Honoka'a Hospital & Skilled Nursing has a 5-star overall rating, with 5 stars for staffing and quality measures and 4 stars for health inspections. It reports 5.76 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months.
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 5.7601.
Staffing detail
Registered nurses
1.61
Licensed practical nurses
0.69
Nurse aides
3.46
Weekend nursing
4.92
Hours per resident per day.
Total staff turnover: 21%
Registered nurse turnover: 27%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.4%Worsening
Residents with a fall causing major injury
1.3%Improving
Residents with pressure ulcers (bedsores)
2.1%Steady
Residents with a urinary tract infection
0.4%Steady
Residents who lost too much weight
2.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.2%Worsening
Residents whose ability to walk got worse
10.3%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
10.3%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10%Improving
Residents with depressive symptoms
1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
94.8%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.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
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.
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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.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to educate residents and staff about COVID-19 vaccination, offer the vaccine to eligible people, and properly record vaccination status. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 887 — 42 CFR §483.80 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 7 health deficiencies.
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Operator & ownership
Ownership
Government - State
Chain
Part of HAWAII HEALTH SYSTEMS CORPORATION · 6 homes · 4.2 stars avg
Occupancy
57.9 residents on an average day (88% 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.