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Nursing HomeMedicaid Top Rated

Honoka'a Hospital & Skilled Nursing

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

45-547 Plumeria Street, Honokaa, HI 9672766 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 5 Google reviews

5
4
3
2
1
Honoka'a Hospital & Skilled Nursing Nursing Home in Honokaa, HI — Street View
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What this means for your family

This facility is highly recommended for its warm, attentive nursing staff who foster a supportive environment for patients. While the care is consistently praised, families should be aware that experiences with specific physicians can vary, so it is advisable to maintain open communication with the primary care team regarding your loved one's medical oversight.

Google Reviews

Google Reviews

5 reviews on Google
Honoka'a Hospital & Skilled Nursing (also known as Hale Ho'ola Hamakua) is highly regarded for its compassionate and attentive nursing staff who provide a supportive, family-like environment. While reviewers consistently praise the quality of care and the 'aloha spirit' of the team, there is a singular report of a negative interaction with a specific physician.

Quality Themes

Tap a score for details
FoodN/AStaff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Supportive, family-like atmosphere
  • Helpful and accommodating administrative support

Rating Trends

Tap a year to see what changed

2345.02016(1)5.02019(1)5.02020(1)4.02021(1)5.02026(1)

Distribution · 5 analyzed

5
4
4
1
3
0
2
0
1
0

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given the facility's 5-star staffing rating, how do you ensure that the high level of personal attention mentioned by families remains consistent across all shifts?
  • 2With five state violations recorded in the past year, could you walk me through the steps the facility has taken to address those specific concerns and improve oversight?
  • 3I noticed the facility has a 5-star CMS rating despite some recent health inspection findings; how do you balance maintaining high clinical standards with the family-like atmosphere you are known for?
  • 4Since the administrative team is highly regarded for being accommodating, what is the best way for family members to stay involved and communicate with staff regarding a loved one's daily care?
  • 5What specific social activities or community programs are available to help residents feel connected and engaged in the Honoka'a area?
  • 6How does the nursing team coordinate with local medical providers to manage emergency care or urgent health changes for residents?

Personalized based on this facility's data


Key Review Excerpts

I can't express how grateful and pleased I was with the staff there they are AMAZING, HELPFUL, GENEROUS, CARING AND SO KIND!

Rehab patient · 2025★★★★★

The staff member (Charla) made wonderful suggestions and even offered to help pick up anything my MiL needed. She said, “We’re all like family here and help one another.”

Long-term resident's family · 2020★★★★★

The nurses are top notch. Ive been there a few times now.

Repeat patient · 2021★★★★★
Source: 5 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.61hrs
OK
Registered nurses for medical care
Total Nursing
5.76hrs
OK
All nurses + aides combined
Staff Turnover
21%
Lower is better (< 30% = good)
RN Turnover
27%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

15

measures

Mixed Results

2

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
15.3%
HI
22.0%
Hawaii
22.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
12.1%
HI
1.2%
Hawaii
3.5%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
19.4%
HI
17.6%
Hawaii
19.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility10.3%
Mixed vs Avgs
Here
10.3%
US
19.5%
HI
8.6%
Hawaii
10.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
14.4%
HI
16.4%
Hawaii
13.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
HI
96.0%
Hawaii
96.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.8%
HI
84.7%
Hawaii
87.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.8%
Better than Avg
Here
94.8%
US
81.8%
HI
82.8%
Hawaii
83.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
HI
1.0%
Hawaii
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Well below state avg (10.4)
2 complaint-triggered

Families have filed multiple complaints about abuse and neglect protection, with one case showing past non-compliance as recently as November 2024. The facility has recurring issues with resident safety, fire safety systems, and resident rights protections across all five surveys. While most violations appear corrected, the persistent pattern of abuse protection failures and ongoing safety concerns suggest families should carefully evaluate whether this facility can adequately protect their loved ones.

Nov 22, 2024Routine
4
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate 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.

Nov 22, 2024Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

May 31, 2024Complaint
1
0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

Dec 8, 2023Routine
10
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0572Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0929Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Oct 13, 2022Routine
5
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Honoka'a Hospital & Skilled Nursing

Organization Type

government

Chain Affiliation

Chain Name

Hawaii Health Systems Corporation

Chain Size

6 facilities nationwide

Chain avg rating: 4.0/5 · Rank 1 of 6 (Best)

Ownership & Management

Key personnel

Waltjen, JoniW-2 Managing EmployeeBelcher, DanielOfficer / DirectorFarias, ChadOfficer / DirectorGomez, LaraOfficer / DirectorGray, JerryOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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