Pu'uwai 'O Makaha
Nursing Home · Waianae, HI
CMS certification number125046
Contact & location
84-390 Jade StreetWaianae, HI 96792
Honolulu County
- Phone
- (808) 695-9508
- ZIP code
- 96792 – all care providers
Facility details
- Certified beds
- 93
- Residents per day
- 62.9 (68% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Integrated Health Resources, LLC
- Chain
- Ohana Pacific Management Co. (6 facilities, avg 3.3★)
- Medicare certified since
- July 3, 1997
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.26 (state 4.97 · U.S. 3.86)
- Registered nurses (RN)
- 1.06 (state 1.75 · U.S. 0.69)
- Licensed practical nurses
- 0.51 (state 0.34 · U.S. 0.86)
- Nurse aides
- 2.69 (state 2.88 · U.S. 2.32)
- Weekend total
- 3.65 (state 4.41 · U.S. 3.42)
- Nursing staff turnover
- 27.6 (state 36.4 · U.S. 45.8)%
- RN turnover
- 31.3 (state 31.5 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- July 25, 2025
- Health deficiencies (last cycle)
- 8.0 (state 10.0 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 37 health · 3 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-07-25 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-25 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-25 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-25 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2025-07-25 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-09-08 |
| 2024-07-26 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Honor each resident's preferences, choices, values and beliefs. F0675 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-07-26 | Provide routine and 24-hour emergency dental care for each resident. F0790 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2023-08-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-08-23 |
| 2023-08-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-18 |
| 2023-08-31 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-09-18 |
| 2023-07-28 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2023-10-17 |
| 2023-07-28 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-28 |
| 2023-07-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-28 |
| 2023-07-28 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-11-08 |
| 2023-07-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-28 |
| 2023-07-28 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-28 |
| 2023-07-28 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-28 |
| 2023-07-28 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
| 2023-07-28 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-17 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Akase Family, LLC (organization) | Administrator · NOT APPLICABLE | |
| Garduque, Shonaline (individual) | Administrator · NOT APPLICABLE | |
| Gutta, Gawtham (individual) | Administrator · NOT APPLICABLE | |
| Hata, Randall (individual) | Administrator · NOT APPLICABLE | |
| Kishaba, Richard (individual) | Administrator · NOT APPLICABLE | |
| Lo, Wesley (individual) | Administrator · NOT APPLICABLE | |
| Lore, Andrew (individual) | Administrator · NOT APPLICABLE | |
| McClennon, Pamela (individual) | Administrator · NOT APPLICABLE | |
| Morikuni, Suanne (individual) | Administrator · NOT APPLICABLE | |
| Ohana Pacific Management Company INC (organization) | Administrator · NOT APPLICABLE | |
| Ohana Pacific Management Company INC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Kishaba, Richard (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Richard S. Kishaba 2010 Dynasty Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Kishaba, Sandra (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Garduque, Shonaline (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Gutta, Gawtham (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Hata, Randall (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kishaba, Richard (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lo, Wesley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lore, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McClennon, Pamela (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Morikuni, Suanne (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ohana Pacific Management Company INC (organization) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Pu'uwai 'O Makaha?
Pu'uwai 'O Makaha has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.6-star average in Hawaii.
How many beds does Pu'uwai 'O Makaha have?
It has 93 certified beds and cares for about 63 residents per day.
Has Pu'uwai 'O Makaha been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Pu'uwai 'O Makaha?
It is part of Ohana Pacific Management Co. and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Pu'uwai 'O Makaha?
(808) 695-9508. The facility is located at 84-390 Jade Street, Waianae, HI 96792.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.