facebook tracking Honoka'a Hospital & Skilled Nursing, Honokaa HI: CMS Ratings
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Honoka'a Hospital & Skilled Nursing

All states › Hawaii › Honokaa › Honoka'a Hospital & Skilled Nursing

45-547 Plumeria Street Honokaa, HI 96727 · Hawaii County

(808) 932-4100

Accepts Medicare Accepts Medicaid 66 certified beds Government

CMS certification number 125032 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Honoka'a Hospital & Skilled Nursing a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Honoka'a Hospital & Skilled Nursing as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Hawaii average of 3.8. Inspectors issued 14 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 5.69 hours per resident per day at Honoka'a Hospital & Skilled Nursing, above the Hawaii median of 4.62 (US median: 3.72). About 1.60 of those hours are from registered nurses. On weekends it falls to 4.78 hours, 16% below its all-week average. Ask how weekends are staffed. 26.1% of nursing staff left within a year (Hawaii median 32.8%).

Nursing care per resident per day 5.69 hours
Above the Hawaii median of 4.62 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.60 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.78 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 26.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 33.3% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds66
Residents per day 55 About 83% of beds filled, on average
OwnershipGovernment - State
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1977
Part of a chainHawaii Health Systems Corporation
Legal business nameHONOKAA HOSPITAL & SKILLED NURSING
Located in a hospitalYes

Paying for care at Honoka'a Hospital & Skilled Nursing: Medicare and Medicaid

Honoka'a Hospital & Skilled Nursing is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Hawaii's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on November 22, 2024 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 14 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 14 citations at Honoka'a Hospital & Skilled Nursing across 4 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 14 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (4) and resident rights (4). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, November 22, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.

November 22, 2024 · 5 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 6, 2025)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (May 21, 2024)

DProvide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jan 6, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jan 6, 2025)

DEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Jan 6, 2025)

May 31, 2024 · 1 citation · includes complaint inspection

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jul 12, 2024)

December 8, 2023 · 7 citations

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 22, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jan 22, 2024)

DGive residents a notice of rights, rules, services and charges.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0572 · Deficient, Provider has date of correction (Jan 22, 2024)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Jan 22, 2024)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jan 22, 2024)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Jan 22, 2024)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jan 22, 2024)

October 13, 2022 · 1 citation

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Nov 29, 2022)

Questions to ask on a tour of Honoka'a Hospital & Skilled Nursing

  1. CMS cited the home under its abuse and neglect rules on November 22, 2024. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 5/5 5/5
August 2026 5/5 4/5 5/5 5/5
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Location

Hospitals near Honoka'a Hospital & Skilled Nursing

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Yukio Okutsu State Veterans Home Hilo · 34.1 mi away ★★★★★ Inspection 3/5 · Staffing 5/5 95 beds · Medicaid
Hilo Benioff Medical Center Hilo · 34.1 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 52 beds · Medicaid
Hale Anuenue Restorative Care Hilo · 34.1 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 120 beds · Medicaid
Legacy Hilo Rehabilitation & Nursing Center Hilo · 34.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 100 beds · Medicaid
Life Care Center of Hilo Hilo · 36.8 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 252 beds · Medicaid

More nursing homes near Honoka'a Hospital & Skilled Nursing ›   All nursing homes in Honokaa ›

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Other Hawaii Health Systems Corporation nursing homes in Hawaii

Affiliation comes from CMS's affiliated-entity data, October 2026. All 7 Hawaii Health Systems Corporation nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/hawaii/honokaa/honokaa-hospital-and-skilled-nursing/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.