Honoka'a Hospital & Skilled Nursing

Name: Honoka'a Hospital & Skilled Nursing
Address: 45-547 PLUMERIA STREET, Honokaa, HI, 96727, US
Telephone: 8089324100

45-547 Plumeria Street, Honokaa, HI 96727 · Hawaii County · 66 certified beds · avg 57 residents/day · certified since Jan 1, 1977

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.86

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 self-reported quality measures.

All citations in the current public record (14)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Nov 22, 2024	F · Potential for harm, facility-wide	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.
Nov 22, 2024	D · Potential for harm, one-off	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
Nov 22, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 22, 2024	D · Potential for harm, one-off	The 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.
May 31, 2024	D · Potential for harm, one-off	The 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
Dec 8, 2023	E · Potential for harm, repeated	The 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.
Dec 8, 2023	D · Potential for harm, one-off	The 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.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Dec 8, 2023	D · Potential for harm, one-off	The 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.
Dec 8, 2023	D · Potential for harm, one-off	The 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.
Dec 8, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 13, 2022	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

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

Year	Citations	Worst severity that year
2022	1	D
2023	7	E
2024	6	F

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)

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

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

Measure	This facility	Hawaii avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.86	4.77	3.95	top 12% in Hawaii; top 5% in the U.S.
Registered Nurse hours	1.70	1.64	0.69	top 32% in Hawaii; top 3% in the U.S.
Weekend total nurse staffing	5.04	4.23	3.50	top 15% in Hawaii; top 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.11	1.33	0.48	bottom 39% in Hawaii; top 4% in the U.S.
Total nursing staff turnover (%)	24.4	36.4	45.8	top 21% in Hawaii; top 6% in the U.S.
RN turnover (%)	32.1	31.5	42.9	bottom 36% in Hawaii; top 33% in the U.S.

Hours are per resident per day, 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. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

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

Who owns this facility

Government - State

Owner / manager	Type	Role	Stake	Since
Belcher, Daniel	Individual	Corporate Director	NOT APPLICABLE	06/01/2020
Brinkman, Daniel	Individual	Corporate Officer	NOT APPLICABLE	06/22/2015
Farias, Chad	Individual	Corporate Director	NOT APPLICABLE	03/01/2021
Gomez, Lara	Individual	Corporate Director	NOT APPLICABLE	11/01/2022
Gray, Jerry	Individual	Corporate Director	NOT APPLICABLE	02/01/2017
Hawaii Health Systems Corporation	Organization	Operational/Managerial Control	NOT APPLICABLE	07/01/1996
Ho, Brenda	Individual	Corporate Director	NOT APPLICABLE	07/01/2016
Ignacio, Jay	Individual	Corporate Director	NOT APPLICABLE	04/01/2019
Kurohara, Randall	Individual	Corporate Director	NOT APPLICABLE	02/01/2021
Mackey, Denise	Individual	Corporate Officer	NOT APPLICABLE	05/01/2017
Nunokawa, Clarysse	Individual	Corporate Director	NOT APPLICABLE	06/01/2019
Sako, Deanna	Individual	Corporate Director	NOT APPLICABLE	09/01/2018
Skruch, Joseph	Individual	Corporate Director	NOT APPLICABLE	03/15/2022
Smith, Stephen	Individual	Corporate Director	NOT APPLICABLE	02/24/2018
Waltjen, Joni	Individual	W-2 Managing Employee	NOT APPLICABLE	04/23/2001
Wong, Yvonne	Individual	Corporate Director	NOT APPLICABLE	10/01/2022
Yamanaka, Rae	Individual	Corporate Director	NOT APPLICABLE	05/17/2016
Zelko-Schlueter, Jennifer	Individual	Corporate Director	NOT APPLICABLE	07/01/2022

Questions to ask on your visit

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

No other Medicare-certified nursing homes within 20 miles in the current records.

All facilities in Honokaa →

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

The Care File

Visit checklist — Honoka'a Hospital & Skilled Nursing

45-547 Plumeria Street, Honokaa, HI 96727 · 8089324100

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 125032 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)