Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Daniel K Akaka State Veterans Home during CMS and state inspections, most recent first.
Improper storage of opened food was observed in the walk-in refrigerator. An open carton of heavy whipping cream was not properly sealed or closed, and a large container of raw chicken for chicken pot pie was only partially covered, leaving part of the chicken exposed. The DM confirmed the chicken should have been fully covered or stored inside the bag.
Failure to Protect Resident from Physical Abuse: Two residents became involved in a verbal confrontation in the dining area after one resident accused the other of taking his walker and belongings. Staff tried to separate them, but one resident struck the other on the forehead, causing a bruise and red mark. The injured resident had a history of accusing others of stealing his items, and the facility’s investigation substantiated physical abuse.
The facility failed to revise care plans for three residents after significant events and interventions. One resident’s plan did not include an intervention to have the kitchen heat liquids after he spilled hot liquid on himself, another resident’s plan contained conflicting visitation restriction information for a spouse, and a third resident’s plan did not add an intervention to redirect accusatory behavior and have staff handle reports of missing belongings after an abuse-related incident.
A resident with a prior elopement incident was observed without a wander guard, and record review showed he had been found walking toward the trash bin area after telling staff he wanted to go home. Staff interviews noted he had been packing his belongings and expressing a desire to leave, and one nurse stated he escaped from the lanai while a CNA was attending to another resident. Surveyors later tested the first-floor lanai gate alarms and found 3 of 4 were off, including the resident’s unit gate alarm.
A resident was observed receiving continuous O2 via nasal cannula, but the cannula was not properly positioned during one observation. Record review found no physician order for O2 therapy, and an RN confirmed the resident was receiving continuous oxygen for COPD without a current order specifying liter flow or method of administration.
A resident prescribed bupropion ER for depression did not have behavior monitoring started when the antidepressant was ordered. The EHR showed no documented behavior monitoring for about two weeks after the medication began, and the RCM confirmed monitoring should start as soon as the antidepressant is ordered. The facility policy stated behavioral symptoms must be reevaluated after initiating or decreasing psychotropic medication.
A resident with decreased vocal volume, frequent voice loss, and difficulty communicating needs was evaluated by ST and found to be a candidate for therapy, but the ordered services were not initiated. Nursing staff were expected to obtain a physician order after the ST recommendation, yet there was no documentation of follow-up or action, and the resident reported that therapy times conflicted with dialysis without any alternative arrangement being offered.
Improper Storage of Opened Food in Walk-In Refrigerator
Penalty
Summary
Opened food was not stored in accordance with professional food safety standards in the walk-in refrigerator. During an initial kitchen tour with the Dietary Manager, an open carton of heavy whipping cream was observed that was not properly sealed or closed, and the Dietary Manager stated it is usually stored in another container. In the same refrigerator, a large container of raw chicken for chicken pot pie was observed with more than half of the chicken inside a covered bag, while the remainder was left uncovered and exposed. The Dietary Manager confirmed the chicken should have been fully covered or stored inside the bag.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to ensure that a resident was free from abuse when one resident struck another resident during a confrontation in the dining area. The incident began when the resident accused the other resident of taking his walker and other belongings, and the exchange escalated into both residents raising their voices and yelling. Staff responded and attempted to separate them, but before they could intervene successfully, one resident struck the other on the forehead. Law enforcement was called, and the resident who struck the other was taken into custody. The injured resident had a red mark and bruise on his forehead, and a photo taken by the resident showed bruising near his eyebrow. The facility’s investigation substantiated physical abuse. Interviews showed the injured resident had a history of accusing other residents of stealing his belongings and believed the other resident had taken his walker, although the walker was later found in his room and the other resident had his own walker. A CNA reported the injured resident had previously said he saw the other resident near his room the night before the incident. The Resident Care Manager confirmed the resident’s accusatory behavior and stated staff should have encouraged him to report missing items to staff rather than confronting other residents, but this was not expressed after the incident and was not added to the care plan.
Failure to Update Care Plans After Resident Events
Penalty
Summary
The facility did not update or revise the comprehensive care plans for three residents after identified events and interventions. For one resident, after an incident in which he accidentally spilled hot liquid on himself, staff reported that an intervention had been implemented so only the kitchen would heat liquids for residents, but the comprehensive care plan did not include that intervention. For another resident, the care plan reflected a visitation restriction for the resident’s spouse in one section, but another section still showed no visitation restriction, and the plan was not revised to remove the conflicting entry. The facility also failed to revise the care plan for a resident involved in an abuse-related incident. The resident had a history of distrust, accusatory behavior, and concerns that other residents were taking his belongings. After he accused another resident of taking his belongings, that resident struck him. The resident’s care plan documented his accusatory behavior and prior theft-related concerns, but it did not include the intervention identified by staff to encourage him to report missing items to staff rather than confront other residents, despite staff acknowledging that this should have been addressed in the plan.
