Yukio Okutsu State Veterans Home — nursing home in Hilo, HI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 95 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 71.5 CMS, MDS-derived
CMS Certification Number: 125058
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 10, 2008
Ownership type: Government - State
Operator (legal business name): Hawaii Health Systems Corporation
CMS chain: Hawaii Health Systems Corporation 7 facilities
Phone: (808) 961-1500
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Nov 15, 2024

Citations

40

39 health · 1 fire

Harm or worse

3

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D28	E4	F4
Minimal	A·	B·	C1

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$13,049

Payment denials

0

Latest

Oct 30, 2023

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 125058
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 95
First approved: Mar 10, 2008
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Hawaii.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Nov 15, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Nov 15, 2024	Health	Health Complaint, Health Standard	11	Potential harm	—	Open →
Oct 30, 2023	Fire safety	Fire Safety Standard	1	Minimal	—	Open →
Oct 30, 2023	Health	Health Complaint, Health Standard	10	Actual harm	—	Open →
Oct 14, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 14, 2022	Health	Health Standard	18	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Oct 30, 2023	Civil money penalty (fine)	$13,049	—	125058\|Fine\|131598

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G3	H·	I·
Potential harm	D28	E4	F4
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Nov 15, 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 Dec 30, 2024
Nov 15, 2024	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 30, 2024
Nov 15, 2024	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 30, 2024
Nov 15, 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 Dec 30, 2024
Nov 15, 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 Dec 30, 2024
Nov 15, 2024	F-0698	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 30, 2024
Nov 15, 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 Dec 30, 2024	Complaint
Nov 15, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 30, 2024
Nov 15, 2024	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 Dec 30, 2024
Nov 15, 2024	F-0847	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Dec 30, 2024
Nov 15, 2024	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 30, 2024
Oct 30, 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	Past non-compliance Jul 27, 2023	Complaint
Oct 30, 2023	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Dec 11, 2023
Oct 30, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 11, 2023
Oct 30, 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 Dec 11, 2023
Oct 30, 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 Dec 11, 2023
Oct 30, 2023	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 Dec 11, 2023
Oct 30, 2023	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 11, 2023
Oct 30, 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 Dec 11, 2023
Oct 30, 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 Dec 11, 2023
Oct 30, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 11, 2023
Oct 30, 2023	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected Nov 30, 2023
Oct 14, 2022	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Dec 16, 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	G · Actual harm Isolated	Corrected Dec 16, 2022
Oct 14, 2022	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 Dec 16, 2022
Oct 14, 2022	F-0572	Give residents a notice of rights, rules, services and charges. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 16, 2022
Oct 14, 2022	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 Dec 16, 2022
Oct 14, 2022	F-0577	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 16, 2022
Oct 14, 2022	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 Dec 16, 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	F · Potential harm Widespread	Corrected Dec 16, 2022
Oct 14, 2022	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 Dec 16, 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 Dec 16, 2022
Oct 14, 2022	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	F · Potential harm Widespread	Corrected Dec 16, 2022
Oct 14, 2022	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 Dec 16, 2022
Oct 14, 2022	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 16, 2022
Oct 14, 2022	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 16, 2022
Oct 14, 2022	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 Jan 14, 2023
Oct 14, 2022	F-0838	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Dec 16, 2022
Oct 14, 2022	F-0842	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 · Clinical care	D · Potential harm Isolated	Corrected Dec 16, 2022
Oct 14, 2022	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Jan 14, 2023

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.8

Health inspectionsstate 3

Staffingstate 4.5

Quality measuresstate 4.4

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing4.66

State avg 4.99US avg 3.90

Registered nurse (RN)1.08

State avg 1.73US avg 0.69

Licensed practical nurse0.45

State avg 0.35US avg 0.86

Nurse aide3.13

State avg 2.91US avg 2.35

Weekend total nurse3.93

State avg 4.41US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.16 (case-mix index 1.26).

Staff turnover

Total nursing staff turnover25.7%

State avg 34.5%US avg 45.3%

Registered nurse turnover29.4%

State avg 30.5%US avg 42.5%

Administrators who leftNot reported

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Nov 15, 2024
Cycle 1 health score: 44
Total weighted score: 50

Operating entity

Hawaii Health Systems Corporation

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Hawaii Health Systems Corporation

7 facilities in 1 states. CMS chain ID 250.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.8

Ownership disclosures

Disclosures

24

Organizations

2

Individuals

22

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Hawaii Health Systems Corporation	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 21, 2007

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Hawaii Health Systems Corporation	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Nov 21, 2007
East Hawaii State Veterans Home	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 2, 2021
David Pettijohn	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 1, 2015
Jay Ignacio	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2019
Clarysse Nunokawa	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jun 1, 2019
Linda Rosen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Dec 16, 2014
Deanna Sako	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 1, 2018
Stephen Smith	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 24, 2018
Carol Vancamp	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2019
Jennifer Zelko-Schlueter	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 4, 1977
Daniel Belcher	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 1, 2020
Daniel Brinkman	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jun 22, 2015
Edward Chu	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 16, 2010
Chad Farias	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2021
Lara Gomez	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 1, 2022
Jerry Gray	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 22, 2019
Randall Kurohara	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 1, 2021
Linda Rosen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 16, 2014
Joseph Skruch	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	May 22, 2019
Joni Waltjen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 16, 2018
Yvonne Wong	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 1, 2022
Alan Hash	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Mar 1, 2014
Charles Kirton	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Oct 23, 2012
Anne Stuart	Individual	Managing employee	CONTRACTED MANAGING EMPLOYEE	not provided	Mar 1, 2014

Same chain in Hawaii

All 6 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Hilo Benioff Medical Center 1190 Waianuenue Avenue, Hilo, HI 96720 CCN 125002	52		Feb 7, 2025	341 harm	—
Maluhia 1027 Hala Drive, Honolulu, HI 96817 CCN 125009	158		Jul 17, 2026	252 harm	$67k
Leahi Hospital 3675 Kilauea Avenue, Honolulu, HI 96816 CCN 125010	155		Jul 25, 2025	21	—
Kauai Veterans Memorial Hospital 4643 Waimea Canyon Drive, Waimea, HI 96796 CCN 125021	20		Feb 27, 2026	201 IJ	$35k
Honoka'a Hospital & Skilled Nursing 45-547 Plumeria Street, Honokaa, HI 96727 CCN 125032	66		Nov 22, 2024	21	—
Daniel K Akaka State Veterans Home 91-1204 Kealanani Ave, Kapolei, HI 96707 CCN 125070	—	Not rated	Apr 23, 2026	101 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1180 Waianuenue Avenue, Hilo, HI 96720
ZIP: 96720
County: Hawaii County FIPS 15001
State: Hawaii
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Hilo Benioff Medical Center 1190 Waianuenue Avenue, Hilo, HI 96720 CCN 125002	0 km	52	Feb 7, 2025	341 harm	—
Hale Anuenue Restorative Care 1333 Waianuenue Avenue, Hilo, HI 96720 CCN 125045	0 km	120	Feb 28, 2025	29	—
Legacy Hilo Rehabilitation & Nursing Center 563 Kaumana Drive, Hilo, HI 96720 CCN 125065	1.5 km	100	Feb 27, 2026	391 harm	$11k
Life Care Center of Hilo 944 West Kawailani Street, Hilo, HI 96720 CCN 125040	4.4 km	252	Jul 2, 2026	441 harm	$8,492

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	125058	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	125058	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

Record-level source links for CCN 125058

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction