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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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.
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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.
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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.
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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.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
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.