ElderGrade
A

99/100

Excellent

Honoka'a Hospital & Skilled Nursing

45-547 Plumeria Street, Honokaa, HI 96727

CMS 5/5 stars #1 of 7 in Hawaii County (808) 932-4100
Certified beds
66
Occupancy
86%
Ownership
Government
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.86 total nurse hours per resident per day (national median 3.77)
  • 1.6 RN hours per resident per day
  • Weekend staffing drops 14% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 24% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 5.51 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.60 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.73 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 24.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 14 citations

Last standard health inspection: November 22, 2024 (1 year ago).

F Nov 22, 2024 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Nov 22, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Nov 22, 2024 F0684

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Nov 22, 2024 F0689

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

D Nov 22, 2024 F0887

Infection Control Deficiencies

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.

No actual harm, potential for more than minimal harm

D May 31, 2024 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

E Dec 8, 2023 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Dec 8, 2023 F0550

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of HAWAII HEALTH SYSTEMS CORPORATION, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
WALTJEN, JONI Individual W-2 MANAGING EMPLOYEE
BELCHER, DANIEL Individual CORPORATE DIRECTOR
FARIAS, CHAD Individual CORPORATE DIRECTOR
GOMEZ, LARA Individual CORPORATE DIRECTOR
GRAY, JERRY Individual CORPORATE DIRECTOR
HO, BRENDA Individual CORPORATE DIRECTOR
IGNACIO, JAY Individual CORPORATE DIRECTOR
KUROHARA, RANDALL Individual CORPORATE DIRECTOR
NUNOKAWA, CLARYSSE Individual CORPORATE DIRECTOR
SAKO, DEANNA Individual CORPORATE DIRECTOR
SKRUCH, JOSEPH Individual CORPORATE DIRECTOR
SMITH, STEPHEN Individual CORPORATE DIRECTOR

What families say

Write a review

No family reviews yet for Honoka'a Hospital & Skilled Nursing. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Honoka'a Hospital & Skilled Nursing

What is the ElderGrade for Honoka'a Hospital & Skilled Nursing? +

Honoka'a Hospital & Skilled Nursing holds an ElderGrade of A (99 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Honoka'a Hospital & Skilled Nursing? +

Residents receive an average of 5.51 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Honoka'a Hospital & Skilled Nursing been cited for harming residents? +

No. None of the 14 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Honoka'a Hospital & Skilled Nursing accept Medicaid? +

Yes, Honoka'a Hospital & Skilled Nursing is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.