Skilled nursing · WAIANAE, HI

PU'UWAI 'O MAKAHA

84-390 JADE STREET, WAIANAE, HI 96792

93 bedsFor profit - Limited Liability company
5.9Clarity
Score history
Aug 20265.9 flagged
Jul 20265.9 flagged
Jun 20265.9 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 3 Aug 2026

The record on Pu'Uwai 'O Makaha cuts both ways. On one side, nurses here log 1.4 times the national average of registered-nurse time with each resident, and staff turnover is roughly half the U.S. rate. On the other, inspectors levied $65,455 in federal fines over the last 36 months, and antipsychotic use runs 1.8 times the national median. The sections below show exactly where each number comes from — read them before you tour.

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★★★★☆ 4 of 5
Health inspection★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★☆☆ 3 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
1 hr 4 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 15 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
27.6%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
25.6%
National
14%

On sedatives / sleep medicationlower is better

This home
9.5%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
3%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$65,455 · 1 penalty
Abuse iconNone
Conflict flags in latest reconcile6

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

Mixed — a strong record with one number that needs an answer.

  • No sedation pattern. Sleep-medication use is below national norms. Antipsychotic use is elevated, but paired with high staffing this reads clinical, not custodial — ask the medical director about their reduction program.
  • $65,455 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

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 PU'UWAI 'O MAKAHA?
PU'UWAI 'O MAKAHA has an overall CMS Care Compare rating of 4 out of 5 stars.
Has PU'UWAI 'O MAKAHA been cited for resident harm?
PU'UWAI 'O MAKAHA has $65,455 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
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.