Nursing home · Top rated by CMS
Honoka'a Hospital & Skilled Nursing
45-547 Plumeria Street, Honokaa, HI 96727 · Map
Government - State · Part of Hawaii Health Systems Corporation (6 facilities) · 66 certified beds
Honoka'a Hospital & Skilled Nursing is a Medicare-certified nursing home in Honokaa, Hawaii. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.28 hours per resident per day, above the Hawaii average of 4.71. Its most recent inspection on Nov 22, 2024 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Honoka'a Hospital & Skilled Nursing compares
This facility vs. the Hawaii and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Hawaii avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.28 | 4.71 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.36 | 1.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.25 | 2.73 | 2.34 | above avg |
| Nursing staff turnover | 22.5% | 36.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 10.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Honoka'a Hospital & Skilled Nursing
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 22, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 22, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · May 31, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 8, 2023 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 8, 2023 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Dec 8, 2023 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Dec 8, 2023 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Dec 8, 2023 · Full report (PDF) - Potential for harm
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies · Dec 8, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 45-547 Plumeria Street
Honokaa, HI 96727 - CMS certification #
- 125032
- Ownership
- Government - State
- Certified beds
- 66
- Avg residents/day
- 59.1
- Provider type
- Medicare and Medicaid
- First certified
- 1977-01-01
- Chain
- Hawaii Health Systems Corporation (6 facilities)
- Setting
- Rural
Part of Hawaii Health Systems Corporation
Hawaii Health Systems Corporation operates 6 nursing facilities across the United States. View all Hawaii Health Systems Corporation facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Honoka'a Hospital & Skilled Nursing using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Honoka'A Hospital And Skilled Nursing, Honokaa. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Yukio Okutsu State Veterans Home, Hilo. 34.1 miles away, straight line.
- Nearest home health agency office
- Kohala Home Health Care Of North Hi Comm Hosp, Kamuela. 20.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hamakua Family Pharmacy. 0.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 96727 as small town (small town high commuting).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 96727.
North Hawaii Hospice, Inc, office in Kamuela, 14.0 miles away, straight line - Nearest geriatric medicine practice
- Hawaii Permanente Medical Group Inc, Wailuku. 86.4 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Honokaa, HI, risk to homes is greater than 30% of communities in Hawaii and 87% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding very high, coastal flooding very low, wildfire relatively high, tornado very low, earthquake relatively high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Honoka'a Hospital & Skilled Nursing a good nursing home?
CMS gives Honoka'a Hospital & Skilled Nursing an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Honoka'a Hospital & Skilled Nursing staffed?
Honoka'a Hospital & Skilled Nursing reports 5.28 total nurse hours per resident per day, compared with the Hawaii average of 4.71.
Has Honoka'a Hospital & Skilled Nursing had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Honoka'a Hospital & Skilled Nursing have?
Honoka'a Hospital & Skilled Nursing is certified for 66 beds.