PU'UWAI 'O MAKAHA
84-390 JADE STREET, WAIANAE, HI 96792 · CCN 125046
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 93
- Avg residents/day
- 63.0
- Phone
- 8086959508
Inspection history vs Hawaii & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Hawaii avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-25 | 8 | 10.7 | 9.5 | -2.7 better |
| 2 | 2024-07-26 | 9 | 12.4 | 9.8 | -3.4 better |
| 3 | 2023-07-28 | 20 | 12.4 | 9.3 | +7.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.11 | 26.8% |
| RN staffing (reported) | 1.10 | 25.0% |
| Total nurse staffing (adjusted) | 3.69 | — |
Fines & penalties
- Total fines
- $65,455
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- OHANA PACIFIC MANAGEMENT CO.
- Facilities in chain
- 6
- Chain avg overall
- 3.70 / 5
Inspection citations (37)2 actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0688Provide 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.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0761Ensure 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.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-07-25 · Health · corrected 2025-09-08
Potential for more than minimal harm
- EF0584Honor 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.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0675Honor each resident's preferences, choices, values and beliefs.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-26 · Health · corrected 2024-09-04
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-31 · Health · corrected 2023-09-18
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-31 · Health · corrected 2023-08-23
Actual harm
- DF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2023-08-31 · Health · corrected 2023-09-18
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- EF0584Honor 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.2023-07-28 · Health · corrected 2023-10-28
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-28 · Health · corrected 2023-10-17
Actual harm
- DF0688Provide 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.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-07-28 · Health · corrected 2023-10-28
Potential for more than minimal harm
- DF0732Post nurse staffing information every day.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- EF0761Ensure 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.2023-07-28 · Health · corrected 2023-11-08
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-07-28 · Health · corrected 2023-10-28
Potential for more than minimal harm
- FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-07-28 · Health · corrected 2023-10-28
Potential for more than minimal harm
- DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-07-28 · Health · corrected 2023-10-28
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
- DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-07-28 · Health · corrected 2023-10-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2001-09-30 |
| KISHABA, RICHARD | Individual | CORPORATE DIRECTOR | — | 2001-09-30 |
| HATA, RANDALL | Individual | CORPORATE OFFICER | — | 2012-08-01 |
| KISHABA, RICHARD | Individual | CORPORATE OFFICER | — | 2001-09-30 |
| MORIKUNI, SUANNE | Individual | CORPORATE OFFICER | — | 2019-01-01 |
| COLLINS, HANNAH | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2023-08-01 |
| SANTORO, MARY | Individual | CONTRACTED MANAGING EMPLOYEE | — | 2013-03-01 |
Other facilities in WAIANAE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.