Honoka'a Hospital & Skilled Nursing
Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.
based on 5 Google reviews

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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 detailsStrengths
- Compassionate and attentive nursing staff
- Supportive, family-like atmosphere
- Helpful and accommodating administrative support
Rating Trends
Tap a year to see what changed
Distribution · 5 analyzed
How They Respond to Reviews
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!”
“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.””
“The nurses are top notch. Ive been there a few times now.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This 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
15
measures
2
measures
Residents whose walking got worse
Residents with depression symptoms
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
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2024Routine4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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, 2024Complaint1
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, 2024Complaint1
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, 2023Routine10
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Oct 13, 2022Routine5
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
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
Honoka'a Hospital & Skilled Nursing
government
Chain Affiliation
Hawaii Health Systems Corporation
6 facilities nationwide
Chain avg rating: 4.0/5 · Rank 1 of 6 (Best)
Ownership & Management
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
5 reviews from families & visitors
Official Website
Visit honokaahospital.org
Medicare data downloads
Original nursing home datasets
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