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A+
Excellent

Honoka'a Hospital & Skilled Nursing

45-547 PLUMERIA STREET · HONOKAA, HI 96727

8089324100 · Government - State

66 beds59.1 residents105 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Honoka'a Hospital & Skilled Nursing receives an overall staffing grade of A+ (Excellent). With 5.2807 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.38 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.88% compared to weekdays. The facility uses a moderate level of agency staff (9.95% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
5.2807hrs/resident/day▲ 1.38
CMS benchmark: 3.48
RN HPRD
1.3581hrs/resident/day▲ 0.68
Recommended: 0.75
Weekend Drop-off
20.88%
5.6119 weekday → 4.4401 weekend
⚠ Significant weekend reduction
Agency Staff
9.95%
11.95% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.2516hrs/resident/day
Direct care aides
LPN HPRD
0.671hrs/resident/day
Licensed practical nurses
Consistency
0.6399std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hawaii County Average+0.87 HPRD
4.41
05.28 HPRD
vs. Hawaii State Average+0.57 HPRD
4.71
05.28 HPRD
vs. National Average+1.38 HPRD
3.90
05.28 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Honoka'a Hospital & Skilled Nursing ★
HONOKAA · This facility
—
A+
5.28071.3581★★★★★
YUKIO OKUTSU STATE VETERANS HOME
HILO
34.1 mi
A
4.98931.0725★★★☆☆
HILO BENIOFF MEDICAL CENTER
HILO
34.1 mi
A+
6.00911.4822★★★★☆
HALE ANUENUE RESTORATIVE CARE
HILO
34.1 mi
B
3.63951.0231★★★☆☆
LEGACY HILO REHABILITATION & NURSING CENTER
HILO
34.7 mi
B
3.61320.958★★★☆☆
LIFE CARE CENTER OF HILO
HILO
36.7 mi
B
3.65050.9821★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
16
Total Deficiencies
$17,111
Fines Assessed
Nov 22, 2024Health
5 deficiencies cited
▼
May 31, 2024Health
1 deficiency cited
▼
Dec 8, 2023Health
7 deficiencies cited
▼
Mar 15, 2023Health
2 deficiencies cited· Includes actual harm
▼
Oct 13, 2022Health
1 deficiency cited
▼

Penalty History

Mar 15, 2023Fine
$17,111
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.