Yukio Okutsu State Veterans Home

1180 Waianuenue Avenue · Hilo, HI · 96720 · 8089611500

95 certified beds Government - State Chain: Hawaii Health Systems Corporation

Why this verdict

  • 3 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.

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Red flags

97% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 82
Staffing 20% 81
Federal penalties 15% 75
Trend 10% 72
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.983.48 min · 4.1 strong
RN hours / resident-day1.200.55–0.75
Weekend hours / resident-day4.41≈ weekday level
Nursing turnover / year97%median 45%
Fines (3-yr window)1 · $13,049

Inspection citations (39 in the current record)

  • Potential for harm · D November 15, 2024

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

    Corrected December 30, 2024 · Resident Rights

  • Potential for harm · D November 15, 2024

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected December 30, 2024 · Resident Rights

  • Potential for harm · D November 15, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected December 30, 2024 · Resident Rights

  • Potential for harm · D November 15, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 30, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D November 15, 2024

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

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D November 15, 2024

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D November 15, 2024

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 30, 2024 · Pharmacy Service

  • Potential for harm · D November 15, 2024

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

    Corrected December 30, 2024 · Nutrition and Dietary

  • Potential for harm · E November 15, 2024

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected December 30, 2024 · Administration

  • Potential for harm · D November 15, 2024

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

    Corrected December 30, 2024 · Infection Control

  • Potential for harm · D November 15, 2024 · found via complaint

    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.

    Corrected December 30, 2024 · Nursing and Physician Services

  • Actual harm · G October 30, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 27, 2023 · Quality of Life and Care

  • Potential for harm · E October 30, 2023

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Corrected December 11, 2023 · Resident Rights

  • Potential for harm · D October 30, 2023

    Ensure each resident receives an accurate assessment.

    Corrected December 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected December 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2023

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

    Corrected December 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 30, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 11, 2023 · Quality of Life and Care

  • Potential for harm · D October 30, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 11, 2023 · Pharmacy Service

  • Potential for harm · D October 30, 2023

    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.

    Corrected December 11, 2023 · Pharmacy Service

  • Potential for harm · E October 30, 2023

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

    Corrected December 11, 2023 · Nutrition and Dietary

  • Potential for harm · D October 30, 2023

    Provide and implement an infection prevention and control program.

    Corrected December 11, 2023 · Infection Control

  • Actual harm · G October 14, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 16, 2022 · Quality of Life and Care

  • Actual harm · G October 14, 2022

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected December 16, 2022 · Quality of Life and Care

  • Potential for harm · D October 14, 2022

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

    Corrected December 16, 2022 · Resident Rights

  • Potential for harm · D October 14, 2022

    Give residents a notice of rights, rules, services and charges.

    Corrected December 16, 2022 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
October 30, 2023Fine$13,049

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125058 · certified since March 10, 2008. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.