01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-25 | 6 | 2024-08-01 | 2 |
| Cycle 2 | 2024-08-01 | 5 | 2023-09-14 | 0 |
| Cycle 3 | 2023-09-14 | 7 | 2022-09-30 | 1 |
CMS CCN 1250102026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Leahi Hospital
3675 Kilauea Avenue · Honolulu, HI 96816 · Honolulu County
Certified beds155CMS 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. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-25 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-25 · 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 · 2025-09-082025-07-25 · 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 · 2025-09-082025-07-25 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-25 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-082025-07-25 · HEALTHF0812Severity E · pattern; 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 · 2025-09-082024-08-01 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-01 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-01 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-01 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-09-152024-08-01 · HEALTHF0867Severity F · widespread; potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Correction field: Deficient, Provider has date of correction · 2024-09-15 · complaint2024-08-01 · 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 · 2024-10-072024-08-01 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-09-182023-09-14 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-10-272023-09-14 · HEALTHF0609Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2023-10-27 · complaint2023-09-14 · HEALTHF0610Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2023-10-27 · complaint2023-09-14 · HEALTHF0623Severity E · pattern; 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 · 2023-10-272023-09-14 · HEALTHF0732Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2023-10-272023-09-14 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-10-272023-09-14 · HEALTHF0880Severity D · isolated; 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 · 2023-10-272022-09-30 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2022-10-0503 / 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
- HAWAII HEALTH SYSTEMS CORPORATIONOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/03/2007
- GONZALES, VIOLETAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/22/2018
- AZAMA, GARETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- CHUN, BRADLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- SUNADA, JAREDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- TSUNEISHI, LANIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- WALKER, KENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- WOO, JASONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- AKIYOSHI, DEREKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2014
- HAMAMOTO, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2018
- ROSEN, LINDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/16/2014
- SANADA, SEANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- HAWAII HEALTH SYSTEMS CORPORATIONOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/03/2007
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 hours4.55per resident day
RN hours1.82per resident day
Weekend nurse hours3.66per resident day
Staff turnover17.7%CMS reported field
06 / LOCAL RECORDS
Open the Honolulu ledger →Other published facilities nearby
15 Craigside45 beds · CMS overall 5/55 citation rowsArcadia Retirement Residence91 beds · CMS overall 4/543 citation rowsAvalon Care Center - Honolulu, Llc108 beds · CMS overall 2/561 citation rowsHale Malamalama40 beds · CMS overall 2/552 citation rowsHale Nani Rehabilitation And Nursing Center288 beds · CMS overall —/5107 citation rowsHi'Olani Care Center At Kahala Nui20 beds · CMS overall 5/526 citation rowsIslands Skilled Nursing & Rehabilitation42 beds · CMS overall 1/565 citation rowsKalakaua Gardens49 beds · CMS overall 2/560 citation rows