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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D15 | E9 | F· |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 10, 2026 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Aug 14, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 18, 2024 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Aug 29, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Aug 29, 2024 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Aug 31, 2023 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Aug 31, 2023 | Health | Health Standard | 7 | Potential harm | — | Open → |
| Oct 14, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Oct 14, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 14, 2025 | Civil money penalty (fine) | $24,115 | — | 125013|Fine|134967 |
| Oct 18, 2024 | Civil money penalty (fine) | $8,018 | — | 125013|Fine|131610 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D15 | E9 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 10, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 17, 2026 | Complaint |
| Jun 10, 2026 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 17, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Maunalani Foundation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 16, 1987 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| The Maunalani Foundation | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 16, 1987 |
| Sai Chantavy | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 3, 2024 |
| Mel Choy | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 7, 2019 |
| Joseph Goldcamp | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 28, 2015 |
| Kevin Haseyama | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 23, 2022 |
| Lynn Heirakuji |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Palolo Chinese Home 2459 10th Avenue, Honolulu, HI 96816 CCN 125059 | 0.6 km | 113 | May 22, 2026 | 561 harm | — | |
| Hi'olani Care Center at Kahala Nui 4389 Malia Street, Honolulu, HI 96821 CCN 125055 | 2.2 km | 20 | Jun 27, 2024 | 26 | — | |
| Leahi Hospital 3675 Kilauea Avenue, Honolulu, HI 96816 CCN 125010 | 2.9 km | 155 | Jul 25, 2025 | 21 | — | |
| Islands Skilled Nursing & Rehabilitation 1205 Alexander Street, Honolulu, HI 96826 CCN 125067SFF Candidate | 4.1 km | 42 | Apr 30, 2025 | 631 harm | $108k | |
| Oahu Care Facility 1808 South Beretania Street, Honolulu, HI 96826 CCN 125042 | 4.1 km | 82 | May 20, 2026 | 441 harm | $8,278 | |
| Arcadia Retirement Residence 1434 Punahou Street, Honolulu, HI 96822 CCN 125014 | 4.2 km | 91 | Nov 21, 2025 | 431 IJ1 harm | $13k | |
| Hale Ola Kino By Arcadia 1314 Kalakaua Ave Second Floor, Hon, HI 96826 CCN 125069 | 4.2 km | 32 | Jun 26, 2026 | 17 | — | |
| Kalakaua Gardens 1723 Kalakaua Avenue, Honolulu, HI 96826 CCN 125066 | 5.2 km | 49 | Feb 20, 2026 | 592 harm3 open | $56k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 125013 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 125013 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Aug 14, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 15, 2025 | ComplaintIDR |
| Oct 18, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Nov 9, 2024 | Complaint |
| Oct 18, 2024 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Nov 9, 2024 | Complaint |
| Oct 18, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 9, 2024 | Complaint |
| Oct 18, 2024 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 9, 2024 | Complaint |
| Aug 29, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Aug 29, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 23, 2024 |
| Aug 29, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 23, 2024 |
| Aug 31, 2023 | K-0914 | 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 · Environment & life safety | E · Potential harm Pattern | Corrected Sep 29, 2023 |
| Aug 31, 2023 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 24, 2023 |
| Aug 31, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 24, 2023 |
| Aug 31, 2023 | F-0761 | 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 · Medication management | D · Potential harm Isolated | Corrected Sep 24, 2023 |
| Aug 31, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 24, 2023 |
| Aug 31, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 24, 2023 |
| Aug 31, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 24, 2023 |
| Aug 31, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 24, 2023 |
| Oct 14, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 25, 2022 |
| Oct 14, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 25, 2022 |
| Oct 14, 2022 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2022 |
| Oct 14, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2022 |
| Oct 14, 2022 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 17, 2022 |
| Oct 14, 2022 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 17, 2022 |
| Oct 14, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Nov 17, 2022 |
| Oct 14, 2022 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 17, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.91 (case-mix index 1.49).
| Individual |
| Corporate officer / director |
| CORPORATE DIRECTOR |
| not provided |
| Nov 17, 2019 |
| Roderick Peroff | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 28, 2015 |
| Steve Sombrero | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 7, 2019 |
| David Todani | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 28, 2015 |
| Arthur Wriston | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Dec 28, 2015 |
| Neal Yasuda | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 11, 2018 |
| Sai Chantavy | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 28, 2015 |
| Jerome Flores | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 23, 2018 |
| Patricia Blanchette | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Jun 1, 2013 |
| Sai Chantavy | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Dec 28, 2015 |
| Jerome Flores | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jul 23, 2018 |
| The Maunalani Foundation | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 23, 2024 |
| Patricia Blanchette | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 23, 2024 |
| Sai Chantavy | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 23, 2024 |