Nursing homeActive

Leahi Hospital

3675 Kilauea Avenue, Honolulu, HI 968168087338000155 certified beds · 93 residentsGovernment - StateMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
18
0180
Penalties · 3 yrs
none on file
Last survey
2025-07-25
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Hawaii Office of Health Care Assurance · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-07-25Standard060CMS-2567 (Care Compare)
2024-08-01Standard050CMS-2567 (Care Compare)
2023-09-14Standard070CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Hawaii Office of Health Care Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-07-25Standard survey · 6 deficienciesOfficial report
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 125010-20250725-F628
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 125010-20250725-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 125010-20250725-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 125010-20250725-F695
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 125010-20250725-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-08Record 125010-20250725-F812
2024-08-01Standard survey · 5 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 125010-20240801-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 125010-20240801-F610
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 125010-20240801-F644
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 125010-20240801-F761
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 125010-20240801-F867
2023-09-14Standard survey · 7 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 125010-20230914-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 125010-20230914-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 125010-20230914-F610
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 125010-20230914-F623
F732Post nurse staffing information every day.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 125010-20230914-F732
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 125010-20230914-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 125010-20230914-F880

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.82
Facility
Hawaii
National
Hawaii 1.75 · National 0.69
Total nurse hours per resident day4.55
Facility
Hawaii
National
Hawaii 4.97 · National 3.86
Weekend total nurse hours3.66
Facility
Hawaii
National
Hawaii 4.41 · National 3.42
Total nursing staff turnover18%
Facility
Hawaii
National
Hawaii 36% · National 46%
Registered nurse turnover15%
Facility
Hawaii
National
Hawaii 32% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityHawaiiNational
Percentage of long-stay residents with pressure ulcers
lower is better
1.0%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.3%1.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
19.5%11.9%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.5%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
15.0%16.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.3%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
6.2%9.1%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Hawaii Health Systems Corporation
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Hawaii Health Systems Corporation
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Akiyoshi, Derek
Individual
CORPORATE OFFICERNOT APPLICABLE
Azama, Garet
Individual
CORPORATE DIRECTORNOT APPLICABLE
Chun, Bradley
Individual
CORPORATE DIRECTORNOT APPLICABLE
Gonzales, Violeta
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Hamamoto, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Rosen, Linda
Individual
CORPORATE OFFICERNOT APPLICABLE
Sanada, Sean
Individual
CORPORATE OFFICERNOT APPLICABLE
Sunada, Jared
Individual
CORPORATE DIRECTORNOT APPLICABLE
Tsuneishi, Lani
Individual
CORPORATE DIRECTORNOT APPLICABLE
Walker, Ken
Individual
CORPORATE DIRECTORNOT APPLICABLE
Woo, Jason
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Hawaii Health Systems Corporation7 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Hawaii.

No county cost figures on file for Honolulu.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Hi'olani Care Center at Kahala Nui
Honolulu
1.4 mi2024-06-27080
Maunalani Nursing And Rehabilitation Center
Honolulu
1.8 mi2026-06-10082
Palolo Chinese Home
Honolulu
2.2 mi2026-05-220351
Hale Ola Kino By Arcadia
Hon
2.4 mi2025-02-210150
Oahu Care Facility
Honolulu
2.5 mi2026-05-200361
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01