Honolulu Senior AdvisorPu'uwai 'o Makaha is a 93-bed Medicare- and Medicaid-certified nursing home at 84-390 Jade Street in Waianae, Oahu (CMS certification number 125046). CMS gives Pu'uwai 'o Makaha an overall rating of 5 out of 5 stars, based on CMS Care Compare data as of October 1, 2026.
How does CMS rate Pu'uwai 'o Makaha in Waianae, HI?
CMS gives Pu'uwai 'o Makaha an overall rating of 5 out of 5 stars; its health inspection rating is 5, staffing 4 and quality measures 4, each out of 5.
| Measure | Value |
|---|---|
| Overall rating (CMS) | 5 of 5 |
| Health inspection rating (CMS) | 5 of 5 |
| Staffing rating (CMS) | 4 of 5 |
| Quality measures rating (CMS) | 4 of 5 |
| Certified beds / average residents per day | 93 / 64.8 |
| Ownership type (CMS) | For profit - Limited Liability company |
| Operator chain (CMS) | Ohana Pacific Management Co. (6 facilities nationally) |
| First certified for Medicare/Medicaid | July 3, 1997 |
| Located inside a hospital (CMS) | No |
On an average day it cares for about 65 residents, roughly 70% of its certified beds (below the 88% median across Oahu's certified nursing homes).
What deficiencies has CMS recorded at Pu'uwai 'o Makaha?
Inspectors from Hawaii's Office of Health Care Assurance, acting for CMS, last completed a standard health survey at Pu'uwai 'o Makaha on July 17, 2026; CMS counts 3 health deficiencies in that cycle, 3 from the survey itself and 0 from complaint visits.
One cycle earlier (standard survey July 25, 2025), CMS logged 11 deficiencies; 0 citations came from infection-control inspections. With an island median of 9 deficiencies per latest cycle, this result is no worse than the typical Oahu home.
CMS reports no fines and 0 payment denials in its three-year penalty window.
What do staffing and turnover look like at Pu'uwai 'o Makaha?
Each resident at Pu'uwai 'o Makaha receives about 4.20 hours of nursing staff time per day in CMS's payroll-based data (lower than the Oahu median of 4.65), of which 1.00 hours come from registered nurses (lower than the Oahu median of 1.69).
Weekend total nurse staffing runs 3.70 hours per resident per day. Total nursing-staff turnover is 29.8% (lower than the Oahu median of 32.8%), and registered-nurse turnover is 42.9%. 0 administrators have left in the CMS measurement period.
How does Pu'uwai 'o Makaha compare with nearby nursing homes?
With 93 certified beds it is smaller than the Oahu median of 96 beds; the closest other certified nursing home is Ka Punawai Ola in Kapolei, about 11.2 miles away in a straight line, rated 4 of 5 by CMS.
| Facility | Miles away | Certified beds | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Ka Punawai Ola 91-575 Farrington Highway, 96707 | 11.2 | 120 | 4 of 5 | April 3, 2025 | 13 |
| Daniel K. Akaka State Veterans Home 91-1204 Kealanani Ave, 96707 | 12.5 | — | Not rated by CMS | April 23, 2026 | n/a |
| Kulana Malama 91-1360 Karayan Street, 96706 | 14.1 | 33 | 5 of 5 | September 26, 2025 | 3 |
| Pearl City Post Acute 919 Lehua Avenue, 96782 | 16.3 | 122 | 5 of 5 | April 9, 2026 | 9 |
| Avalon Care Center - Honolulu, LLC 1930 Kamehameha IV Rd, 96819 | 23.4 | 108 | 2 of 5 | April 3, 2025 | 20 |
Where is Pu'uwai 'o Makaha and what else is nearby?
Pu'uwai 'o Makaha sits in Waianae Coast; the nearest hospital in CMS's hospital list is Kahuku Medical Center, about 21.3 miles away by straight line.
The next closest is Pali Momi Medical Center at about 21.3 miles; distances use CMS coordinates and ZIP centroids, not drive times.
Within about 2.5 miles there are 0 licensed expanded adult residential care homes, the Hawaii setting where a resident at nursing-facility level of care can live in a small home with a registered nurse case manager. For long-term care that is often the alternative families weigh against a nursing home bed.
What questions does Pu'uwai 'o Makaha's record raise?
Its public data points to specific questions: ask how Pu'uwai 'o Makaha kept its latest inspection at 3 deficiencies, and request the full statement of deficiencies anyway.
- Turnover of 29.8% is at or below the Oahu median; ask who the long-tenured charge nurses are on nights.
- At about 70% occupancy, ask which units have openings and why.
- CMS records a resident council here; ask when it meets and whether families can attend.
- If Med-QUEST will pay eventually, confirm Pu'uwai 'o Makaha accepts QUEST Integration members for long-term stays and which health plans it contracts with.
