PU'UWAI 'O MAKAHA

WAIANAE, HI · 93 beds · For profit - Limited Liability company

51 Trust Score
Grade: D MEDIUM Risk → Stable

Red Flags

  • 2 citation(s) where residents suffered actual harm
  • $65,455 in fines

Green Flags

  • 4-star health inspection rating
  • 4-star staffing rating

Quick Facts

★★★★☆
CMS Overall
★★★★☆
Health Inspection
8
0.8x state avg
Deficiencies
$65,455
Fines (3-yr)
★★★★☆
Staffing

Violation Timeline

July 24, 2025

20 deficiencyies
F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide safe, appropriate pain management for a resident who requires such services.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0921 Potential Harm Scope/Severity: D

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Reasonably accommodate the needs and preferences of each resident.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe, appropriate pain management for a resident who requires such services.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

Show details

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

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0921 Potential Harm Scope/Severity: D

Environmental Deficiencies

Show details

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Reasonably accommodate the needs and preferences of each resident.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide care and assistance to perform activities of daily living for any resident who is unable.

F0688 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

F0697 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide safe, appropriate pain management for a resident who requires such services.

See full violation history →

Staffing

0.99
RN hrs/res/day
0.36
LPN hrs/res/day
2.34
CNA hrs/res/day
3.20
Weekend hrs/res/day
27%
Total nurse turnover
25%
RN turnover

A nurse checks on each resident roughly every 6.5 hours on average.

Fines & Penalties

  • Fine Jul 27, 2023
    $65,455
  • Payment Denial Jul 27, 2023
    Payment Denial
Total $65,455

Ownership

For profit - Limited Liability company Chain: OHANA PACIFIC MANAGEMENT CO.
  • OHANA PACIFIC MANAGEMENT COMPANY INC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 09/30/2001

    100% Organization
  • KISHABA, RICHARD

    CORPORATE DIRECTOR

    Since since 09/30/2001

    Individual
  • HATA, RANDALL

    CORPORATE OFFICER

    Since since 08/01/2012

    Individual
  • KISHABA, RICHARD

    CORPORATE OFFICER

    Since since 09/30/2001

    Individual
  • MORIKUNI, SUANNE

    CORPORATE OFFICER

    Since since 01/01/2019

    Individual
  • COLLINS, HANNAH

    CONTRACTED MANAGING EMPLOYEE

    Since since 08/01/2023

    Individual
  • SANTORO, MARY

    CONTRACTED MANAGING EMPLOYEE

    Since since 03/01/2013

    Individual