Pu’uwai ‘o Makaha
A nursing home in Waianae, Hawaii 96792
84-390 Jade Street, Waianae, Hawaii 96792. (808) 695-9508.
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 3 health citations at the latest inspection cycle Hawaii average: 9.2
- 4.20 nurse hours per resident per day Hawaii average: 4.99
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
3 health citations at the latest inspection cycle
The Hawaii average is 9.2.
Last standard inspection Jul 17, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
20 citations in 3 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (E). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 20 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 3 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 17, 2026: standard inspection3 citations
-
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.
-
Ensure each resident receives an accurate assessment.
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jul 25, 2025: standard inspection8 citations
-
Reasonably accommodate the needs and preferences of each resident.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
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.
-
Provide safe, appropriate pain management for a resident who requires such services.
-
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.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Provide and implement an infection prevention and control program.
-
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jul 26, 2024: standard inspection6 citations
-
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.
-
Ensure each resident receives an accurate assessment.
-
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
-
Provide routine and 24-hour emergency dental care for each resident.
-
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
-
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jul 26, 2024: standard and complaint inspection3 citations
-
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
-
Honor each resident’s preferences, choices, values and beliefs.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jul 3, 1997.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 93 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 3 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.20 nurse hours per resident per day
The Hawaii average is 4.99.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Hawaii average |
|---|---|---|
| Nurse hours per resident per day | 4.20 | 4.99 |
| Of which registered nurses | 1.00 | 1.73 |
| At weekends | 3.70 | 4.41 |
| Nursing staff turnover | 29.8% | 34.5% |
| Registered nurse turnover | 42.9% | 30.5% |
| Administrators who left | 0 | Not given |
Who owns it?
- Ohana Pacific Management Company Inc. owns 100% directly since Sep 30, 2001; Ohana Pacific Management Company Inc. owns 100% directly since Sep 30, 2001.
- Ohana Pacific Management Company Inc. runs it.
- 18 owners or officers are people: Richard S Kishaba (owns 5% or more through other companies, 10%); Richard S Kishaba (owns a share through other companies, 10%); Gawtham Gutta (runs it (operational or managerial control)); Gawtham Gutta (additional disclosable party (controls, leases property to, or provides services to the home)); Shonaline Garduque (runs it (operational or managerial control)); Shonaline Garduque (additional disclosable party (controls, leases property to, or provides services to the home)); Randall I Hata (runs it (operational or managerial control)); Randall I Hata (additional disclosable party (controls, leases property to, or provides services to the home)); Richard S Kishaba (runs it (operational or managerial control)); Richard S Kishaba (additional disclosable party (controls, leases property to, or provides services to the home)); Wesley Lo (runs it (operational or managerial control)); Wesley Lo (additional disclosable party (controls, leases property to, or provides services to the home)); Andrew Lore (runs it (operational or managerial control)); Andrew Lore (additional disclosable party (controls, leases property to, or provides services to the home)); Pamela Mcclennon (runs it (operational or managerial control)); Pamela Mcclennon (additional disclosable party (controls, leases property to, or provides services to the home)); Suanne Morikuni (runs it (operational or managerial control)); Suanne Morikuni (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Ohana Pacific Management Co. (6 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Ohana Pacific Management Company Inc. | Owns 5% or more directly | 100% | Sep 30, 2001 |
| Ohana Pacific Management Company Inc. | Owns a share directly | 100% | Sep 30, 2001 |
| Richard S. Kishaba 2010 Dynasty Trust | Owns 5% or more through other companies | 90% | Jul 30, 2010 |
| Richard S. Kishaba 2010 Dynasty Trust | Owns a share through other companies | 90% | Jul 30, 2010 |
| Akase Family, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 1, 2013 | |
| Ohana Pacific Management Company Inc. | Runs it (operational or managerial control) | Sep 30, 2001 | |
| Ohana Pacific Management Company Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 24, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Hawaii average 4.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 25.2 miles, this one had the 9th most health citations at the latest inspection cycle (3; the middle value was 11).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Pu’uwai ‘o Makaha This nursing home | 3 | |
| Ka Punawai Ola | 11.2 | 13 |
| Daniel K Akaka State Veterans Home | 12.5 | Not given |
| Kulana Malama | 14.1 | 3 |
| Pearl City Post Acute | 16.3 | 9 |
| Avalon Care Center - Honolulu, LLC | 23.4 | 20 |
| Nuuanu Hale | 24.1 | 14 |
| Maluhia | 24.4 | 2 |
| Liliha Healthcare Center | 24.6 | 11 |
| Kuakini Geriatric Care, Inc. | 24.6 | 11 |
| The Ching Villas | 25.0 | 13 |
| The Care Center of Honolulu | 25.2 | 9 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
-
Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.