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Nursing HomeMedicaid Investigative

Kauai Veterans Memorial Hospital

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

4643 Waimea Canyon Drive, Waimea, HI 9679620 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Kauai Veterans Memorial Hospital Nursing Home in Waimea, HI — Street View
Street View

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)

Bottom 25% in HI · Below recommended RN staffing · Significantly below average staffing · Low staff turnover (stable workforce) · Worst in HAWAII HEALTH SYSTEMS CORPORATION chain · $34,300 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. This facility is on Medicare Special Focus status, indicating a pattern of serious quality issues. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.72hrs
OK
Registered nurses for medical care
Total Nursing
4.75hrs
OK
All nurses + aides combined
Staff Turnover
14%
Lower is better (< 30% = good)
RN Turnover
13%
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 · 14 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

2

measures

Mixed Results

5

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
19.4%
HI
17.6%
Kauai
15.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
HI
1.2%
Kauai
1.2%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.3%
Worse than Avg
Here
26.3%
US
14.4%
HI
16.4%
Kauai
21.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.3%
Mixed vs Avgs
Here
11.3%
US
19.5%
HI
8.6%
Kauai
6.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility15.7%
Mixed vs Avgs
Here
15.7%
US
15.3%
HI
22.0%
Kauai
22.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
93.4%
HI
96.0%
Kauai
97.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
1penalties
Near state avg (10.4)
$34,300 in fines

Kauai Veterans Memorial Hospital has recurring deficiencies across three surveys, with problems persisting in resident assessment and care planning, medication management, and food safety appearing repeatedly. The facility corrected all cited issues, but the pattern shows ongoing challenges with conducting timely resident assessments, proper medication labeling and regimens, and maintaining food safety standards. While deficiencies were addressed when identified, families should inquire about improvements made to prevent these recurring care quality issues.

Sep 10, 2024Routine
8
0812Immediate jeopardy · 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.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0353Minimal · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Sep 22, 2023Routine
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.

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.

0638Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assure that each resident’s assessment is updated at least once every 3 months.

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.

Sep 2, 2022Routine
11
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0574Potential for harm · PatternCorrected

Resident Rights Deficiencies

The resident has the right to receive notices in a format and a language he or she understands.

0577Potential for harm · PatternCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0727Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0568Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Federal Penalties

Fine

Sep 10, 2024

$34,588

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kauai Veterans Memorial Hospital

Organization Type

government

Chain Affiliation

Chain Name

Hawaii Health Systems Corporation

Chain Size

6 facilities nationwide

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

Ownership & Management

Owners

Kauai Veterans Memorial Hospital

Owner · Organization

100%

Hawaii Health Systems Corporation

Owner (parent company) · Organization

20%

Key personnel

Barnes, WalterManaging Control - Governing BodyKanekoa, ErnestManaging Control - Governing BodyNogami-Streufert, GlendaManaging Control - Governing BodyOkada-Asher, DonnaManaging Control - Governing BodyRintel, TheodorManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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