Honokaa, HI

Honoka'a Hospital & Skilled Nursing

5-star overall rating with 4-star inspections with 5 recent health deficiencies

45-547 Plumeria Street, Honokaa, HI

(808) 932-4100

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

66

Certified beds

Average residents

59

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

Hawaii Health Systems Corporation

Operator or chain grouping

Approved since

1977-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 3 health / 4 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.36

Registered nurse staffing · state 1.63 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.36 · national 0.87

Aide hours / resident day

3.25

Nurse aide staffing · state 2.73 · national 2.35

Total nurse hours

5.28

All reported nurse hours · state 4.71 · national 3.89

Licensed hours

2.03

RN + LPN hours · state 1.97 · national 1.54

Weekend hours

4.44

Weekend nurse staffing · state 4.19 · national 3.43

Weekend RN hours

0.92

Weekend registered nurse coverage · state 1.23 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.45

CMS adjusted RN staffing hours

Adjusted total hours

5.66

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 33% · national 45%

Total nurse turnover

23%

Annual nurse turnover · state 37% · national 46%

SNF VBP

Value-based purchasing

Program rank

269

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

74.90

Composite VBP score used to determine payment impact.

Payment multiplier

1.0244

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.52

Baseline 27.63% · Performance 32.95% · Measure score 7.52 · Achievement 7.52 · Improvement 0

Adjusted total nurse staffing

7.46

Baseline 5.12 hours · Performance 5.20 hours · Measure score 7.46 · Achievement 7.46 · Improvement 0.75

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 1 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	11.61%	8.2% 3.4 pts better	Numerator 18 · Denominator 155
Staff flu vaccination coverage	55.4%	42% 13.4 pts better	Numerator 77 · Denominator 139
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	96.3% 3.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.4% 4.6 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.3%	1.9% 0.6 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.7% · Q4 1.7% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	1.4% 1.4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	2.6%	4.9% 2.3 pts better	5.4% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 3.4% · Q4 1.7% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.6%	8.2% 1.4 pts worse	19.6% 10 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 9.3% · Q3 8.6% · Q4 11.7% · 4Q avg 9.6%
Percentage of long-stay residents who received an antipsychotic medication	14.3%	11.3% 3 pts worse	16.7% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 13.6% · Q3 10.6% · Q4 16.0% · 4Q avg 14.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.3% 0.3 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	16.1%	23.4% 7.3 pts better	16.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.2%	16.8% 7.6 pts better	14.9% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 4.7% · Q3 12.5% · Q4 10.2% · 4Q avg 9.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.3% 1.3 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	2.4% 2 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.5%	17.8% 3.3 pts better	19.8% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 9.4% · Q3 10.1% · Q4 11.7% · 4Q avg 14.5%
Percentage of long-stay residents with pressure ulcers	1.6%	3.6% 2 pts better	5.1% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 1.7% · Q4 3.3% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.2%	82.8% 14.4 pts better	81.7% 15.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 97.6% · Q3 100.0% · Q4 96.6% · 4Q avg 97.2%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.0% 1 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q2 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	84.7% 15.3 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-22 · Fire 2024-11-22

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-12-08 · Fire 2023-12-08

8 health deficiencies

Top issue: Resident Rights (4 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-10-13 · Fire 2022-10-13

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2023-12-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-03-01

D · Potential for more than minimal harm 2023-12-08

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-03-01

D · Potential for more than minimal harm 2023-12-08

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2024-03-01

F · Potential for more than minimal harm 2022-10-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-11-29

F · Potential for more than minimal harm 2022-10-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-29

F · Potential for more than minimal harm 2022-10-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-11-29

E · Potential for more than minimal harm 2022-10-13

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-11-29

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-11-22

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-05-21

D · Potential for more than minimal harm 2024-11-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-11-22

F887 · Infection Control Deficiencies

Health

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.

Corrected 2025-01-06

D · Potential for more than minimal harm 2024-05-31

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-07-12

E · Potential for more than minimal harm 2023-12-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-08

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-08

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-08

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-08

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-01-22

D · Potential for more than minimal harm 2023-12-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-01-22

G · Actual harm 2023-03-15

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-04-28

D · Potential for more than minimal harm 2023-03-15

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-04-28

D · Potential for more than minimal harm 2022-10-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-29

Penalties and ownership