Facility profile · CCN 125046
Pu'uwai 'o Makaha
37 federal citations on record , and 2 federal enforcement actions totaling $65,455.
Record summary
Federal record · Q1 202637
Total citations
37
Last 3 years
2
Actual harm+
2
Federal penalties
$65,455
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jul 25, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard |
| Jul 25, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 25, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Jul 25, 2025 | F761 | 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. | D | Standard |
| Jul 25, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Jul 25, 2025 | F688 | 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. | D | Standard |
| Jul 25, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jul 25, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Jul 26, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 26, 2024 | F675 | Honor each resident's preferences, choices, values and beliefs. | D | Complaint |
| Jul 26, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jul 26, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Jul 26, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 26, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard |
| Jul 26, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Standard |
| Jul 26, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 26, 2024 | F584 | 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. | E | Standard |
| Aug 31, 2023 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Aug 31, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 31, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Jul 28, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Jul 28, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard |
| Jul 28, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jul 28, 2023 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D | Standard |
| Jul 28, 2023 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Jul 28, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Jul 28, 2023 | F761 | 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. | E | Standard |
| Jul 28, 2023 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jul 28, 2023 | F732 | Post nurse staffing information every day. | D | Standard |
| Jul 28, 2023 | F726 | 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. | D | Standard |
| Jul 28, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jul 28, 2023 | F688 | 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. | D | Standard |
| Jul 28, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Jul 28, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Jul 28, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jul 28, 2023 | F584 | 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. | E | Standard |
| Jul 28, 2023 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $65,455 and 1 payment-denial actions spanning 11 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 28, 2023 | Fine | $65,455 | — |
| Jul 28, 2023 | Payment Denial | — | Oct 28, 2023 · 11 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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