Nursing home
Pu'uwai 'o Makaha
84-390 Jade Street, Waianae, HI 96792 · Map
For profit - Limited Liability company · Part of Ohana Pacific Management Co. (6 facilities) · 93 certified beds
Pu'uwai 'o Makaha is a Medicare-certified nursing home in Waianae, Hawaii. CMS rates it 4 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.11 hours per resident per day, below the Hawaii average of 4.71. Its most recent inspection on Jul 25, 2025 cited 8 deficiencies.
- 1 fine totaling $65,455In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pu'uwai 'o Makaha 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) | 4.11 | 4.71 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.10 | 1.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.60 | 2.73 | 2.34 | below avg |
| Nursing staff turnover | 26.8% | 36.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 8.0 | 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.
- Every deficiency from the July 25, 2025 inspection was corrected by September 8, 2025
Penalties in CMS records: 1 fine totaling $65,455, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Pu'uwai 'o Makaha
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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 25, 2025 · Full report (PDF) - 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 · Jul 25, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Jul 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Quality of Life and Care Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jul 26, 2024 · Full report (PDF) - 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 · Jul 26, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jul 26, 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 · Jul 26, 2024 · 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
- 84-390 Jade Street
Waianae, HI 96792 - CMS certification #
- 125046
- Ownership
- For profit - Limited Liability company
- Certified beds
- 93
- Avg residents/day
- 63.0
- Provider type
- Medicare and Medicaid
- First certified
- 1997-07-03
- Chain
- Ohana Pacific Management Co. (6 facilities)
- Setting
- Urban
Part of Ohana Pacific Management Co.
Ohana Pacific Management Co. operates 6 nursing facilities across the United States. View all Ohana Pacific Management Co. facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pu'uwai 'o Makaha using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Pali Momi Medical Center, Aiea. 18.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Ka Punawai Ola, Kapolei. 11.2 miles away, straight line.
- Nearest home health agency office
- Kaiser Home Health Agency - Oahu, Honolulu. 21.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Longs Drugs. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 96792 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Liberty Dialysis Hawaii - Waianae Dialysis Facility, Waianae, 2.5 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Waianae Dialysis, Waianae, 2.6 miles away, straight line (CMS rating 1 of 5 stars)
Liberty Waianae Coast Nanakuli, Waianae, 7.1 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 96792.
Malama Ola Health Services LLC, office in Honolulu, 20.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Kaiser Permanente Care At Home, Oahu Hospice, office in Honolulu, 21.1 miles away, straight line
Navian Hawaii, office in Honolulu, 24.2 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Midpacific Hospitalists LLC, Wahiawa. 12.0 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 Makaha, HI, risk to homes is greater than 99% of communities in Hawaii and 100% 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 moderate. By hazard: hurricane very low, inland flooding relatively moderate, coastal flooding relatively low, wildfire relatively high, tornado very low, earthquake relatively low. 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 |
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Frequently asked questions
Is Pu'uwai 'o Makaha a good nursing home?
CMS gives Pu'uwai 'o Makaha an overall rating of 4 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pu'uwai 'o Makaha staffed?
Pu'uwai 'o Makaha reports 4.11 total nurse hours per resident per day, compared with the Hawaii average of 4.71.
Has Pu'uwai 'o Makaha had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Pu'uwai 'o Makaha have?
Pu'uwai 'o Makaha is certified for 93 beds.