01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-11-22 | 5 | 2024-11-22 | 0 |
| Cycle 2 | 2023-12-08 | 7 | 2023-12-08 | 3 |
| Cycle 3 | 2022-10-13 | 2 | 2022-10-13 | 4 |
CMS CCN 1250322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Honoka'A Hospital & Skilled Nursing
45-547 Plumeria Street · Honokaa, HI 96727 · Hawaii County
Certified beds66CMS provider file
Recent citation rows21current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
21 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-11-22 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2024-05-21 · complaint2024-11-22 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-01-062024-11-22 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-01-062024-11-22 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-01-062024-11-22 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-01-062024-05-31 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-07-12 · complaint2023-12-08 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-12-08 · HEALTHF0572Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-12-08 · HEALTHF0583Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-12-08 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-12-08 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-12-08 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-12-08 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-12-08 · FIREK0761Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-03-012023-12-08 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-03-012023-12-08 · FIREK0929Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Correction field: Deficient, Provider has date of correction · 2024-03-012022-10-13 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2022-11-292022-10-13 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2022-11-292022-10-13 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-11-292022-10-13 · FIREK0355Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2022-11-292022-10-13 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2022-11-2903 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- WALTJEN, JONIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/23/2001
- BELCHER, DANIELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2020
- FARIAS, CHADIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2021
- GOMEZ, LARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/01/2022
- GRAY, JERRYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2017
- HO, BRENDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- IGNACIO, JAYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- KUROHARA, RANDALLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2021
- NUNOKAWA, CLARYSSEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2019
- SAKO, DEANNAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/01/2018
- SKRUCH, JOSEPHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/15/2022
- SMITH, STEPHENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/24/2018
- WONG, YVONNEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2022
- YAMANAKA, RAEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 05/17/2016
- ZELKO-SCHLUETER, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2022
- BRINKMAN, DANIELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/22/2015
- MACKEY, DENISEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2017
- HAWAII HEALTH SYSTEMS CORPORATIONOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/01/1996
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours5.51per resident day
RN hours1.60per resident day
Weekend nurse hours4.73per resident day
Staff turnover24.4%CMS reported field
06 / LOCAL RECORDS
Open the Hawaii ledger →Other published facilities nearby
No second facility in the same city met the directory rule.