Home›Hawaii›Honolulu County›PU'UWAI 'O MAKAHA
A
Very Good

PU'UWAI 'O MAKAHA

84-390 JADE STREET · WAIANAE, HI 96792

8086959508 · For profit - Limited Liability company

93 beds63 residents70 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A+
Excellent
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PU'UWAI 'O MAKAHA receives an overall staffing grade of A (Very Good). With 4.1074 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.21 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 17.33% compared to weekdays. The facility has low agency staff usage (3.79% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅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
✅Low agency staff usage (3.79%) — mostly permanent, familiar staff
Total Nurse HPRD
4.1074hrs/resident/day▲ 0.21
CMS benchmark: 3.48
RN HPRD
1.1003hrs/resident/day▲ 0.42
Recommended: 0.75
Weekend Drop-off
17.33%
4.3189 weekday → 3.5704 weekend
Agency Staff
3.79%
6.56% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.5088hrs/resident/day
Direct care aides
LPN HPRD
0.4035hrs/resident/day
Licensed practical nurses
Consistency
0.4591std 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. Honolulu County Average-0.83 HPRD
4.94
04.11 HPRD
vs. Hawaii State Average-0.60 HPRD
4.71
04.11 HPRD
vs. National Average+0.21 HPRD
3.90
04.11 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
PU'UWAI 'O MAKAHA ★
WAIANAE · This facility
—
A
4.10741.1003★★★★☆
KA PUNAWAI OLA
KAPOLEI
11.2 mi
A
4.11291.6764★★★★★
Kulana Malama
EWA BEACH
14.1 mi
A+
11.11275.7114★★★★★
PEARL CITY POST ACUTE
PEARL CITY
16.2 mi
A+
5.80861.9199★★★★☆
AVALON CARE CENTER - HONOLULU, LLC
HONOLULU
23.4 mi
A
4.60331.9165★★★☆☆
NUUANU HALE
HONOLULU
24.1 mi
C
3.46831.2187★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
37
Total Deficiencies
$65,455
Fines Assessed
Jul 25, 2025Health
8 deficiencies cited
▼
Jul 26, 2024Health
9 deficiencies cited
▼
Aug 31, 2023Health
3 deficiencies cited· Includes actual harm
▼
Jul 28, 2023Health
17 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 28, 2023Fine
$65,455
Jul 28, 2023Payment Denial
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.