Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Honoka'a Hospital & Skilled Nursing during CMS and state inspections, most recent first.
The facility failed to maintain proper records of hot water temperatures for both manual and machine dishwashing processes. During a kitchen inspection, it was observed that there were no temperature logs for manual washing and missing logs for the dishwashing machine. A kitchen staff member confirmed the absence of these logs, and the facility did not provide a related policy but stated adherence to HACCP standards.
A facility failed to monitor a resident's blood pressure monthly as ordered by the physician. The resident, with multiple health conditions including hypertension, had blood pressures documented only three times over a period that required monthly checks. The DON acknowledged the oversight, which was contrary to the facility's policy for vital sign monitoring.
A resident was transferred unsafely using a mechanical lift, with CNAs tilting the wheelchair to accommodate the resident's semi-reclined position. This method contradicted the facility's safety guide, which instructs repositioning the resident in the lift sling before lowering them into a wheelchair. The Assistant Administrator confirmed the transfer was unsafe.
The facility did not provide necessary education on the benefits, risks, and side effects of the COVID-19 vaccine to staff before offering it. An IPC interview revealed that the facility offered the vaccine without the required Vaccine Information Sheet (VIS), as it was no longer mandatory. A staff member, KS1, confirmed the vaccine was offered but without any educational information.
A resident was physically abused by his roommate after a dispute over television volume. Despite staff interventions, the situation escalated, resulting in the resident being punched. The aggressor had a history of agitation and aggression, and the facility failed to de-escalate the situation effectively.
A resident with a history of wandering and inappropriate behavior was found in another resident's room displaying inappropriate sexual behaviors. Despite a care plan addressing these behaviors, staff noted the resident typically stayed in bed. The facility's policy required care plan updates to prevent such incidents, which were not effectively implemented.
Failure to Maintain Dishwashing Temperature Logs
Penalty
Summary
The facility failed to maintain proper records of hot water temperatures for both manual and machine dishwashing processes, as observed during a kitchen inspection. On the specified date, it was noted that there were two dishwashing sections: one for manual washing and another using a dishwashing machine. The review of temperature logs revealed that there was no recording log for the manual washing section, and there were missing temperature logs for the dishwashing machine. During an interview with a kitchen staff member, it was confirmed that the facility did not have temperature logs for manual washing and acknowledged the missing logs for the dishwashing machine. The facility did not provide a related policy but stated that they follow Hazard Analysis Critical Control Points (HACCP) standards, which require maintaining temperature test logs for each hot water sanitation dishwasher in the facility.
Failure to Monitor Blood Pressure as Ordered
Penalty
Summary
The facility failed to monitor vital signs, specifically blood pressure, for one resident, identified as R57, as per the physician's orders. R57 was admitted with multiple diagnoses, including a recent hip fracture, chronic kidney disease, lymphedema, paroxysmal atrial fibrillation, hypertension, high cholesterol, and venous stasis. The physician had ordered routine monthly blood pressure monitoring for R57. However, the electronic health record showed that blood pressures were only documented on three occasions: 11/12/24, 09/26/24, and 09/13/24, indicating a failure to adhere to the monthly monitoring order. During an interview, the Director of Nursing acknowledged that the blood pressures were not taken monthly as ordered. The facility's policy for vital signs stated that they should be taken as ordered by the physician, with a general guideline of weekly for skilled nursing facility patients and monthly for intermediate care facility patients. This oversight put R57 at risk for further health complications due to the lack of consistent monitoring of their blood pressure.
