Hawaii › Honolulu County › Waianae
Pu'Uwai 'O Makaha
84-390 Jade Street, Waianae, HI 96792
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.
Certified for 93 beds, Pu'Uwai 'O Makaha serves Waianae in Honolulu County, Hawaii and has taken Medicare and Medicaid residents since 1997.
CMS gives it 4 of 5 stars overall, equal to the Hawaii median; the health inspection rating is 4, staffing 4 and quality measures 3.
Inspectors recorded 37 health deficiencies across the three most recent survey cycles (8, 9, 20 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 39.8 per 100 beds, about the same as the state median of 39.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.3 hours per resident per day (1.1 RN), close to the Hawaii median of 4.6; nursing staff turnover is 27.6%.
Compared with county, state and nation
| Measure | This facility | Honolulu Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 37 | 37 | 34 | 28.7 |
| Citations per 100 beds | 39.8 | 42.5 | 39.8 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.6 | 4.6 | 3.9 |
| RN hours per resident day | 1.1 | 1.7 | 1.6 | 0.7 |
| Nursing staff turnover | 27.6% | 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
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, 26 Jul 2024.
Severity mix: G ×2 D ×26 E ×8 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 |
|---|---|---|---|---|---|
| 25 Jul 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 Sep 2025 |
| 25 Jul 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 8 Sep 2025 |
| 25 Jul 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 8 Sep 2025 |
| 25 Jul 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 8 Sep 2025 |
| 25 Jul 2025 | F0761 | 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 | Standard survey | 8 Sep 2025 |
| 25 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 8 Sep 2025 |
| 25 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Sep 2025 |
| 25 Jul 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 8 Sep 2025 |
| 26 Jul 2024 | F0584 | 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. | E | Standard survey | 4 Sep 2024 |
| 26 Jul 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Sep 2024 |
| 26 Jul 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 4 Sep 2024 |
| 26 Jul 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 4 Sep 2024 |
| 26 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 4 Sep 2024 |
| 26 Jul 2024 | F0675 | Honor each resident's preferences, choices, values and beliefs. | D | Complaint investigation | 4 Sep 2024 |
| 26 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Sep 2024 |
| 26 Jul 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard survey | 4 Sep 2024 |
| 26 Jul 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 4 Sep 2024 |
| 31 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 23 Aug 2023 |
| 31 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 18 Sep 2023 |
| 31 Aug 2023 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint investigation | 18 Sep 2023 |
| 28 Jul 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 28 Oct 2023 |
| 28 Jul 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0584 | 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. | E | Standard survey | 28 Oct 2023 |
| 28 Jul 2023 | F0761 | 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. | E | Standard survey | 8 Nov 2023 |
| 28 Jul 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Oct 2023 |
| 28 Jul 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0726 | 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. | D | Standard survey | 28 Oct 2023 |
| 28 Jul 2023 | F0732 | Post nurse staffing information every day. | D | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard survey | 28 Oct 2023 |
| 28 Jul 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 17 Oct 2023 |
| 28 Jul 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 17 Oct 2023 |
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 27.6%, RNs 31.3%; 0 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 | 13.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.2% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 1.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 41.3% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.6% | 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: for-profit, limited liability company. Legal business name: Integrated Health Resources, Llc. Chain: Ohana Pacific Management Co. (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ohana Pacific Management Company Inc | Direct ownership interest | NOT APPLICABLE | 09/30/2001 |
| Ohana Pacific Management Company Inc | Operational/managerial control | NOT APPLICABLE | 09/30/2001 |
| Ohana Pacific Management Company Inc | Adp of the snf | NOT APPLICABLE | 11/24/2025 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| 15 Craigside | Honolulu | 45 | 5 | 5 | 5 | 5 | 11.1 | — | 23 Jun 2025 |
| Hale Ola Kino By Arcadia | Hon | 32 | 5 | 4 | 5 | 24 | 75.0 | — | 21 Feb 2025 |
| Harry and Jeanette Weinberg Care Center | Kaneohe | 44 | 5 | 5 | 5 | 19 | 43.2 | — | 30 Jan 2025 |
| Hi'Olani Care Center At Kahala Nui | Honolulu | 20 | 5 | 3 | 5 | 24 | 120.0 | — | 27 Jun 2024 |
| Kulana Malama | Ewa Beach | 33 | 5 | 4 | 4 | 25 | 75.8 | $14K | 26 Sep 2025 |
| Leahi Hospital | Honolulu | 155 | 5 | 4 | 5 | 18 | 11.6 | — | 25 Jul 2025 |
| Maluhia | Honolulu | 158 | 5 | 5 | 5 | 20 | 12.7 | $8K | 10 Jul 2025 |
| Maunalani Nursing and Rehabilitation Center | Honolulu | 100 | 5 | 4 | 4 | 23 | 23.0 | $32K | 10 Jun 2026 |
All 27 facilities in Honolulu County
Questions and answers
How many deficiencies has Pu'Uwai 'O Makaha been cited for?
37 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Pu'Uwai 'O Makaha been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pu'Uwai 'O Makaha compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Pu'Uwai 'O Makaha?
It is part of the Ohana Pacific Management Co. chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ohana Pacific Management Company Inc and Ohana Pacific Management Company Inc. Individual owners and managers are not listed on this site.
When was Pu'Uwai 'O Makaha 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.