SNF
PU'UWAI 'O MAKAHA
CCN: 125046 · WAIANAE, HI 96792 · Honolulu County
Overview
- Address
- 84-390 JADE STREET, WAIANAE, HI 96792
- Phone
- 8086959508
- Certified beds
- 93
- Avg daily residents
- 63 (68% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1997-07-03
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 4.11 | 4.30 | 3.69 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.10 | 0.75 | 0.99 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.40 | 0.95 | 0.36 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.60 | 2.59 | 2.34 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.50 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.57
hrs / resident / day
RN (weekend)
0.78
hrs / resident / day
Total nurse (adjusted, weekend)
3.20
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
26.8%
annual
RN turnover
25.0%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.52
higher acuity than avg
Case-Mix Index Ratio
1.11
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-25 | 8 | 8 | 0 | 32 | 1 | 32 |
| Cycle 2/3 (prior) | 2024-07-26 | 13 | 9 | 7 | 84 | 1 | 84 |
Total weighted health score
45.0
lower is better
Deficiencies (37)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
35 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-07-25 | 2025-09-08 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-07-25 | 2025-09-08 |
| 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. | D | 2025-07-25 | 2025-09-08 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-07-25 | 2025-09-08 |
| 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. | D | 2025-07-25 | 2025-09-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | 2025-07-25 | 2025-09-08 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-07-25 | 2025-09-08 |
| 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2025-07-25 | 2025-09-08 |
| 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. | E | 2024-07-26 | 2024-09-04 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2024-07-26 | 2024-09-04 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-07-26 | 2024-09-04 |
| 0790 | Provide routine and 24-hour emergency dental care for each resident. | D | 2024-07-26 | 2024-09-04 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-07-26 | 2024-09-04 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2024-07-26 | 2024-09-04 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-07-26 | 2024-09-04 |
| 0675 | Honor each resident's preferences, choices, values and beliefs. | D | 2024-07-26 | 2024-09-04 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-07-26 | 2024-09-04 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-08-31 | 2023-09-18 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2023-08-31 | 2023-08-23 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-08-31 | 2023-09-18 |
| 0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | 2023-07-28 | 2023-10-17 |
| 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. | E | 2023-07-28 | 2023-10-28 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2023-07-28 | 2023-10-17 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2023-07-28 | 2023-10-17 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-07-28 | 2023-10-17 |
| 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. | D | 2023-07-28 | 2023-10-17 |
| 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-07-28 | 2023-10-17 |
| 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. | D | 2023-07-28 | 2023-10-28 |
| 0732 | Post nurse staffing information every day. | D | 2023-07-28 | 2023-10-17 |
| 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | 2023-07-28 | 2023-10-17 |
| 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. | E | 2023-07-28 | 2023-11-08 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-07-28 | 2023-10-28 |
| 0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2023-07-28 | 2023-10-28 |
| 0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | 2023-07-28 | 2023-10-28 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-07-28 | 2023-10-17 |
| 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2023-07-28 | 2023-10-17 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2023-07-28 | 2023-10-17 |
Penalties (2)
Fines issued
1
last 3 years
Total fines
$65,455
Payment denials
1
| Date | Type | Fine amount |
|---|---|---|
| 2023-07-28 | Fine | $65,455 |
| 2023-07-28 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 2.8% Medicaid 84.9% Other 12.3%
Operating performance
Operating Margin
-0.3%
Total Margin
0.4%
Occupancy Rate
62.2%
Cost per Resident Day
$32
Revenue & costs
Net Patient Revenue
$9.6M
Total Costs
$677K
Net Income
$43K
Balance sheet
Total Assets
$4.4M
Total Liabilities
$1.6M
Fund Balance
$2.9M
Current Ratio
0.67
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: OHANA PACIFIC MANAGEMENT CO.
- Chain ID
382- Facilities in chain
- 6
- Legal business name
- INTEGRATED HEALTH RESOURCES, LLC
Chain-average star ratings (for peer context)
Overall
3.7
Health
3.0
Staffing
4.2
QM
4.0
Owner / manager organizations (1)
| Organization | Role | Association |
|---|---|---|
| OHANA PACIFIC MANAGEMENT COMPANY INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 09/30/2001 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| KISHABA, RICHARD | CORPORATE DIRECTOR | since 09/30/2001 |
| HATA, RANDALL | CORPORATE OFFICER | since 08/01/2012 |
| KISHABA, RICHARD | CORPORATE OFFICER | since 09/30/2001 |
| MORIKUNI, SUANNE | CORPORATE OFFICER | since 01/01/2019 |
| COLLINS, HANNAH | CONTRACTED MANAGING EMPLOYEE | since 08/01/2023 |
| SANTORO, MARY | CONTRACTED MANAGING EMPLOYEE | since 03/01/2013 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $32 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.67 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 84.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.8% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $42,672 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,567,707 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 62.2% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -0.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $4,430,241 | metrics.total_assets |
| Cost Report | Total Costs ($) | $677,178 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $2,873,511 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,556,730 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 0.4% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.36148 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.33661 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.98840 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.68648 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.20381 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 63.0 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.95419 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.59327 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.75211 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.29957 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.78962 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.0 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.7 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.0 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 4.2 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 382 | Chain ID |
| Provider Information | Chain Name | OHANA PACIFIC MANAGEMENT CO. | Chain Name |
| Provider Information | City/Town | WAIANAE | City/Town |
| Provider Information | CMS Certification Number (CCN) | 125046 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Honolulu | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1997-07-03 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 21.4656 | Latitude |
| Provider Information | Legal Business Name | INTEGRATED HEALTH RESOURCES, LLC | Legal Business Name |
| Provider Information | Location | 84-390 JADE STREET,WAIANAE,HI,96792 | Location |
| Provider Information | Long-Stay QM Rating | 4 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -158.21 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 93 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 6 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 1 | Number of Fines |
| Provider Information | Number of Payment Denials | 1 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.52315 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.10561 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 84-390 JADE STREET | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | PU'UWAI 'O MAKAHA | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 020 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 4 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 32 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 8 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-25 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 32 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 8 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 9 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-07-26 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 84 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 7 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 84 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 13 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.78098 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 25.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.50324 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.40255 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.60207 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.09309 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.10069 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 4.10531 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | HI | State |
| Provider Information | Telephone Number | 8086959508 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 65455.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.56779 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 2 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 26.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 45.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 96792 | ZIP Code |