The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PU'UWAI 'O MAKAHA
WAIANAE, HI · Medicare-certified · 93 beds
In good standing
For-profitChain member
Data as of July 1, 2026
4 of 5 overall
Overall 4 out of 5 stars. PU'UWAI 'O MAKAHA has solid health inspection and staffing ratings at 4 stars, with quality measures at 3 stars; reported nurse staffing is 4.26 hours per resident per day, slightly above the 4.1 federal benchmark, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.2569 hrs/resident/day
Quality measures
Last inspection: July 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2569.
Staffing detail
- Registered nurses
- 1.06
- Licensed practical nurses
- 0.51
- Nurse aides
- 2.69
- Weekend nursing
- 3.65
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 31%
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
27.5%22.2%Improving
Residents with a fall causing major injury
1.8%0%Improving
Residents with pressure ulcers (bedsores)
1.8%3.2%Worsening
Residents with a urinary tract infection
3.7%5.5%Worsening
Residents who lost too much weight
0%1.9%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.1%8.1%No change
Residents whose ability to walk got worse
—41.3%—
Long-stay residents on antianxiety or sleep medication
11.5%7.7%Improving
Short-stay residents newly given an antipsychotic
4.2%0%Improving
Residents with a long-term catheter
1.2%1.3%No change
Residents with new or worsening incontinence
7.5%7.3%No change
Residents with depressive symptoms
0%0%No change
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%100%No change
Short-stay residents given the seasonal flu vaccine
—91.1%—
Short-stay residents given the pneumonia vaccine
85.1%98.1%Improving
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $65,455 in total fines · 1 payment denial.
- 11 days
Medicare/Medicaid payment denial
Jul 28, 2023
- $65,455
Federal fine
Jul 28, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of OHANA PACIFIC MANAGEMENT CO. · 6 homes · 3.3 stars avg
- Occupancy
- 62.9 residents on an average day (68% of 93 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.