Lanai Gate Alarms Not Activated for Multiple Units
Penalty
Summary
The facility failed to ensure that the four first-floor lanai gate alarms were on. During observation, a resident was sitting in the unit dining room near the nurse’s station and was not wearing a wander guard. The nurse confirmed the resident was not wearing a wander guard at that time. Record review showed the resident had previously been involved in an elopement-related incident in which staff found him walking toward the trash bin area after he was last seen in the dining area, and he told staff, “I want to go home.” The resident’s record showed that after the incident, an elopement risk evaluation identified him as high risk. Interviews with staff described that he had been asking for his mom and his home more often in the week before the incident, and that he usually did not walk around unless assisted by nursing staff. One nurse stated the resident had been seen packing his belongings and placing them by his door while stating he wanted to go home. The same nurse stated the resident was out on the lanai and escaped while a CNA was attending to another resident. On later observation, surveyors tested the lanai gate alarms leading from the Molokai, Lanai, Maui, and Kahoolawe units and found that three of the four alarms were off, including the Molokai unit gate alarm associated with the resident’s unit. The Maui gate alarm was on. The Director of Maintenance and Plant Operations provided records showing the lanai gates had been tested, and stated landscapers had access to the gate keys through a lock box and had come the prior week.
Missing Physician Order for Oxygen Therapy
Penalty
Summary
The facility failed to ensure that one resident receiving oxygen therapy had a physician's order for oxygen services. On 04/20/2026, the resident was observed in his room with an oxygen concentrator set at 3 liters via nasal cannula, but the cannula was not properly placed in the resident's nostrils and was positioned on his cheek. RN4 was informed of the improper placement, assisted with repositioning the cannula, and stated that the resident was on continuous oxygen and comfort measures. On 04/22/2026, the resident was again observed sleeping with an oxygen concentrator set at 2.5 liters via nasal cannula. Review of the resident's EHR found no physician's order for oxygen therapy, and RN6 confirmed the resident was receiving continuous oxygen for COPD but also confirmed there was no current order for oxygen administration, including liter flow and method of administration. The facility policy stated that oxygen is administered under orders of a physician.
Failure to Monitor Behavior After Antidepressant Start
Penalty
Summary
The facility failed to monitor behaviors related to an antidepressant medication prescribed for one resident, R12, who was receiving 100 mg of bupropion HCl extended release daily for depression effective 04/07/26. Review of the resident’s EHR showed that behavior monitoring for the antidepressant was not initiated until 04/21/26, and from 04/07/26 to 04/21/26 there was no documentation of monitoring R12’s behavior related to bupropion use. During an interview on 04/23/26 at 12:35 PM, the Resident Care Manager confirmed that behavior monitoring should be initiated as soon as the antidepressant is ordered. The facility policy and procedure Medication Management dated 01/26 stated that after initiating or decreasing the dose of psychotropic medication, behavioral symptoms must be reevaluated periodically to determine effectiveness and the potential for reducing or discontinuing the dose.
Failure to Initiate Recommended Speech Therapy
Penalty
Summary
The facility failed to ensure that one resident received specialized rehabilitative services as required when speech therapy was not initiated after a speech therapy evaluation identified the resident as a candidate for services. The resident reported decreased vocal volume, frequent loss of voice, difficulty communicating needs, and frustration related to his speech. He also stated that he had previously received speech therapy before admission to the facility and that nursing staff told him speech therapy was scheduled on Tuesdays and Thursdays, which conflicted with his dialysis schedule, and he was not offered any alternative options to obtain the services. The Director of Nursing explained that when a resident requests therapy services, nursing staff submit a referral to therapy for assessment and then obtain a physician order if services are indicated. The resident’s EHR showed that a nursing communication for therapy screening was sent to speech therapy, and the speech therapist completed an assessment and determined the resident was a candidate for speech therapy. The speech therapist confirmed the resident’s communication concerns and vocal quality findings, and later confirmed that she recommended services. However, the Resident Care Manager stated there was no documentation showing follow-up or action after the recommendation, and the speech therapy services were not initiated.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Kapolei
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ka Punawai Ola | 1.9 mi | ★★★★★ | 4 | 0 |
| Kulana Malama | 2.6 mi | ★★★★★ | 1 | 0 |
| Pearl City Post Acute | 7.4 mi | ★★★★★ | 9 | 0 |
| Pu'uwai 'o Makaha | 12.5 mi | ★★★★★ | 0 | 0 |
| Avalon Care Center - Honolulu, Llc | 12.9 mi | ★★★★★ | 5 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.