjusted Nurse Hours Per Day, per resident: 4.90145
Adjusted Weekend Nurse Hours Per Day, per resident: 4.29332
Health Survey Dates and Scores: Cycle 1: 2023-08-25 (Score: 4), Cycle 2: 2022-09-23 (Score: 8), Cycle 3: 2021-10-29 (Score: 0)
Total Weighted Health Score: 4.667
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 15 CRAIGSIDE PLACE,HONOLULU,HI,96817 (21.3235, -157.849)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-09-06
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-10-07
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0223, Version: New
Description: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-16
Type: Fire Safety, Tag: 0363, Version: New
Description: Install corridor and hallway doors that block smoke.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-16
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-16