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Honoka'A Hospital & Skilled Nursing
45-547 Plumeria Street, Honokaa, HI 96727
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Honoka'A Hospital & Skilled Nursing is a Government, state nursing home in Honokaa, Hawaii, certified for 66 beds and caring for about 57 residents a day.
CMS gives it 5 of 5 stars overall, above the Hawaii median of 4; the health inspection rating is 4, staffing 5 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (5, 7, 2 by cycle, most recent first), none at the actual-harm level. That is 21.2 per 100 beds, fewer than the state median of 39.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 5.5 hours per resident per day (1.6 RN), close to the Hawaii median of 4.6; nursing staff turnover is 24.4%.
Compared with county, state and nation
| Measure | This facility | Hawaii Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 14 | 34 | 34 | 28.7 |
| Citations per 100 beds | 21.2 | 34.0 | 39.8 | 26.8 |
| Total nurse hours per resident day | 5.5 | 3.8 | 4.6 | 3.9 |
| RN hours per resident day | 1.6 | 1.2 | 1.6 | 0.7 |
| Nursing staff turnover | 24.4% | 30.8% | 32.2% | 45.8% |
| Fines listed | $0 | $8,492 | $8,018 | — |
County and state figures are medians across facilities (7 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 22 Nov 2024, 8 Dec 2023.
Severity mix: D ×12 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 21 May 2024 |
| 22 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Jan 2025 |
| 22 Nov 2024 | F0887 | 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. | D | Standard survey | 6 Jan 2025 |
| 31 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 12 Jul 2024 |
| 8 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 22 Jan 2024 |
| 8 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Jan 2024 |
| 8 Dec 2023 | F0572 | Give residents a notice of rights, rules, services and charges. | D | Standard survey | 22 Jan 2024 |
| 8 Dec 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 22 Jan 2024 |
| 8 Dec 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 22 Jan 2024 |
| 8 Dec 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 Jan 2024 |
| 8 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 22 Jan 2024 |
| 13 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Nov 2022 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 24.4%, RNs 32.1%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Hawaii median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 9.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 1.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.5% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.8% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, state. Legal business name: Honokaa Hospital & Skilled Nursing. Chain: Hawaii Health Systems Corporation (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hawaii Health Systems Corporation | Operational/managerial control | NOT APPLICABLE | 07/01/1996 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hawaii County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hale Anuenue Restorative Care | Hilo | 120 | 4 | 2 | 5 | 28 | 23.3 | — | 2 Feb 2024 |
| Hilo Benioff Medical Center | Hilo | 52 | 4 | 3 | 5 | 23 | 44.2 | — | 7 Feb 2025 |
| Yukio Okutsu State Veterans Home | Hilo | 95 | 4 | 3 | 4 | 39 | 41.1 | $13K | 15 Nov 2024 |
| Life Care Center of Hilo | Hilo | 252 | 3 | 2 | 4 | 41 | 16.3 | $8K | 1 Apr 2026 |
| Life Care Center of Kona | Kailua Kona | 94 | 3 | 2 | 4 | 44 | 46.8 | $28K | 25 Sep 2024 |
| Legacy Hilo Rehabilitation & Nursing Center | Hilo | 100 | 1 | 1 | 3 | 34 | 34.0 | $16K | 27 Feb 2026 |
All 7 facilities in Hawaii County
Questions and answers
How many deficiencies has Honoka'A Hospital & Skilled Nursing been cited for?
14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Honoka'A Hospital & Skilled Nursing been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Honoka'A Hospital & Skilled Nursing compare?
Reported total nurse staffing is 5.5 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Honoka'A Hospital & Skilled Nursing?
It is part of the Hawaii Health Systems Corporation chain. Ownership type is government, state. Organisations in the CMS ownership record include Hawaii Health Systems Corporation. Individual owners and managers are not listed on this site.
When was Honoka'A Hospital & Skilled Nursing last inspected?
The most recent survey or investigation in the CMS record is dated 22 Nov 2024; the most recent standard health survey was 22 Nov 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.