Elder Care Record

Hawaii › Honolulu County › Honolulu

Leahi Hospital

3675 Kilauea Avenue, Honolulu, HI 96816

CCN 125010 · Government, state · 155 certified beds · chain Hawaii Health Systems Corporation

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Leahi Hospital is a Government, state nursing home in Honolulu, Hawaii, certified for 155 beds and caring for about 93 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 4.

Inspectors recorded 18 health deficiencies across the three most recent survey cycles (6, 5, 7 by cycle, most recent first), none at the actual-harm level. That is 11.6 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 4.6 hours per resident per day (1.8 RN), close to the Hawaii median of 4.6; nursing staff turnover is 17.7%.

18health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
4.6nurse hours per resident per daystate median 4.6
60%occupancy (residents ÷ beds)93 residents a day

Compared with county, state and nation

MeasureThis facilityHonolulu Co. medianHawaii medianUS average
Overall star rating5443.0
Health citations, 3 cycles18373428.7
Citations per 100 beds11.642.539.826.8
Total nurse hours per resident day4.64.64.63.9
RN hours per resident day1.81.71.60.7
Nursing staff turnover17.7%34.6%32.2%45.8%
Fines listed$0$8,278$8,018—

County and state figures are medians across facilities (27 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 25
Cycle 37

Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jul 2025, 1 Aug 2024.

Severity mix: D ×13 E ×4 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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Sep 2025
25 Jul 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard survey8 Sep 2025
25 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Sep 2025
25 Jul 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey8 Sep 2025
25 Jul 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey8 Sep 2025
25 Jul 2025F0761Ensure 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.DStandard survey8 Sep 2025
1 Aug 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FComplaint investigation15 Sep 2024
1 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation15 Sep 2024
1 Aug 2024F0610Respond appropriately to all alleged violations.DComplaint investigation15 Sep 2024
1 Aug 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DComplaint investigation15 Sep 2024
1 Aug 2024F0761Ensure 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.DStandard survey15 Sep 2024
14 Sep 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.EComplaint investigation27 Oct 2023
14 Sep 2023F0610Respond appropriately to all alleged violations.EComplaint investigation27 Oct 2023
14 Sep 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey27 Oct 2023
14 Sep 2023F0584Honor 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.DStandard survey27 Oct 2023
14 Sep 2023F0732Post nurse staffing information every day.DStandard survey27 Oct 2023
14 Sep 2023F0761Ensure 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.DStandard survey27 Oct 2023
14 Sep 2023F0880Provide and implement an infection prevention and control program.DStandard survey27 Oct 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.55 h
Nurse aides2.71 h
LPN0.03 h
RN1.82 h
Weekend total3.66 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 17.7%, RNs 14.6%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityHawaii medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.0%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.7%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.5%1.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.3%1.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay7.1%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.6%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.0%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.5%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. Chain: Hawaii Health Systems Corporation (7 facilities).

OrganisationRole in the CMS recordInterestSince
Hawaii Health Systems Corporation5% or greater direct ownership interest100%11/03/2007
Hawaii Health Systems CorporationOperational/managerial controlNOT APPLICABLE11/03/2007

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 Honolulu County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
15 CraigsideHonolulu45555511.1—23 Jun 2025
Hale Ola Kino By ArcadiaHon325452475.0—21 Feb 2025
Harry and Jeanette Weinberg Care CenterKaneohe445551943.2—30 Jan 2025
Hi'Olani Care Center At Kahala NuiHonolulu2053524120.0—27 Jun 2024
Kulana MalamaEwa Beach335442575.8$14K26 Sep 2025
MaluhiaHonolulu1585552012.7$8K10 Jul 2025
Maunalani Nursing and Rehabilitation CenterHonolulu1005442323.0$32K10 Jun 2026
Oahu Care FacilityHonolulu825353745.1$8K20 May 2026

All 27 facilities in Honolulu County

Questions and answers

How many deficiencies has Leahi Hospital been cited for?

18 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 Leahi Hospital been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Leahi Hospital compare?

Reported total nurse staffing is 4.6 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.

Who operates Leahi Hospital?

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 and Hawaii Health Systems Corporation. Individual owners and managers are not listed on this site.

When was Leahi Hospital last inspected?

The most recent survey or investigation in the CMS record is dated 25 Jul 2025; the most recent standard health survey was 25 Jul 2025.

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.