Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

NUUANU HALE

HONOLULU, HI · 75 certified beds · Last Life Safety survey February 27, 2026

CMS Certification Number 125024 · first certified June 1975

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

  • Ownership changed December 18, 2020 (change of ownership)from FAMILY HEALTH, INC.
16
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
7
Inspection & testing records
Of the citations on file

Position within HI

16 citations — more than 98% of the 43 certified nursing homes in HI. Compared within HI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was February 2026. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. HI has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 16 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

11 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 16 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0908 Keep all essential equipment working safely.
  • F-0909 Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
  • F-0584 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.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in HI, and nationally. Surveyors differ markedly between states, so the HI figure is the meaningful one.

This facility16HI median4National median11
Citations on file over three years, compared
MeasureCitations
This facility16
Median facility in HI4
Median facility nationally11

Survey history

Citations at each Life Safety survey
42024-0102025-02122026-02
Citations at each Life Safety survey
Survey dateCitations
January 26, 20244
February 6, 20250
February 27, 202612

Most-cited tags

Most-cited tags at this facility
K-09232K-05312E-00181K-07121K-09291K-03211E-00351K-09201
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.22026-02-27
K-0531Have elevators that firefighters can control in the event of a fire.22026-02-27
E-0018Establish procedures for tracking staff and patients during an emergency.12026-02-27
K-0712Have simulated fire drills held at unexpected times.12026-02-27
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.12024-01-26
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12026-02-27
E-0035Provide family notifications of emergency plan.12024-01-26
K-0920Ensure proper usage of power strips and extension cords.12026-02-27

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Smoke Deficiencies 4
  • Services Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies5
Smoke Deficiencies4
Services Deficiencies3
Miscellaneous Deficiencies2
Emergency Preparedness Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 27, 2026 — 12 citations

Citations issued on February 27, 2026
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (May 28, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 13, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 22, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (May 14, 2026)
K-0364Install properly constructed windows in hallway walls or doors.Deficient, Provider has date of correction (July 22, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 13, 2026)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (May 12, 2026)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 13, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 22, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 24, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (May 21, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 15, 2026)

January 26, 2024 — 4 citations

Citations issued on January 26, 2024
TagWhat the surveyor checksStatus
E-0035Provide family notifications of emergency plan.Deficient, Provider has date of correction (March 18, 2024)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (March 18, 2024)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (March 18, 2024)
K-0929Ensure precautions for handling oxygen cylinders and equipment are correctly followed.Deficient, Provider has date of correction (March 18, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.