Hearth Record

Kauai Hospice

A hospice in Lihue, Hawaii 96766

4457 Pahe’e Street, Lihue, Hawaii 96766. (808) 245-7277.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 23, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited Dec 2023. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Feb 9, 2024: a recertification inspection by the state.

1 deficiency cited in the last three years.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited Dec 2023. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Dec 15, 2023: recertification inspection by the state1 deficiency

  • Coordination of services (42 CFR 418.56(e)(1))

    The inspectors’ words, 435 words

    “Based on record review and interview, the provider failed to maintain a system of communication, specifically [electronic] health record (EHR) documentation, in accordance with the providers own policies and procedures, to ensure the interdisciplinary group (IDG) was able to direct and coordinate the care and services provided. This was evidenced by Nursing Visit Records documented from 3-12 days after the visit had actually been completed, for 2 of 14 active patients (Patient 11 and 19) sampled. As a result of this deficient practice, members of the IDG did not readily have access to the most current information necessary to care for these patients. Findings include: 1. Patient (P)11 is an 87-year-old male with an election of hospice care (EOHC) date of 11/22/22. During a review of his EHR, several Nursing Visit Records (NVR) were noted to have been documented well after the visits had been completed. The following demonstrates a pattern of late charting by Registered Nurse (RN)1: 08/29/23 Nurse Visit documented on 09/05/23; 09/05/23 Nurse Visit documented on 09/17/23; 09/12/23 Nurse Visit documented on 09/17/23; 09/26/23 Nurse Visit documented on 10/01/23; 10/18/23 Nurse Visit documented on 10/29/23; 10/24/23 Nurse Visit documented on 10/29/23; 11/14/23 Nurse Visit documented on 11/18/23; 11/21/23 Nurse Visit documented on 11/28/23; 11/28/23 Nurse Visit documented on 12/04/23. In addition, a Nurse Visit completed by RN2 on 08/04/23 was documented on 08/07/23. On 12/14/23 at 03:04 PM, an interview was done with the Director of Nursing (DON) in the Conference Room. The DON confirmed that there should be no more than one day between a visit date and the date it is documented. 2. P19 is a 12-year-old male with an EOHC date of 11/10/23. During a review of his EHR, several NVRs were noted to have been documented well after the visits had been completed. The following details a pattern of late charting by Registered Nurse (RN)1: 11/16/23 Nurse Visit documented on 11/27/23; 11/20/23 Nurse Visit documented on 11/27/23; 11/22/23 Nurse Visit documented on 11/27/23; 12/06/23 Nurse Visit documented on 12/10/23. In addition to the late charting, it was noted that there were two On Call Nursing Records documented between the 11/16/23, 11/20/23, and 11/22/23 visits and the documentation of those visits on 11/27/23. On 11/25/23 and 11/26/23, staff responded to and coordinated care for P19 without having access to clinical notes and assessments from the prior three visits made by RN1. A review of the providers Policy and Procedure titled Clinical/Service Data Collection, last revised October 2015 noted the following: “;Entries in to the clinical service record will be made on the day care/service is provided to the patient.””

    Rule L0554. Standard-level.

All 2 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Feb 9, 2024Recertification inspection by the stateNo deficiencies cited
Dec 15, 2023Recertification inspection by the state1 deficiency cited

Is it certified?

  • Medicare-certified hospice since Feb 12, 1997.
  • Ownership: non-profit.
  • No deficiency or on record in the last three years.
Source:

CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Has anything been proven against it?

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

Who does the caring?

  • From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 8.9 nurse care minutes per routine home care day, 9% of skilled nursing minutes at weekends and a visit near death for 93.1% of patients who died.
  • Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 77% at home, 4% in assisted living, 19% in a nursing facility.
Source:

CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Staffing measures
MeasureThis provider
Nurse care minutes per routine home care day8.9 min
Skilled nursing minutes at weekends9%
Visits near death93.1% of patients who died

Who owns it?

  • 12 owners or officers are people: Tricia-Lynn K Yamashita (corporate director, 100%); Tricia-Lynn K Yamashita (runs it (operational or managerial control), 100%); Keith R Yap (corporate officer, 100%); Marynel P Valenzuela (corporate director); Damien K Chong-Hanssen (corporate director); Mark S Hubbard (corporate officer); Cynthia Morris Hannah-White (corporate director); Karen J Davis (corporate officer); Thomas L Lodico (corporate director); Anthony K Pajela (corporate director); Walter J Smith (corporate director); Roberta L Weil (corporate director).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.

What do families say?

  • Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 91% rated it 9 or 10 out of 10, and 97% would definitely recommend it.
  • CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
  • 88.31% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 65.8% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
Source:

CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 55 of 5
Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold9 of 10

How does it compare nearby?

  • There aren’t enough hospices serving patients in ZIP code 96766 to compare.
Source:

CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.

CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.

1 compared
PlaceDeficiencies, 3 years
Kauai Hospice This hospice1

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospices, so none are shown.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
  • Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Oct 27, 2026.

From the hospice

The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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