Skilled nursing · HONOKAA, HI

Honoka'a Hospital & Skilled Nursing

45-547 PLUMERIA STREET, HONOKAA, HI 96727

66 bedsGovernment - State
9.7Clarity
Score history
Aug 20269.7

First scored Aug 2026. Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Aug 2026

Some five-star ratings survive a close read. This one does: nurses here log 2.1 times the national average of registered-nurse time with each resident, staff turnover is roughly half the U.S. rate, and inspectors rated the last health survey 4 out of 5 and levied no fines. In Honokaa, that is the profile families hope to find.

palmelle

Written by Palmelle from federal and state records. Last updated 3 Aug 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Jul 2026
Federal ratings
Overall★★★★★ 5 of 5
Health inspection★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
1 hr 36 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
5 hr 30 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
24.4%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
14.3%
National
14%

On sedatives / sleep medicationlower is better

This home
9.6%
National
15%

Falls causing major injurylower is better

This home
1.3%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse iconNone
Conflict flags in latest reconcile4

HI does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Reads like care — the pattern checks come back clean.

  • Staffed like a place that cares. Nurses spend 2.1× the national RN time with each resident, and staff turnover is half the U.S. average — the opposite of the churn you see in warehouse facilities.
  • Clean accountability record. Hospital-district owned — a public hospital answers for this building, and there are no fines, flags, or abuse findings on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for Honoka'a Hospital & Skilled Nursing?
Honoka'a Hospital & Skilled Nursing has an overall CMS Care Compare rating of 5 out of 5 stars.
Has Honoka'a Hospital & Skilled Nursing been cited for resident harm?
Honoka'a Hospital & Skilled Nursing has no abuse icon and no federal fines on record in the last 36 months.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.