nursing home in Waianae, HI
Pu'uwai 'O Makaha
84-390 Jade Street, Waianae, HI 96792 · (808) 695-9508
★★★★★4
Above average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pu'uwai 'O Makaha at a glance
Pu'uwai 'O Makaha is a 93-bed for-profit nursing home in Waianae, Hawaii (Honolulu County).
CMS gives it 4 out of 5 stars on its overall star rating, close to the Hawaii average of 3.7.
Residents receive about 4.3 hours of nursing care per day (1.1 of them from registered nurses), worse than the state average of 5 hours.
Its most recent standard health inspection (July 25, 2025) found 8 health citations. The Hawaii average is 9.2.
It has not received a federal fine in the past three years.
Nursing staff turnover is 27.6% per year (state average 36.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 93
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ohana Pacific Management Co.
- Medicare-certified since
- July 3, 1997
- Resident/family council
- Resident
- County
- Honolulu County
- CMS Certification Number
- 125046
Ratings
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 4.4 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.26 hrs | 4.97 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.06 hrs | 1.75 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.69 hrs | 2.88 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.65 hrs | 4.41 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 27.6% | 36.4% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 31.3% | 31.5% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 36 | 67.9 | 80.6 | Better |
Penalties
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,339 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 93 | 101 | 107 | |
| Average residents per day | 63 | 82 | 86 | |
| Occupancy | 67.6% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.8% | 1.9% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 23.6% | 11.9% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.2% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.3% | 1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13.2% | 16.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 41.3% | 20.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.3% | 4.9% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 1.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.4% | 9.1% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 11.4% | 17.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.4% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.3% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 91.1% | 84.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.6% | 82.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 25, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 25, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 25, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 25, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 25, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 25, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 25, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 25, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 26, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected August 25, 2024 |
| July 26, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected August 25, 2024 |
| July 26, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 26, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 26, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 4, 2024 |
| July 26, 2024 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 26, 2024 Standard | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 26, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 26, 2024 Complaint | Honor each resident's preferences, choices, values and beliefs. Quality of Life and Care Deficiencies · Tag F0675 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 26, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 26, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 4, 2024 |
| July 28, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected August 29, 2023 |
| July 28, 2023 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | F Potential harm, widespread | Corrected October 28, 2023 |
| July 28, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected November 8, 2023 |
| July 28, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 28, 2023 |
| July 28, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 28, 2023 |
| July 28, 2023 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | E Potential harm, pattern | Corrected October 17, 2023 |
| July 28, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected October 17, 2023 |
| July 28, 2023 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected October 28, 2023 |
| July 28, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | D Potential harm, isolated | Corrected October 28, 2023 |
| July 28, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | D Potential harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected October 17, 2023 |
| July 28, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 17, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with 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. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AKASE FAMILY, LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2013 |
| GARDUQUE, SHONALINE Individual | adp of the snf | NOT APPLICABLE | 07/08/2024 |
| GUTTA, GAWTHAM Individual | adp of the snf | NOT APPLICABLE | 05/01/2021 |
| HATA, RANDALL Individual | adp of the snf | NOT APPLICABLE | 08/01/2012 |
| KISHABA, RICHARD Individual | adp of the snf | NOT APPLICABLE | 09/30/2001 |
| LORE, ANDREW Individual | adp of the snf | NOT APPLICABLE | 02/01/2022 |
| LO, WESLEY Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| MCCLENNON, PAMELA Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| MORIKUNI, SUANNE Individual | adp of the snf | NOT APPLICABLE | 01/01/2019 |
| OHANA PACIFIC MANAGEMENT COMPANY INC Organization | adp of the snf | NOT APPLICABLE | 11/24/2025 |
| OHANA PACIFIC MANAGEMENT COMPANY INC Organization | direct ownership interest | NOT APPLICABLE | 09/30/2001 |
| KISHABA, RICHARD Individual | indirect ownership interest | NOT APPLICABLE | 09/30/2001 |
| RICHARD S. KISHABA 2010 DYNASTY TRUST Organization | indirect ownership interest | NOT APPLICABLE | 07/30/2010 |
| KISHABA, SANDRA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/20/2025 |
| GARDUQUE, SHONALINE Individual | operational/managerial control | NOT APPLICABLE | 07/08/2024 |
| GUTTA, GAWTHAM Individual | operational/managerial control | NOT APPLICABLE | 05/01/2024 |
| HATA, RANDALL Individual | operational/managerial control | NOT APPLICABLE | 08/01/2012 |
| KISHABA, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 09/30/2001 |
| LORE, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 02/01/2022 |
| LO, WESLEY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| MCCLENNON, PAMELA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| MORIKUNI, SUANNE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2019 |
| OHANA PACIFIC MANAGEMENT COMPANY INC Organization | operational/managerial control | NOT APPLICABLE | 09/30/2001 |
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Frequently asked questions
What is Pu'uwai 'O Makaha's rating?
Pu'uwai 'O Makaha has 4 out of 5 stars on the CMS overall star rating. The average for Hawaii nursing homes is 3.7 stars.
How many inspection citations did Pu'uwai 'O Makaha receive?
Its most recent standard health inspection found 8 citations, compared with a Hawaii average of 9.2. Every citation is listed on this page with its severity.
Does Pu'uwai 'O Makaha accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pu'uwai 'O Makaha?
It is for profit - limited liability company and part of Ohana Pacific Management Co.. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pu'uwai 'O Makaha and how do I contact it?
Pu'uwai 'O Makaha is at 84-390 Jade Street, Waianae, HI 96792. Phone: (808) 695-9508.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.