Honoka'a Hospital & Skilled Nursing: Staffing, Turnover, and Inspection Record
Honoka'a Hospital & Skilled Nursing is a 66-bed government-run nursing home in Honokaa, Hawaii, part of Hawaii Health Systems Corporation. In the CMS August 2026 release it reported 3.28 nurse aide hours per resident per day, 14% above the Hawaii average of 2.88, and 24.4% nursing staff turnover (Hawaii average 36.4%).
Honoka'a Hospital & Skilled Nursing
45-547 Plumeria StreetHonokaa, HI 96727
Hawaii County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Honoka'a Hospital & Skilled Nursing, nurse aides logged 3.28 hours per resident per day, 14% above the Hawaii average. With about 57 residents a day, that works out to roughly 187 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Hawaii avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.28 | 2.88 | 2.32 |
| Licensed practical nurses | 0.62 | 0.34 | 0.86 |
| Registered nurses | 1.60 | 1.75 | 0.69 |
| All nursing staff | 5.51 | 4.97 | 3.86 |
| All nursing staff, weekends | 4.73 | 4.41 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
24.4% of nursing staff at Honoka'a Hospital & Skilled Nursing left over the year CMS measured, against a Hawaii average of 36.4% and a US average of 45.8%. Registered nurse turnover was 32.1%.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 22, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Hawaii average 10.0). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Honoka'a Hospital & Skilled Nursing holds 5 of 5 overall; the Hawaii average is 3.6.
About Honoka'a Hospital & Skilled Nursing
- Ownership: Government - State
- Chain: Hawaii Health Systems Corporation, 7 homes
- Legal name: Honokaa Hospital & Skilled Nursing
- Medicare and Medicaid certified since: Jan 1, 1977
- Located inside a hospital
- Councils: resident and family councils
- Area: rural
Nursing homes near Honoka'a Hospital & Skilled Nursing
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Yukio Okutsu State Veterans Home Hilo | 34.1 | 95 | 3.03 | 4.64 | 60.3% | 4 | $13,049 |
| Hilo Benioff Medical Center Hilo | 34.1 | 52 | 3.19 | 5.34 | 30.8% | 4 | None |
| Hale Anuenue Restorative Care Hilo | 34.1 | 120 | 1.89 | 3.60 | 16.2% | 4 | None |
| Legacy Hilo Rehabilitation & Nursing Center Hilo | 34.8 | 100 | 2.18 | 3.72 | 62.3% | 1 | $16,350 |
| Life Care Center of Hilo Hilo | 36.8 | 252 | 2.36 | 3.79 | 30.3% | 3 | $8,492 |
| Life Care Center of Kona Kailua Kona | 47.7 | 94 | 2.06 | 3.77 | 38.5% | 3 | $27,612 |
| Kula Hospital Kula · staffing data not validated | 72.0 | 105 | — | — | 53.9% | 2 | None |
| Hale Makua - Kahului Kahului | 85.7 | 252 | 2.65 | 4.87 | 32.2% | 3 | $170,249 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.