Unsafe Mechanical Lift Transfer Poses Risk
Penalty
Summary
The facility failed to ensure a safe transfer for a resident using a mechanical lift, which resulted in a potential accident hazard. During an observation, two CNAs were seen transferring a resident from her bed to a standard wheelchair. One CNA tilted the wheelchair onto its back two wheels while the other operated the mechanical lift, lowering the resident into the tilted wheelchair. This method of transfer was deemed unsafe as it placed the resident at risk for an avoidable fall or injury. The CNAs justified their actions by stating that the resident's standard wheelchair could not recline, and they felt it necessary to tilt the wheelchair to match the semi-reclined position of the resident in the lift. The Assistant Administrator, who also served as the Regional Director of Nursing and the facility Infection Preventionist, confirmed that the transfer method was unsafe for both the staff and the resident. The facility's training materials, specifically the Kwikpoint Patient Lifts Safety Guide, instruct staff to reposition the resident in the mechanical lift sling into an upright position before lowering them into a wheelchair. This guidance was not followed during the observed transfer, leading to the deficiency noted in the report.
Failure to Educate Staff on COVID-19 Vaccine
Penalty
Summary
The facility failed to provide education regarding the benefits, risks, and potential side effects associated with COVID-19 immunization before offering the vaccine to staff members. During an interview with the Infection Preventionist (IPC), it was revealed that the facility offered COVID-19 vaccinations to staff in October, but did not provide the necessary Vaccine Information Sheet (VIS) as the COVID-19 immunization was no longer required for staff. A specific staff member, identified as Kitchen Staff (KS)1, was randomly selected to verify compliance with education requirements. KS1 initially reported uncertainty about the offer of the COVID-19 immunization and later confirmed that while the immunization was offered, no education on its risks and benefits was provided.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to protect a resident, identified as Resident 310, from physical abuse by his roommate, Resident 50. The incident occurred when Resident 310 turned on the television at a high volume, which disturbed Resident 50. Despite interventions by staff, including providing headphones to Resident 310, the situation escalated. Resident 50, who had a history of agitation and previous incidents of aggression, punched Resident 310 after repeated verbal altercations over the television volume. Resident 50 was admitted to the facility with diagnoses including dementia, schizoaffective disorder, and Alzheimer's disease. His medication regimen included psychotropic drugs for managing behaviors such as auditory hallucinations, restlessness, and irritability. Despite these interventions, Resident 50 exhibited impulsivity and impatience, which were observed during the survey. The facility had documented previous incidents involving Resident 50's aggression, including an altercation with a staff member and conflicts with other residents over noise levels. The facility's policy on abuse and neglect was reviewed, highlighting that cognitive impairment does not preclude a resident from being abusive. The Director of Nursing confirmed that abuse had occurred, noting that Resident 50 was physically capable of moving around and had a history of becoming agitated by loud noises. The facility's failure to effectively de-escalate the situation and protect Resident 310 from harm constituted a deficiency in their duty to safeguard residents from abuse.
Failure to Implement Comprehensive Care Plan Leads to Inappropriate Behavior
Penalty
Summary
The facility failed to implement the comprehensive care plan for a resident, resulting in the resident being found in another resident's room displaying inappropriate sexual behaviors. The incident occurred in the early hours, and the resident was subsequently placed on 1:1 supervision. Prior to this incident, the resident had a history of entering other residents' rooms and exposing themselves, with reports of such behavior occurring in late 2022. However, there were no further incidents until the current one. The resident was admitted with multiple diagnoses, including subarachnoid hemorrhage, high blood pressure, emphysema, high cholesterol, and alcohol abuse with seizure. Despite the care plan indicating that the resident sometimes wandered into other residents' rooms and needed redirection, staff interviews revealed that the resident typically stayed in bed and did not exhibit such behaviors. The facility's policy on freedom from abuse and neglect emphasized the need for updating care plans to prevent further instances, but this was not effectively implemented in this case.
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What surveyors actually found near you
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Honokaa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Yukio Okutsu State Veterans Home | 34.1 mi | ★★★★★ | 0 | 0 |
| Hilo Benioff Medical Center | 34.1 mi | ★★★★★ | 0 | 0 |
| Hale Anuenue Restorative Care | 34.1 mi | ★★★★★ | 0 | 0 |
| Legacy Hilo Rehabilitation & Nursing Center | 34.8 mi | ★★★★★ | 15 | 0 |
| Life Care Center Of Hilo | 36.8 mi | ★★★★★ | 8 | 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 October 2026) and official state health department websites.