Life Care Center of Kona — nursing home in Kailua Kona, HI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 94 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 60.2 CMS, MDS-derived
CMS Certification Number: 125052
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Oct 23, 2001
Ownership type: For profit - Corporation
Operator (legal business name): Kona Medical Investors, LLC
CMS chain: Life Care Centers of America 194 facilities
Phone: (808) 322-2790
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jan 15, 2026

Citations

44

36 health · 8 fire

Harm or worse

2

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D26	E6	F9
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 125052
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 94
First approved: Oct 23, 2001
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Hawaii.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 15, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 15, 2026	Health	Health Standard	7	Potential harm	—	Open →
Sep 25, 2024	Fire safety	Fire Safety Standard	1	Minimal	—	Open →
Sep 25, 2024	Health	Health Complaint, Health Standard	14	Potential harm	—	Open →
Sep 21, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Sep 21, 2023	Health	Health Standard	15	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H·	I·
Potential harm	D26	E6	F9
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 15, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 25, 2026
Jan 15, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 5, 2026
Jan 15, 2026	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 16, 2026
Jan 15, 2026	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 16, 2026
Jan 15, 2026	F-0578	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 6, 2026
Jan 15, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 6, 2026
Jan 15, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 6, 2026
Jan 15, 2026	F-0801	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 6, 2026
Jan 15, 2026	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 6, 2026
Jan 15, 2026	F-0838	Conduct 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. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Mar 6, 2026
Jan 15, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Mar 6, 2026
Sep 25, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 6, 2024
Sep 25, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Nov 6, 2024	Complaint
Sep 25, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 6, 2024	Complaint
Sep 25, 2024	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 6, 2024	Complaint
Sep 25, 2024	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	F-0625	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Nov 6, 2024
Sep 25, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Nov 6, 2024
Sep 25, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 6, 2024
Sep 25, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Feb 24, 2025
Sep 21, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0726	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision	G · Actual harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	D · Potential harm Isolated	Corrected Oct 13, 2023
Sep 21, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 13, 2023
Sep 21, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 13, 2023
Sep 21, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0625	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Oct 23, 2023
Sep 21, 2023	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Oct 23, 2023
Sep 21, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Oct 23, 2023
Sep 21, 2023	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Oct 23, 2023
Sep 21, 2023	F-0882	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Oct 23, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.8

Health inspectionsstate 3

Staffingstate 4.5

Quality measuresstate 4.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.89

State avg 4.99US avg 3.90

Registered nurse (RN)1.27

State avg 1.73US avg 0.69

Licensed practical nurse0.49

State avg 0.35US avg 0.86

Nurse aide2.13

State avg 2.91US avg 2.35

Weekend total nurse3.54

State avg 4.41US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.84 (case-mix index 1.42).

Staff turnover

Total nursing staff turnover37.0%

State avg 34.5%US avg 45.3%

Registered nurse turnover20.0%

State avg 30.5%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jan 15, 2026
Cycle 1 health score: 68
Total weighted score: 73

Operating entity

Kona Medical Investors, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Life Care Centers of America

194 facilities in 26 states. CMS chain ID 311.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.4

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

8

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lisa Lay	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Aug 1, 2020
Richard Swanker	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jan 1, 2011

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Lisa Lay	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Aug 1, 2020
Richard Swanker	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jan 1, 2011
Life Care Centers of America, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 28, 2001
Cindy Cross	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 29, 2001
Lisa Lay	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2020
Forrest Preston	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 29, 2001
Richard Swanker	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2011
Joan Thurmond	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 29, 2001
Meredith Eder	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Mar 1, 2020

Same chain in Hawaii

All 193 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Life Care Center of Hilo 944 West Kawailani Street, Hilo, HI 96720 CCN 125040	252	Jul 2, 2026	441 harm	$8,492
Hale Anuenue Restorative Care 1333 Waianuenue Avenue, Hilo, HI 96720 CCN 125045	120	Feb 28, 2025	29	—
Ka Punawai Ola 91-575 Farrington Highway, Kapolei, HI 96707 CCN 125051	120	Apr 24, 2026	392 harm	$8,673

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 78-6957 Kamehameha III Road, Kailua Kona, HI 96740
ZIP: 96740
County: Hawaii County FIPS 15001
State: Hawaii
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

No nearby facilities with coordinates.

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	125052	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	125052	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 125052

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction