Federal inspection record · CMS data as of October 1, 2026
Yukio Okutsu State Veterans Home
1180 Waianuenue Avenue, Hilo, HI · (808) 961-1500
- Certified beds
- 95
- Residents per day
- 72
- Ownership
- Government
- Chain
- Hawaii Health Systems Corporation
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 10, 2008
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.
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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.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Hawaii homes
Yukio Okutsu State Veterans Home carries 50 inspection points. That is fewer than 56% 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
39 health citations on record since 2022. 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 (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Resident Rights9E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give residents a notice of rights, rules, services and charges.
- D
The resident has the right to receive notices in a format and a language he or she understands.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Assessment and Care Planning7F
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- F
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care6D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Pharmacy Service5D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure medication error rates are not 5 percent or greater.
- 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 that residents are free from significant medication errors.
- 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.
Infection Control3F
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Administration2F
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- F
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Nursing and Physician Services2F
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary2E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2024-11-15
10 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-10-30
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2022-10-14
18 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 40 min of nursing staff time a day, 1 h 5 min of it from a registered nurse.
This home
4 h 40 min
Hawaii average
5 h
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 26% of nursing staff and 29% 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
$13,049 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2023-10-30 | Fine | $13,049 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.9 pts better | 0.2 | 1.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 0.3 | 0.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12 pts worse | 84.3% | 96.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.3 pts worse | 95.3% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts worse | 5.1% | 2.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.5 pts worse | 9.8% | 1.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.2 pts worse | 10.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.5 pts better | 5.0% | 9.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.1 pts worse | 12.5% | 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 worsened1.8 pts better | 16.3% | 18.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 17.8% | 16.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts better | 1.3% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts worse | 18.2% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 4.0% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35 pts worse | 48.1% | 83.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts better | 9.3% | 11.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine38.1 pts worse | 46.6% | 84.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3.5 pts worse | 22.3% | 18.8% | 23.4% |
·
Who owns and runs it
24 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 |
|---|---|---|---|
| Hawaii Health Systems Corporation | 5% Or Greater Direct Ownership Interest · Organization | 100% | 7 facilities |
| Belcher, Daniel | Corporate Officer · Individual | 0% | 3 facilities |
| Brinkman, Daniel | Corporate Officer · Individual | 0% | 3 facilities |
| Chu, Edward | Corporate Officer · Individual | 0% | 1 facilities |
| East Hawaii State Veterans Home | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Farias, Chad | Corporate Officer · Individual | 0% | 3 facilities |
| Gomez, Lara | Corporate Officer · Individual | 0% | 3 facilities |
| Gray, Jerry | Corporate Officer · Individual | 0% | 3 facilities |
| Hash, Alan | Contracted Managing Employee · Individual | 0% | 17 facilities |
| Ignacio, Jay | Corporate Director · Individual | 0% | 3 facilities |
| Kirton, Charles | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Kurohara, Randall | Corporate Officer · Individual | 0% | 3 facilities |
| Nunokawa, Clarysse | Corporate Director · Individual | 0% | 3 facilities |
| Pettijohn, David | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rosen, Linda | Corporate Director · Individual | 0% | 3 facilities |
| Rosen, Linda | Corporate Officer · Individual | 0% | 3 facilities |
| Sako, Deanna | Corporate Director · Individual | 0% | 3 facilities |
| Skruch, Joseph | Corporate Officer · Individual | 0% | 3 facilities |
| Smith, Stephen | Corporate Director · Individual | 0% | 5 facilities |
| Stuart, Anne | Contracted Managing Employee · Individual | 0% | 1 facilities |
| Vancamp, Carol | Corporate Director · Individual | 0% | 1 facilities |
| Waltjen, Joni | Corporate Officer · Individual | 0% | 3 facilities |
| Wong, Yvonne | Corporate Officer · Individual | 0% | 3 facilities |
| Zelko-Schlueter, Jennifer | Corporate Director · Individual | 0% | 3 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress1C
- C
Have properly located and lighted "Exit" signs.
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Other homes nearby
-
Hilo Benioff Medical Center
Hilo, HI · Hawaii Health Systems Corporation
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 30 min
- Fines
- $0
-
Hale Anuenue Restorative Care
Hilo, HI · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0
-
Legacy Hilo Rehabilitation & Nursing Center
Hilo, HI · Ohana Pacific Management Co.
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 8 min
- Fines
- $10,628