Skilled nursing facility · CMS certification number 125061
Kauai Care Center
Waimea, Hawaii · Medicare and Medicaid
Certified beds, as filed in Care Compare: 53
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,137,138 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $741,496 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,395,642 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,261,170 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $134,472 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$18,225 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $116,247 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $116,247 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 19,398 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 615 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,513 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,309 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 16,437 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 16 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 544.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433357, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,595,069 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,742,915 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,852,154 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,450,292 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,598,138 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $643,616 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$954,522 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$954,522 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,985 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 587.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393298, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 11 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,123,354 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,898,405 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,224,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,706,384 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$481,435 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $815,802 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $334,367 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $334,367 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,812 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 56.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 547.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361878, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 August 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,338,356 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,878,608 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,459,748 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,978,023 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $481,725 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $711,208 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,192,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,192,933 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,528 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 803.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330363, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 27 October 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,249,312 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,072,623 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,176,689 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,970,197 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $206,492 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $346,732 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $553,224 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $553,224 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,988 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 709.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303204, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 November 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,208,269 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,851,263 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,357,006 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,173,447 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $183,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$11,526 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $172,033 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $172,033 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,190 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 722.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274107, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,977,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,999,232 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,978,025 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,785,315 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $192,710 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$3,839 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $188,871 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $188,871 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,290 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 641.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239494, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,319,117 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,271,059 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,048,058 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,103,118 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$55,060 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$5,222 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$60,282 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$60,282 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,507 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 507.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 230.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208485, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 3 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,779,934 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,151,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,628,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,539,606 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $88,931 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,613 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $116,544 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $116,544 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,662 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 408.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 222.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171705, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,888,759 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,436,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,452,020 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,449,435 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,813 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,398 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,398 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,045 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 233.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141184, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 30 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,967,617 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,431,931 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,535,686 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,732,069 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$196,383 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,592 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$183,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$183,791 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,476 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 253.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106102, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,703,705 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,310,964 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,392,741 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,572,929 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$180,188 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$180,188 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$213,302 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 466.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076804, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,179,500 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,667,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,512,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,316,001 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $196,461 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,419 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $204,880 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $204,880 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,699 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 30 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 589.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044819, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 8 August 2011 to 31 December 2011 — a reporting period of 145 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 16 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,007,659 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,244,399 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,763,260 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,651,058 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $112,202 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,473 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $110,729 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $110,729 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 53 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,796 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 7 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, all patients, in days | 1,113.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046612, read from the public cost report file SNF10FY2011.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HORI-MOISES, BRANDI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/01/2017 |
| BEDDOE, MARVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2010 |
| REGENCY PACIFIC MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2010 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of KAUAI CARE CENTER, LLC (enrollment ID O20120907000090).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| JAMES LEE CLAY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 4/25/2003 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BRANDI K HORI-MOISES | Individual | CORPORATE DIRECTOR | 100 | 11/1/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARVIN B BEDDOE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2010 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| REGENCY PACIFIC MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
No change in ownership appears in the CMS files on record since 20 September 2022.
Recent changes on this record
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 28 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 11 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 23 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 27 October 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 20 November 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 5 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 21 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 3 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 15 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 30 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 22 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 16 August 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 1 August 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 5 April 2024 | 5 April 2024 | 10 | 0 |
| 2 | 14 April 2023 | 14 April 2023 | 10 | 2 |
| 3 | 23 February 2022 | 23 February 2022 | 3 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
23 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 20 February 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | 13 April 2026 |
| 10 July 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Past Non-Compliance | 18 March 2025 |
| 5 April 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | 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. | F | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | 20 May 2024 |
| 5 April 2024 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | 20 May 2024 |
| 14 April 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | E | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 29 May 2023 |
| 14 April 2023 | Health | F 0885 | Infection Control Deficiencies | Report COVID19 data to residents and families. | E | No | Deficient, Provider has date of correction | 29 May 2023 |
| 23 February 2022 | Health | F 0578 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 24 March 2022 |
| 23 February 2022 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 24 March 2022 |
| 23 February 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | 24 March 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | KAUAI CARE CENTER, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-08-08 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Kauai |
| Telephone Number | 8083381681 |
| Chain Name | REGENCY PACIFIC MANAGEMENT |
| Chain ID | 442 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 53 |
| Average Number of Residents per Day | 46.8 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for Kauai Care Center
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Hawaii at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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