What is Honoka'a Hospital & Skilled Nursing's Medicare star rating?

CMS rates Honoka'a Hospital & Skilled Nursing 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Honoka'a Hospital & Skilled Nursing get at its last inspection?

5 health deficiencies at the standard inspection on November 22, 2024. The Hawaii average is 9.5.

Has Honoka'a Hospital & Skilled Nursing been fined?

CMS lists no fines in the last three years.

Does Honoka'a Hospital & Skilled Nursing accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Honoka'a Hospital & Skilled Nursing?

CMS lists 18 owners and managers, and links the home to Hawaii Health Systems Corporation. Legal business name: HONOKAA HOSPITAL & SKILLED NURSING.

Honoka'a Hospital & Skilled Nursing: Inspections & Ratings

The record in brief

At its most recent standard inspection, on November 22, 2024, inspectors cited 5 health deficiencies (the Hawaii average is 9.5, the national average 9.2).

None of its 14 health citations since October 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 5.51 hours per resident per day, against 4.97 across Hawaii and 3.86 nationally. Registered nurses accounted for 1.60 of those hours.

24.4% of nursing staff left within the year CMS measured (Hawaii average 36.4%).

CMS links it to Hawaii Health Systems Corporation, an affiliated group of 7 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

110/22

712/23

105/24

511/24

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

12D

Potential for minimal harm

November 22, 2024Standard inspection, Complaint inspection · 5 citations

F

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 6, 2025

Inspectors wroteBased on observation and staff interview, the facility failed to record hot water temperatures for manual washing of dishes/pots/pans and failed to completely record hot water temperatures for the dishwashing machine.
D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on observations, record reviews, and interview, the facility failed to protect a resident (Resident 310) from physical abuse. The facility did not de-escalate the situation between two roommates, resulting in Resident (R)50 going over and punching R310. This deficient practice has the potential to affect the residents' optimal physical and psychosocial well-being.
D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2025

Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to monitor vital signs; blood pressure for one Resident (R) 57 of fourteen residents sampled. As a result of this deficiency, the facility put R57 at risk for further health complications.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2025

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure 1 of 14 residents sampled (Resident 11) was free from accident hazards. Resident 11 was transferred using a mechanical lift transfer in a manner that placed her at risk for an avoidable fall and/or injury. This deficient practice has the potential to affect all the residents at the facility who are dependent on mechanical lift transfers.
D

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 6, 2025

Inspectors wroteBased on record review and interview with staff members, the facility failed to provide education regarding the benefits, risks, and potential side effects associated with COVID-19 immunization before offering the vaccine to staff member(s).

May 31, 2024Complaint inspection · 1 citation

D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2024

Inspectors wroteBased on review of Facility Reported Incident (ACTS 10975), record review, staff interview and review of policy, the facility failed to implement the comprehensive care plan for Resident (R)2. As a result of this deficiency, R2 was found in another resident's room showing inappropriate sexual behaviors.

December 8, 2023Standard inspection · 7 citations

E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 22, 2024

Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to implement the facility's infection prevention and control measures. Facility did not ensure that staff were wearing applicable personal protective equipment (PPE) when providing care to two residents (Resident (R) 41 and 12) on Transmission Based Precautions (TBP). This deficient practice placed the residents at risk for the potential spread of infections and communicable diseases.
D

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024

Inspectors wroteBased on interview with a resident and record review, the facility failed to provide treatment and care in a manner that promoted his or her quality of life for one of 17 residents (Resident (R) 25) in the active case sample. This deficient practice has the potential to affect the resident's psychosocial well-being.
D

Give residents a notice of rights, rules, services and charges.

F572 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024

Inspectors wroteBased on interview with the resident council, the facility failed to ensure residents were provided ongoing communication regarding where to find the State Agency (SA) report with survey results and the facility's plans of correction, and information on how to file a complaint with the SA and Long-Term Care Ombudsman (LTCO) should they want to exercise these rights.
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024

Inspectors wroteBased on observation and interview with staff, the facility did not assure a resident was provided with personal privacy during incontinence care.
D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024

Inspectors wroteBased on record review and interview with staff member, the facility did not ensure the notice of transfer/discharge contained the required contents; a copy of the notice is sent to the Long-Term Care Ombudsman (LTCO); and a resident transferred from the facility's long-term care/nursing to the critical access hospital was not provided written notice of transfer for 2 (Residents 54 and 55) of 2 residents in the sample.
D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024

Inspectors wroteBased on observation, interviews and record reviews, the facility failed to provide appropriate services to prevent urinary tract infections for one of the two residents (Resident (R) 34) in the sample. The deficient practice exposed the resident to contaminants that may cause preventable urinary tract infections. This has the potential to affect all residents with a urinary catheter.
D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 22, 2024

Inspectors wroteBased on observation, interview with staff, and review of the policy and procedures, the facility did not assure drug records for controlled drugs were maintained. This deficient practice has the potential for possible drug diversion.

