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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D37 | E7 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Mar 12, 2026 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Mar 20, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 28, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 28, 2025 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Jul 10, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Mar 22, 2024 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Mar 22, 2024 | Health | Health Standard | 6 | Actual harm | — | Open → |
| Jan 19, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Mar 3, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 3, 2023 | Health | Health Standard | 21 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 12, 2026 | Civil money penalty (fine) | $15,288 | — | 125048|Fine|138652 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D37 | E7 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 12, 2026 | 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 | J · Immediate jeopardy Isolated | Corrected Apr 24, 2026 | Complaint |
| Mar 20, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 11, 2025 | Complaint |
“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.
6 facilities in 1 states. CMS chain ID 382.
Chain average overall rating (CMS): 3.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sandra Kishaba | Individual | Partner | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | not provided | Dec 1, 2025 |
| Ohana Pacific Management Company Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 1999 |
| Gordon Beh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 24, 2025 |
| Rebecca Canon-Fratis | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2022 |
| Randall Hata | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2001 |
| Richard Kishaba | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Garden Isle Healthcare and Rehabilitation Center 3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766 CCN 125004 | 110 | Feb 21, 2025 | 39 | — | |
| Pu'uwai 'O Makaha 84-390 Jade Street, Waianae, HI 96792 CCN 125046 | 93 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Harry and Jeanette Weinberg Care Center 45-090 Namoku St, Kaneohe, HI 96744 CCN 125033 | 1.5 km | 44 | Jan 30, 2025 | 20 | — | |
| Aloha Nursing & Rehab Centre 45-545 Kamehameha Highway, Kaneohe, HI 96744 CCN 125038 | 4.3 km | 141 | Aug 1, 2025 | 471 harm1 open | — | |
| Nuuanu Hale 2900 Pali Highway, Honolulu, HI 96817 CCN 125024 | 11.1 km | 75 | Feb 27, 2026 | 721 harm | $27k | |
| Avalon Care Center - Honolulu, LLC 1930 Kamehameha IV Rd, Honolulu, HI 96819 CCN 125020SFF Candidate | 11.3 km | 108 | May 22, 2026 | 61 | — | |
| The Ching Villas 2230 Liliha Street, Honolulu, HI 96817 CCN 125064 | 11.4 km | 163 | Jan 16, 2026 | 44 | — | |
| The Care Center of Honolulu 1900 Bachelot Street, Honolulu, HI 96817 CCN 125019 | 11.9 km | 182 | Apr 23, 2026 | 671 harm | $8,018 | |
| Maluhia 1027 Hala Drive, Honolulu, HI 96817 CCN 125009 | 11.9 km | 158 | Jul 17, 2026 | 252 harm | $67k | |
| 15 Craigside 15 Craigside Place, Honolulu, HI 96817 CCN 125063 | 11.9 km | 45 | Jun 23, 2025 | 5 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 125048 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 125048 | 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
| Mar 20, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 11, 2025 | Complaint |
| Mar 20, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 11, 2025 | Complaint |
| Feb 28, 2025 | 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 Apr 10, 2025 |
| Feb 28, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Feb 28, 2025 | F-0688 | 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 · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Feb 28, 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 | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Feb 28, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Feb 28, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Feb 28, 2025 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Feb 28, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Apr 10, 2025 |
| Feb 28, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 10, 2025 |
| Jul 10, 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 Aug 1, 2024 | Complaint |
| Jul 10, 2024 | 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 Aug 1, 2024 | Complaint |
| Mar 22, 2024 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected May 3, 2024 |
| Mar 22, 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 May 3, 2024 |
| Mar 22, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 3, 2024 |
| Mar 22, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 3, 2024 |
| Mar 22, 2024 | 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 May 3, 2024 |
| Mar 22, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 3, 2024 |
| Jan 19, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 19, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Feb 18, 2024 | Complaint |
| Jan 19, 2024 | F-0726 | 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 · Staffing & supervision | D · Potential harm Isolated | Corrected Feb 18, 2024 | Complaint |
| Jan 19, 2024 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Feb 18, 2024 | Complaint |
| Mar 3, 2023 | 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 Apr 12, 2023 |
| Mar 3, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 6, 2023 |
| Mar 3, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 6, 2023 |
| Mar 3, 2023 | 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 Apr 12, 2023 |
| Mar 3, 2023 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 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 Apr 26, 2023 |
| Mar 3, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | 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 Apr 12, 2023 |
| Mar 3, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 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 Apr 12, 2023 |
| Mar 3, 2023 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 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 | D · Potential harm Isolated | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0887 | 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. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 12, 2023 |
| Mar 3, 2023 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.65 (case-mix index 1.48).
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 1999 |
| Wesley Lo | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Andrew Lore | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2022 |
| Pamela Mcclennon | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Suanne Morikuni | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2019 |
| Randall Hata | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2001 |
| Richard Kishaba | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 1999 |
| Randall Hata | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2001 |
| Richard Kishaba | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 1999 |
| First Hawaiian Bank | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Nov 6, 2013 |
| Ohana Pacific Management Company Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 11, 2025 |
| Gordon Beh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 24, 2025 |
| Rebecca Canon-Fratis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2022 |
| Randall Hata | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2001 |
| Richard Kishaba | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 1999 |
| Wesley Lo | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Andrew Lore | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Pamela Mcclennon | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Clifford Miller | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 1998 |
| Suanne Morikuni | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2019 |
| Jul 17, 2026 |
308 open |
| — |
| Hale Kupuna Heritage Home, LLC 4297a Omao Road, Koloa, HI 96756 CCN 125062 | 84 | Mar 12, 2026 | 301 harm | $11k |
| The Ching Villas 2230 Liliha Street, Honolulu, HI 96817 CCN 125064 | 163 | Jan 16, 2026 | 44 | — |
| Legacy Hilo Rehabilitation & Nursing Center 563 Kaumana Drive, Hilo, HI 96720 CCN 125065 | 100 | Feb 27, 2026 | 391 harm | $11k |