Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency
across a group says more about an operator than any single building.
Homes
6
States
1
Beds
654
Avg score
79.7
Avg turnover
39%
Federal fines
$36,544
Flags across this group
1 home is in or a candidate for the Special Focus Facility programme.
The Ching Villas runs on unusually heavy nurse staffing, 6.46 hours per resident day, roughly two-thirds more than the national average, and that shows up in its five-star staffing rating. Weekend coverage dips about 13% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 36.3%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The catch is the inspection record: 40 deficiencies, though none at harm or jeopardy level and none abuse-related, and the most recent inspection was in January 2026. For-profit, limited liability ownership. Strong care numbers, a long paper trail to read.
Garden Isle Healthcare in Lihue runs on unusually steady staffing for a for-profit home: 4.09 nurse hours per resident day, about 6% above the national average, with weekend coverage dipping only 7% below weekdays. Turnover sits at 31.5% against a national 45.8%, which matters more than any single number here, it means fewer unfamiliar faces on the floor.
The tradeoff shows up in inspections. The current record carries 38 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey was in February 2025. Ownership is a for-profit corporation, and CMS gives it 3 of 5 stars on health inspections but 5 of 5 on both quality measures and staffing. Read those together: strong day-to-day care, a longer paper trail of cited problems.
Pu'uwai 'O Makaha runs on a for-profit LLC structure with 93 certified beds, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That cushion matters, though weekends dip about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. Annual turnover of 27.6% is well under the national 45.8%, which suggests a steadier workforce than most places. The tradeoff shows up in its record: 37 deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $65,455. No abuse citations appear, and the last inspection was July 2025.
Hale Kupuna Heritage Home runs on strong staffing, 4.17 nurse hours per resident day, roughly 8% above the national average, and that's the main reason it earns top marks on CMS's staffing measure. Turnover sits at 29.5%, well below the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its record: 25 deficiencies, including one at the harm level and three tied to abuse, plus a $16,350 fine. Weekend staffing also drops about 11% from weekday levels, which is worth asking about. Its last inspection was March 2026, so the picture is current.
Legacy Hilo Rehabilitation & Nursing Center is a for-profit home with 100 certified beds in Hilo, and the numbers tell a story worth reading carefully. Federal inspectors have logged 34 deficiencies against it, including one at the harm level and one tied to abuse, and the home sits in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Staffing runs slightly below the national average at 3.72 hours per resident day, weekend coverage drops about 14% below weekdays, and annual turnover hits 62.3% against a national 45.8%. Its last inspection was February 27, 2026. One $16,350 fine is on record.
Ann Pearl runs a nonprofit-style staffing level inside a for-profit corporate structure: 4.01 nurse hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 10% below its own weekday numbers. That staffing strength is doing a lot of work against a much rougher record elsewhere. The current inspection history shows 46 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $23,520 fine and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Turnover sits at 46.2%, essentially the national rate, and the last inspection was February 2025. Strong aides, serious compliance concerns.