Hawaii ›Honokaa

Honoka'a Hospital & Skilled Nursing

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45-547 Plumeria Street, Honokaa, HI 96727 (opens Google Maps) · Hawaii County · (808) 932-4100· 66 certified beds · avg 57 residents/day · certified since Jan 1, 1977 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: HAWAII HEALTH SYSTEMS CORPORATION (7 facilities, chain avg rating 4.2★)

4/5
Health inspection rating (on-site)
inspected Nov 22, 2024
0
Serious findings on record
$0
Fines, last 3 years
5.86
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

  2. D · Potential for more than minimal harm, isolated

    The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint F-0600

  3. D · Potential for more than minimal harm, isolated

    The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684

View all 14 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Nov 22, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Nov 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Nov 22, 2024D · Potential for more than minimal harm, isolatedThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
May 31, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Dec 8, 2023E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Dec 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Dec 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
Dec 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Dec 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Dec 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Dec 8, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Oct 13, 2022D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 1
Serious citations (G–L): 0
2023
All citations: 7
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202210D
202370E
202460F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityHawaii averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.86
Hawaii average: 4.77
U.S. average: 3.95
Registered Nurse hours
This facility: 1.70
Hawaii average: 1.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 5.04
Hawaii average: 4.23
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityHawaii avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)5.864.773.95top 12% in Hawaii; top 5% in the U.S.
Registered Nurse hours1.701.640.69top 32% in Hawaii; top 3% in the U.S.
Weekend total nurse staffing5.044.233.50top 15% in Hawaii; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)1.111.330.48bottom 39% in Hawaii; top 4% in the U.S.
Total nursing staff turnover (%)24.436.445.8top 21% in Hawaii; top 6% in the U.S.
RN turnover (%)32.131.542.9bottom 36% in Hawaii; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.51, RN 1.60, weekend 4.73.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.51 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Honoka'a Hospital & Skilled Nursing. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - State

Owner / managerTypeRoleStakeSince
Belcher, DanielIndividualCorporate DirectorNOT APPLICABLE06/01/2020
Brinkman, DanielIndividualCorporate OfficerNOT APPLICABLE06/22/2015
Farias, ChadIndividualCorporate DirectorNOT APPLICABLE03/01/2021
Gomez, LaraIndividualCorporate DirectorNOT APPLICABLE11/01/2022
Gray, JerryIndividualCorporate DirectorNOT APPLICABLE02/01/2017
Hawaii Health Systems CorporationOrganizationOperational/Managerial ControlNOT APPLICABLE07/01/1996
Ho, BrendaIndividualCorporate DirectorNOT APPLICABLE07/01/2016
Ignacio, JayIndividualCorporate DirectorNOT APPLICABLE04/01/2019
Kurohara, RandallIndividualCorporate DirectorNOT APPLICABLE02/01/2021
Mackey, DeniseIndividualCorporate OfficerNOT APPLICABLE05/01/2017
Nunokawa, ClarysseIndividualCorporate DirectorNOT APPLICABLE06/01/2019
Sako, DeannaIndividualCorporate DirectorNOT APPLICABLE09/01/2018
Skruch, JosephIndividualCorporate DirectorNOT APPLICABLE03/15/2022
Smith, StephenIndividualCorporate DirectorNOT APPLICABLE02/24/2018
Waltjen, JoniIndividualW-2 Managing EmployeeNOT APPLICABLE04/23/2001
Wong, YvonneIndividualCorporate DirectorNOT APPLICABLE10/01/2022
Yamanaka, RaeIndividualCorporate DirectorNOT APPLICABLE05/17/2016
Zelko-Schlueter, JenniferIndividualCorporate DirectorNOT APPLICABLE07/01/2022

All 18 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Hawaii Health Systems Corporation — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 24% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Yukio Okutsu State Veterans Home34.1 miHilo, HI★★★★☆3/5
Hilo Benioff Medical Center34.1 miHilo, HI★★★★☆3/5
Hale Anuenue Restorative Care34.1 miHilo, HI★★★★☆2/5
Legacy Hilo Rehabilitation & Nursing Center34.8 miHilo, HI★☆☆☆☆1/5
Life Care Center of Hilo36.8 miHilo, HI★★★☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Hawaii, HI — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Honokaa →

Facility data as of CMS processing date 2026-08-01. CCN 125032.

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