All citations for Pu'uwai 'O Makaha

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pu'uwai 'O Makaha

Last standard health inspection on record

July 25, 2025

Showing 1 to 18 of 18 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  2. No harm, with potential for more than minimal harm

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2023).

  3. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  4. No harm, with potential for more than minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  5. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2023).

  6. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 8, 2023).

  7. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2023).

  8. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  9. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  10. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  11. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  12. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2023).

  13. No harm, with potential for more than minimal harm

    Post nurse staffing information every day.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  14. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  15. No harm, with potential for more than minimal harm

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0882, Infection Control Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 28, 2023).

  16. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0883, Infection Control Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  17. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0919, Environmental Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 17, 2023).

  18. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 29, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.