Map showing the location of DANIEL K AKAKA STATE VETERANS HOME in KAPOLEI, Hawaii
91-1204 KEALANANI AVE, KAPOLEI, HI, 96707

Overall Score

CMS Five-Star Quality Rating
Not ratedCMS Five-Star overall rating
  1. Much below average
  2. Below average
  3. Average
  4. Above average
  5. Much above average

Where it ranks

CMS has not published a rating for this facility, so there is no peer position to show.

How the rating is built

  • Health inspectionsStarting point
  • StaffingCan add or remove a star
  • Quality measuresCan add or remove a star

CMS withholds a rating when a facility is new, has too little inspection history, or is under review.

Ratings & measures

Tap a row to see what it means
Health inspection ratingCMS stars from the last three on-site inspection cyclesNo dataHI avg2.9★U.S. avg2.8★
What is health inspection rating?

Stars assigned from the last three standard surveys and every complaint investigation in that window, weighted toward the most recent and the most serious findings. CMS assigns these stars relative to other facilities in the same state.

Why it matters

It carries the most weight in the overall rating and is the only domain based on what trained inspectors saw on site rather than what the facility reported.

Staffing ratingCMS stars from payroll-reported hours and turnoverNo dataHI avg4.4★U.S. avg2.9★
What is staffing rating?

Nurse and aide hours per resident day from payroll records CMS collects every quarter, adjusted for how much care residents need, plus staff turnover and weekend coverage.

Why it matters

More hours and lower turnover are the strongest predictors of fewer falls, pressure sores, and avoidable hospital stays.

Quality measures ratingCMS stars from clinical outcomes and resident assessmentsNo dataHI avg4.3★U.S. avg3.6★
What is quality measures rating?

Clinical outcomes from resident assessments and Medicare claims: falls with injury, pressure ulcers, hospitalizations, antipsychotic use, and more, for both short-stay and long-stay residents.

Why it matters

It shows whether care is working, but part of it comes from the facility’s own assessments, so read it alongside the inspection results.

Total nurse hoursPer resident per day, all nursing staffhrsNo dataHI avg4.97Benchmark4.10
What is total nurse hours?

All licensed nurse and aide hours worked, divided by the number of residents, on an average day. Reported from payroll, not self-reported.

Why it matters

Federal research links 4.1 hours a day to fewer avoidable harms. Below about 3 hours, residents wait longer for help with basics like toileting and repositioning.

RN hoursPer resident per day, registered nurses onlyhrsNo dataHI avg1.75Benchmark0.75
What is rn hours?

Registered nurse hours only. RNs assess residents, manage medications, and catch changes in condition; LPNs and aides deliver most hands-on care.

Why it matters

RN coverage is the staffing measure most tied to fewer hospital transfers and infections, and it is where thinly staffed facilities cut first.

Nursing staff turnoverShare of nursing staff who left within a year · lower is betterNo dataHI avg36%RN turnover
What is nursing staff turnover?

The share of nursing staff who left within the past year, from the same payroll data.

Why it matters

High turnover means residents are cared for by people who do not know them, and it is one of the strongest predictors of inspection problems.

Fines in the last three yearsCivil money penalties imposed by CMS · lower is better$0Above 52% of peersHI avg$18,847Fines · denials0 · 0
What is fines in the last three years?

Civil money penalties CMS imposed after serious or uncorrected deficiencies, and denials of Medicare payment for new admissions.

Why it matters

Penalties follow the worst inspection findings. A recent fine is the clearest sign that inspectors found real harm.

Inspection history

Last three inspection cycles
8citations
2inspection dates
0actual harm (G–I)
0immediate jeopardy (J–L)
Apr 23, 2026most recent

Citations by monthJun 2025 – Apr 2026

  • No actual harm (D–F)
  • Actual harm (G–I)
  • Immediate jeopardy (J–L)
  • $Fine or payment denial

Click a month or a year to filter the findings below. Arrow keys move between months; Esc clears.

