Pu'uwai 'o Makaha
Strong Medicare quality ratings; families often praise scenic, rural mountain location. Still worth an in-person visit.
based on 12 Google reviews
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What this means for your family
This facility has received consistent, serious reports of neglect and slow response times to resident needs. Families should be extremely cautious and are strongly advised to look for alternative care options, as the current feedback indicates significant lapses in basic hygiene and communication.
Google Reviews
Google Reviews
12 reviews on Google“Reviews for Pu'uwai 'O Makaha are predominantly negative, with multiple family members expressing deep concern regarding neglect, poor communication, and slow response times to call bells. While some older reviews mention a beautiful setting and compassionate care, recent feedback consistently highlights issues with hygiene and a lack of urgency in attending to resident needs.”
Quality Themes
Tap a score for detailsStrengths
- Scenic, rural mountain location
- Beautiful garden areas
- Some staff members described as nice
Concerns
- Slow or non-existent response to call bells (mentioned by 2 reviewers)
- Poor hygiene and cleanliness (smells of soiled diapers) (mentioned by 2 reviewers)
- Understaffing leading to inadequate care (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 12 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1The garden areas and the mountain views look absolutely stunning; what kind of outdoor activities or gardening programs do the residents participate in?
- 2We want to ensure our loved one's needs are met promptly; what is your specific process for ensuring call bells are answered quickly, especially during busy shifts?
- 3Maintaining a fresh and clean environment is very important to us; could you walk us through your daily cleaning schedule and how you manage odors in the resident rooms?
- 4With the beautiful rural location, how do you handle medical emergencies or coordinating with outside doctors if an urgent need arises after hours?
- 5We noticed you are active in managing the facility; how does the administration typically communicate important updates or changes in care to the families?
- 6How do you ensure that the staff has enough time to provide personalized, attentive care to each resident during meal times and hygiene routines?
Personalized based on this facility's data
Key Review Excerpts
“Staff does not respond to call bell and place smells of soiled diapers all day and night.”
“I often felt like I was asking too much for them to brush his teeth, or even wash his legs and feet. On my weekly visits I would do it myself.”
“The workers are nice but they really don't care for u as much u call for help them take for ever to come help u what u need .. I so much pain see like they don't care at all ..”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents whose walking got worse
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
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
This facility has a concerning pattern of recurring deficiencies across multiple care areas, with families filing 7 complaint-triggered reports. The most persistent issues involve care planning and assessments, safety hazard prevention, and medication management, appearing repeatedly across surveys from 2023-2025. While the facility reports correcting identified problems, the recurring nature of similar deficiencies suggests ongoing challenges in maintaining consistent care standards that families should carefully consider.
Jul 25, 2025Routine8
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
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
Provide safe, appropriate pain management for a resident who requires such services.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jul 26, 2024Routine8
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
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
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Egress Deficiencies
Have properly located and lighted "Exit" signs.
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.
Jul 26, 2024Complaint3
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Honor each resident's preferences, choices, values and beliefs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 31, 2023Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Jul 28, 2023Routine17
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
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
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services Deficiencies
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
Post nurse staffing information every day.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Jul 28, 2023Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Federal Penalties
Fine
Jul 28, 2023
$65,455
Payment Denial
Jul 28, 2023
11-day denial
Ownership & Operations
Who Operates This Facility
Pu'uwai 'o Makaha
for profit
Chain Affiliation
Ohana Pacific Management Co.
6 facilities nationwide
Chain avg rating: 3.7/5 · Rank 3 of 6
Ownership & Management
Owners
Ohana Pacific Management Company INC
Owner · Organization
Richard S. Kishaba 2010 Dynasty Trust
Owner (parent company) · Organization
Kishaba, Richard
Owner (parent company)
Kishaba, Sandra
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
12 reviews from families & visitors
Official Website
Visit ohanapacific.com
Medicare data downloads
Original nursing home datasets
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