Kuakini Geriatric Care, Inc

347 North Kuakini Street · Honolulu, HI · 96817 · 8085479357

187 certified beds Non profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $52,781 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

$52,781 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 23
Serious harm & abuse 20% 58
Staffing 20% 76
Federal penalties 15% 49
Trend 10% 34
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.353.48 min · 4.1 strong
RN hours / resident-day1.260.55–0.75
Weekend hours / resident-day2.90≈ weekday level
Nursing turnover / year27%median 45%
Fines (3-yr window)2 · $83,236

Inspection citations (55 in the current record)

  • Immediate jeopardy · L January 8, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 7, 2025 · Nutrition and Dietary

  • Potential for harm · D January 8, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 4, 2025 · Resident Rights

  • Potential for harm · D January 8, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 6, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 8, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D January 8, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected March 6, 2025 · Quality of Life and Care

  • Potential for harm · D January 8, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected February 7, 2025 · Quality of Life and Care

  • Potential for harm · D January 8, 2025

    Provide and implement an infection prevention and control program.

    Corrected February 7, 2025 · Infection Control

  • Potential for harm · E July 19, 2024 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected October 4, 2024 · Resident Rights

  • Potential for harm · E July 19, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 4, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 19, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 4, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 19, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected October 4, 2024 · Nursing and Physician Services

  • Potential for harm · D July 19, 2024 · found via complaint

    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.

    Corrected October 4, 2024 · Nursing and Physician Services

  • Potential for harm · D July 19, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 4, 2024 · Resident Assessment and Care Planning

  • Actual harm · G February 29, 2024 · found via complaint

    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.

    Corrected February 29, 2024 · Nursing and Physician Services

  • Potential for harm · D February 29, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected April 8, 2024 · Resident Rights

  • Potential for harm · D February 29, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 29, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 12, 2024

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected February 16, 2024 · Resident Rights

  • Potential for harm · F January 12, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected February 16, 2024 · Resident Rights

  • Potential for harm · F January 12, 2024

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected February 16, 2024 · Resident Rights

  • Potential for harm · D January 12, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 16, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D January 12, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected February 16, 2024 · Quality of Life and Care

  • Potential for harm · D January 12, 2024

    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.

    Corrected February 16, 2024 · Nursing and Physician Services

  • Potential for harm · D January 12, 2024

    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.

    Corrected February 16, 2024 · Pharmacy Service

  • Potential for harm · D January 12, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 16, 2024 · Nutrition and Dietary

  • Potential for harm · F January 12, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 16, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 8, 2025Fine$52,781
February 29, 2024Fine$30,455

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125026 · certified since July 1, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.