October 13, 2022Standard inspection · 1 citation

D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 29, 2022

Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure planned fall prevention interventions were promptly and consistently implemented to minimize the risk of falls/fall-related injury for 1 (Resident #22) of 2 sampled residents reviewed for falls.

Fire safety inspections

7 fire safety citations on file: 3 on December 8, 2023, 4 on October 13, 2022.

Every fire safety citation7 citations

D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · December 8, 2023 · Corrected (the home has a date of correction)
D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · December 8, 2023 · Corrected (the home has a date of correction)
D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

K 929 · December 8, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · October 13, 2022 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · October 13, 2022 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · October 13, 2022 · Corrected (the home has a date of correction)
E
Properly select, install, inspect, or maintain portable fire extinguishes.

K 355 · October 13, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Hawaii	United States
All nursing staff (RN, LPN and aides)	5.51	4.97	3.86
Registered nurses	1.60	1.75	0.69
All nursing staff on weekends	4.73	4.41	3.42
Nurse aides	3.28
Licensed practical nurses	0.62
Nursing staff turnover (share who left in a year)	24.4%	36.4%	45.8%
Registered nurse turnover	32.1%	31.5%	42.9%
Administrators who left	not reported

CMS expects 3.60 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.82 on weekdays and 4.73 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.14 in April to June 2025 to 5.51 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	5.51	1.60	5.82	4.73	8.3%	0 of 90	57
Oct to Dec 2025	5.76	1.61	6.09	4.92	13.8%	0 of 92	58
Jul to Sep 2025	5.28	1.36	5.61	4.44	9.9%	0 of 92	59
Apr to Jun 2025	5.14	1.23	5.43	4.42	11.1%	0 of 91	61
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Hawaii, Jan to Mar 2026	4.63	1.60	4.86	4.08	6.9%	0% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Hawaii	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	9.9	16.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.4	1.0	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.4	2.4	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.9	1.9	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	12.5	20.4	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.1	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.8	11.9	15.4

Owners and operators

Legal business name: HONOKAA HOSPITAL & SKILLED NURSING. CMS links this home to Hawaii Health Systems Corporation, a group of 7 nursing homes averaging 4.7 stars overall.

Name	Role	Type	Since
Waltjen, Joni	W-2 managing employee	Individual	04/23/2001
Belcher, Daniel	Corporate director	Individual	06/01/2020
Farias, Chad	Corporate director	Individual	03/01/2021
Gomez, Lara	Corporate director	Individual	11/01/2022
Gray, Jerry	Corporate director	Individual	02/01/2017
Ho, Brenda	Corporate director	Individual	07/01/2016
Ignacio, Jay	Corporate director	Individual	04/01/2019
Kurohara, Randall	Corporate director	Individual	02/01/2021
Nunokawa, Clarysse	Corporate director	Individual	06/01/2019
Sako, Deanna	Corporate director	Individual	09/01/2018
Skruch, Joseph	Corporate director	Individual	03/15/2022
Smith, Stephen	Corporate director	Individual	02/24/2018
Wong, Yvonne	Corporate director	Individual	10/01/2022
Yamanaka, Rae	Corporate director	Individual	05/17/2016
Zelko-Schlueter, Jennifer	Corporate director	Individual	07/01/2022
Brinkman, Daniel	Corporate officer	Individual	06/22/2015
Mackey, Denise	Corporate officer	Individual	05/01/2017
Hawaii Health Systems Corporation	Operational/managerial control	Organization	07/01/1996

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on November 22, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on December 8, 2023: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on November 22, 2024: "Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on November 22, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

Hawaii contacts for a concern about a nursing home

These are the official offices in Hawaii. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Hawaii Department of Health, Office of Health Care Assurance, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Hawaii Long-Term Care Ombudsman Program, Executive Office on Aging, 586-7268. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.

Common questions

What is Honoka'a Hospital & Skilled Nursing's Medicare star rating?: CMS rates Honoka'a Hospital & Skilled Nursing 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Honoka'a Hospital & Skilled Nursing get at its last inspection?: 5 health deficiencies at the standard inspection on November 22, 2024. The Hawaii average is 9.5.
Has Honoka'a Hospital & Skilled Nursing been fined?: CMS lists no fines in the last three years.
Does Honoka'a Hospital & Skilled Nursing accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Honoka'a Hospital & Skilled Nursing?: CMS lists 18 owners and managers, and links the home to Hawaii Health Systems Corporation. Legal business name: HONOKAA HOSPITAL & SKILLED NURSING.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.