Apr 23, 20267 citationsCycle 1worst E · no actual harm
  1. F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and DietaryE · patternCorrected May 25, 2026
  2. F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and ExploitationD · isolatedCorrected May 25, 2026
  3. F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care PlanningD · isolatedCorrected May 25, 2026
  4. F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and CareD · isolatedCorrected May 25, 2026
  5. F0695Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and CareD · isolatedCorrected May 25, 2026
  6. F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy ServiceD · isolatedCorrected May 25, 2026
  7. F0825Provide or get specialized rehabilitative services as required for a resident.Quality of Life and CareD · isolatedCorrected May 25, 2026
Jun 26, 20251 citationCycle 2worst D · no actual harm
  1. F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident RightsD · isolatedCorrection pending

Staffing

From quarterly payroll reports

Hours per resident per day

  • All nursing staffRNs, LPNs and aides combinedhrs
  • Registered nursesRN hours onlyhrs
  • Licensed practical nursesLPN hourshrs
  • Nurse aidesCNA hourshrs
  • Weekend nursingAll staff on Saturdays and Sundayshrs
  • Hawaii average
  • Research benchmark (4.10 total, 0.75 RN)

Turnover & capacity

  • Nursing staff turnoverShare who left within a year · lower is betterHI avg 36%
  • RN turnoverRegistered nurses onlyNot ranked by CMS
  • Administrators who leftIn the past year
  • Occupancy— certified bedsHI avg 82%

Fines & penalties

Roughly the past three years

Enforcement summary

  • $0In fines
  • 0Fines
  • 0Payment denials
  • $18,847HI avg in fines
Above 52% of peersFewer fines than 52% of rated homes in Hawaii

Actions on record

No fines or payment denialsNothing on record in the current reporting window. Hawaii facilities average 0.7 penalties.

Ownership

As filed with CMS

Structure

Ownership type
Government - State
Chain
Hawaii Health Systems Corporation7 facilities in the chain4.2★ chain average
Certification
Medicare and Medicaid
Location type
Urban
Ownership change
None in the last 12 months

People and entities on file

Operational or managerial control
  • Hawaii Health Systems Corporation
  • Pharmacy Corporation of America
  • Richard Kishaba
  • Arnold Kop
  • Ohana Pacific Management Services, LLC
  • Ohana Pacific Oahu Svh, LLC
  • Michael Hamamoto
  • Sean Sanada
  • +2 more
Adp Of The Snf
  • Ohana Pacific Management Services, LLC
  • Ohana Pacific Oahu Svh, LLC
  • Arnold Kop
  • Cheree Wee
  • Richard Kishaba
  • Hawaii Health Systems Corporation
  • Derek Akiyoshi
  • Michael Hamamoto
  • +2 more
Corporate officers
  • Sean Sanada
  • Derek Akiyoshi
  • Michael Hamamoto
Direct owners (5%+)
  • Hawaii Health Systems Corporation
Corporate directors
  • Daniel Chen
  • Bradley Chun
  • Melanie Kelly
  • Wendell Oda
  • Brandon Tomita
  • Lani Tsuneishi
  • Ken Walker

Person Organization

Sources & notes

Public data, updated quarterly

Data sources

  • CMS Care Compare · Provider InformationStar ratings, staffing hours, turnover, penalties and flags · processed August 2026.
  • CMS Health CitationsEvery deficiency from the last three inspection cycles, with scope, severity and inspection cycle.
  • CMS Penalties and Ownership filesCivil money penalties, payment denials, and the owners and managers on file.

Notes

  • CMS Certification Number 125070 · 91-1204 KEALANANI AVE, KAPOLEI, HI, 96707.
  • Percentiles compare this facility with every rated nursing home in Hawaii and Honolulu County. Turnover and fines are inverted so a high percentile is always good.
  • This is an informational summary of public data, not medical, legal, or placement advice. Facilities cannot pay to change it; a facility that believes a record is wrong can dispute it with CMS.

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