Federal inspection record · CMS data as of October 1, 2026
Kauai Veterans Memorial Hospital
4643 Waimea Canyon Drive, Waimea, HI · (808) 338-9431
- Certified beds
- 20
- Residents per day
- 20
- Ownership
- Non-Profit
- Chain
- Hawaii Health Systems Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 11, 1973
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Hawaii.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Hawaii homes
Kauai Veterans Memorial Hospital carries 63.5 inspection points. That is fewer than 46% of Hawaii's 41 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Hawaii: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–48 pts
- 3★ 48–69 pts
- 2★ 69–86 pts
- 1★ over 86 pts
Bars show every rated home in Hawaii by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
14 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
L
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Keep residents' personal and medical records private and confidential.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service2D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Quality of Life and Care2D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-02-27
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-09-10
6 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-09-22
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 50 min of nursing staff time a day, 1 h 50 min of it from a registered nurse.
This home
4 h 50 min
Hawaii average
5 h
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 10% of nursing staff and 13% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$34,588 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-10 | Fine | $34,588 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts worse | 96.2% | 96.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.6 pts worse | 90.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 0.0% | 2.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 0.0% | 1.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 5.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts worse | 12.3% | 9.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.7 pts worse | 19.1% | 12.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.9 pts better | 15.2% | 18.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased14.7 pts worse | 31.6% | 16.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts worse | 3.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.9 pts better | 4.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.5 pts better | 0.0% | 3.5% | 4.5% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Kauai Veterans Memorial Hospital | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Hawaii Health Systems Corporation | 5% Or Greater Indirect Ownership Interest · Organization | 20% | 7 facilities |
| Asato, Christine | Corporate Officer · Individual | 0% | 2 facilities |
| Asato, Christine | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Barnes, Walter | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Franklin, Nicholas | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Franklin, Nicholas | Adp Of The SNF · Individual | 0% | 2 facilities |
| Kanekoa, Ernest | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Nogami-Streufert, Glenda | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Okada-Asher, Donna | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Rintel, Theodor | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Rowley, Dennis | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Segawa, Lance | Corporate Officer · Individual | 0% | 2 facilities |
| Segawa, Lance | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Segawa, Lance | Adp Of The SNF · Individual | 0% | 2 facilities |
| Yuh, Christopher | Managing Control - Governing Body · Individual | 0% | 2 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- B
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
·
Other homes nearby
-
Kauai Care Center
Waimea, HI · Regency Pacific Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0
-
Hale Kupuna Heritage Home, LLC
Koloa, HI · Ohana Pacific Management Co.
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 49 min
- Fines
- $10,628
-
Garden Isle Healthcare And Rehabilitation Center
Lihue, HI · Ohana Pacific Management Co.
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 14 min
- Fines
- $0