Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
PU'UWAI 'O MAKAHA
WAIANAE, HI · 93 certified beds · Last Life Safety survey July 17, 2026
CMS Certification Number 125046 · first certified July 1997
Ownership
Operated by OHANA PACIFIC MANAGEMENT CO. · For profit - Limited Liability company
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within HI
10 citations — more than 88% 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
The latest survey found 8 citations; the earlier surveys on file averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
The window opens August 2027 — about 9 months from now. This facility’s last Life Safety survey was July 2026. Nursing homes nationally are typically surveyed 13–17 months after the last one (median 14), measured over 19,744 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 about three years in Virginia. How the window is measured
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Physical environment (health survey)
5 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 10 Life Safety citations above. The Physical Environment Index
- 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-0880 Provide and implement an infection prevention and control program.
- F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
How that compares
Compared with the median facility in HI, and nationally. Surveyors differ markedly between states, so the HI figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 10 |
| Median facility in HI | 5 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 26, 2024 | 2 |
| July 25, 2025 | 0 |
| July 17, 2026 | 8 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0293 | Have properly located and lighted "Exit" signs. | 1 | 2024-07-26 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2026-07-17 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2026-07-17 |
| K-0511 | Have properly installed electrical wiring and gas equipment. | 1 | 2026-07-17 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2026-07-17 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2026-07-17 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2026-07-17 |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | 1 | 2026-07-17 |
What the citations cover
- Gas, Vacuum, and Electrical Systems Deficiencies 4
- Smoke Deficiencies 3
- Egress Deficiencies 1
- Miscellaneous Deficiencies 1
- Other 1
| Category | Citations |
|---|---|
| Gas, Vacuum, and Electrical Systems Deficiencies | 4 |
| Smoke Deficiencies | 3 |
| Egress Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
| Services Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
July 17, 2026 — 8 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has plan of correction (October 3, 2026) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has plan of correction (October 3, 2026) |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has plan of correction (October 3, 2026) |
| K-0511 | Have properly installed electrical wiring and gas equipment. | Deficient, Provider has plan of correction (October 3, 2026) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has plan of correction (October 3, 2026) |
| K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. | Deficient, Provider has plan of correction (October 3, 2026) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has plan of correction (October 3, 2026) |
| K-0920 | Ensure proper usage of power strips and extension cords. | Deficient, Provider has plan of correction (October 3, 2026) |
July 26, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0293 | Have properly located and lighted "Exit" signs. | Deficient, Provider has date of correction (August 25, 2024) |
| K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Deficient, Provider has date of correction (August 25, 2024) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.