Daniel K Akaka State Veterans Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

CMS has not published payroll-based (PBJ) staffing hours for this facility yet — this can happen for newer, hospital-based, or recently-certified homes. It can also mean the home simply did not file, which CMS does not distinguish in this data, so treat the gap as unexplained rather than benign. Staffing is one of the three parts of the CMS star rating; where it’s missing, weigh the independent health-inspection score most, and ask the facility directly about its nurse-to-resident ratios and weekend RN coverage.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · E2026-04-23 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and interview, the facility failed to ensure opened food was stored in accordance with professional standards for food safety for one of one observed walk-in refrigerator, placing residents at risk for foodborne illness. Specifically, a carton of heavy whipping cream and a large container of raw chicken were not properly stored.Findings Include: On 04/20/26 at 08:27 AM, during an initial kitchen tour with the Dietary Manager (DM), an open carton of heavy whipping cream was observed in the walk-in refrigerator that was not properly sealed or closed. The DM stated the heavy whipping cream is usually stored in another container.Further observation revealed a large container of raw chicken for chicken pot pie. More than half of the chicken was inside a covered bag; however, the remainder of the chicken was left uncovered and exposed to potential contamination. The DM confirmed the chicken should have been fully covered or stored inside the bag.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to ensure that a resident was free from abuse for one of one resident (Resident (R) 7) reviewed for abuse. Specifically, R7 accused R82 of taking his belonging which resulted in R82 willfully striking R7.Findings Include: On 02/20/26, the facility submitted a completed event report to the State Agency (SA), Intake #2746056. The report documented that on 02/17/26 at 7:23 AM, R7 and R82 were in the dining area during breakfast. While R82 was ambulating to his table, R7 called R82 over. The residents began speaking, which escalated to both residents raising their voices and yelling. Staff responded and attempted to separate the residents. However, before staff could successfully intervene, R82 struck R7 on the forehead. R7 called law enforcement and R82 was taken into custody. Review of the facility's investigation report completed 02/18/26, concluded that the allegation of physical abuse was substantiated. The investigation further documented that R7 demonstrated a lack of trust toward others, exhibited accusatory behavior,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on resident interview, staff interview and record review, the facility did not update/revise the care plan for three Residents (R) 3, 7, 8 of nineteen residents reviewed. As a result of the deficient practice there was an increased risk of uncoordinated delivery of care. Findings Include: 1) During Resident interview on 04/20/26 at 09:30 AM, R3 said that he accidentally spilled hot liquid on himself on 04/03/26. Staff interview on 04/22/2026 at 10:20 AM, Staff Nurse 3 was aware of the incident, previously mentioned, and said since the incident they had implemented an intervention where only the kitchen would be allowed to heat up any liquids for the residents. On 04/22/2026 review of the comprehensive care plan for R3 did not include the intervention where only the kitchen would be allowed to heat up any liquids for the residents. Staff interview on 04/22/2026 at 10:25 AM, with Minimum Data Set (MDS) Nurse acknowledged that the comprehensive care plan was not updated to include the previous intervention and said they will make the necessary correction. 2) Resident interview on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure the four resident unit lanai gate alarms were on. The deficient practice could affect all residents who are living on the first floor and are able to walk/wander on their own outside of the unit, putting them at risk for harm. Findings Include:On 04/20/2026 at 10:55 AM Resident (R) 47 was observed sitting in the unit dining room near the nurse's station. R47 was observed not wearing a wanderguard. A concurrent interview was conducted with Registered Nurse (RN)12 who was sitting at the nurse's station. Surveyor asked RN12 if R47 was wearing a wanderguard and RN12 confirmed resident was not wearing a wanderguard. On 04/20/2026 during a record review of the Facility Reported Incident (FRI) #2592877, that occurred on 08/17/2025, involving R47, found the facility had shared an initial report to the State Agency (SA), stating: At approximately 9:30 AM, RN noticed resident not seated at the dining room table. Facility Staff immediately…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interview, and record review, the facility failed to ensure that one of two residents (Resident (R) 41) reviewed for oxygen (O2) services had a physician's order to receive oxygen therapy. The deficient practice placed the resident at risk of receiving unsafe or inappropriate oxygen therapy without proper medical authorization.Findings Include: On 04/20/2026 at 10:02 AM, R41 was observed in his room with O2 concentrator set at 3 litters via nasal cannula. The nasal cannula was not properly placed in the resident's nostrils and was positioned on his cheek. On 04/20/2026 at 10:04 AM, an interview was conducted with Registered Nurse (RN) 4. RN4 was informed that R41's nasal cannula was not properly placed. RN4 assisted with proper placement and stated that R41 is on continuous oxygen and on comfort measures. On 04/22/26 at 09:57 AM, R41 was observed sleeping in his room with an oxygen concentrator set at 2.5 liters via nasal cannula. On 04/22/26 during review of R41's Electronic Heath Record (EHR), no physician's order for oxygen therapy was found. On 04/22/26 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to monitor behaviors related to an antidepressant medication prescribed for one of five residents (Resident (R) 12) reviewed for unnecessary medications. The deficient practice placed the resident at risk for adverse effects and inappropriate medication use. Findings Include: On 04/23/26 review of R12's Electronic Health Record (EHR) revealed R12 was prescribed 100 milligrams (mg) of bupropion HCl extended release daily for depression, effective 04/07/26. Behavior monitoring for the antidepressant was not initiated until 04/21/26. From 04/07/26 to 04/21/26, the facility did not document monitoring of R12's behavior related to bupropion use. On 04/23/26 at 12:35 PM, an interview was conducted with Resident Care Manager (RCM) 1. RCM1 confirmed that behavior monitoring should be initiated as soon as the antidepressant is ordered. Review of the facility's policy and procedure Medication Management dated 01/26, indicated After initiating or decreasing the dose of psychotropic medication, the behavioral symptoms must be reevaluated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-23 · tag F0825 — isolated
  Provide or get specialized rehabilitative services as required for a resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure one of one residents (Resident (R) 7) reviewed for rehabilitation services received speech therapy services to attain or restore the resident's highest practicable level of mental, functional, and psychosocial well-being, as the facility did not follow up with the physician to initiate services after a requested speech therapy evaluation to address decreased vocal volume.Findings Include: On 04/20/26 at 12:16 PM, an interview was conducted with R7. R7 stated he was supposed to receive speech therapy due to low vocal volume and had previously received services prior to admission to the facility. R7 further stated that nursing staff told him speech therapy is scheduled on Tuesdays and Thursdays, however, he attends dialysis on those days. R7 did not deny the therapy services, and no one spoke to him of any options to obtain the services. On 04/22/26 at 11:45 AM, an interview was conducted with the Director of Nursing (DON). The DON explained that when a resident requests therapy services, nursing staff submit a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-26 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — the official record, unedited, may be distressing

  Deficiency Text Not Available

  Resident Rights Deficiencies · Deficient, Provider has no plan of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 31 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in HI