GoodStanding

Nursing home report

Hale Ho'ola Hamakua

Registered name: Honoka'a Hospital & Skilled Nursing

HONOKAA, HI · Medicare-certified · 66 beds

In good standing
Government-runChain member
Data as of July 1, 2026
5 of 5 overall

Hale Ho'ola Hamakua in Honokaa, HI has an overall 5-star rating, with 5 stars for staffing and quality measures and 4 stars for health inspections. It reports 5.51 nurse staffing hours per resident per day, above the 4.1 federal benchmark, with no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

5.508 hrs/resident/day

Quality measures

Last inspection: November 22, 2024Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.508.

Staffing detail

Registered nurses
1.60
Licensed practical nurses
0.63
Nurse aides
3.28
Weekend nursing
4.73

Hours per resident per day.

Total staff turnover: 24%
Registered nurse turnover: 32%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

10.9%20%Worsening

Residents with a fall causing major injury

1.7%0%Improving

Residents with pressure ulcers (bedsores)

1.7%1.6%No change

Residents with a urinary tract infection

1.7%0%Improving

Residents who lost too much weight

3.4%2%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

12.5%7.3%Improving

Residents whose ability to walk got worse

12.5%

Long-stay residents on antianxiety or sleep medication

8.6%13.5%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%1.5%Worsening

Residents with new or worsening incontinence

10.1%16.2%Worsening

Residents with depressive symptoms

0%2.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%98.2%Worsening

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%90.9%Worsening

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: D

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: D

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Government - State
Chain
Part of HAWAII HEALTH SYSTEMS CORPORATION · 7 homes · 4.2 stars avg
Occupancy
56.9 residents on an average day (86% of 66 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 49 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.