Nursing homeActiveSpecial Focus Facility candidate · what this means

Kauai Veterans Memorial Hospital

4643 Waimea Canyon Drive, Waimea, HI 96796808338943120 certified beds · 20 residentsGovernment - StateMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
21
0192
Penalties · 3 yrs
$34,588
1 fine
Last survey
2024-09-10
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 5
Quality 5
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
2024-09-10Standard051CMS-2567 (Care Compare)
2023-09-22Standard040CMS-2567 (Care Compare)
2022-09-02Standard0101CMS-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.

2024-09-10Standard survey · 6 deficienciesOfficial report
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity LHarm
Food & nutrition
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-10-14Record 125021-20240910-F812
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-14Record 125021-20240910-F637
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-14Record 125021-20240910-F641
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 2024-10-14Record 125021-20240910-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 2024-10-24Record 125021-20240910-F689
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 2024-10-14Record 125021-20240910-F761
2023-09-22Standard survey · 4 deficienciesOfficial report
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-06Record 125021-20230922-F623
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-31Record 125021-20230922-F638
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 2023-11-06Record 125021-20230922-F689
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-11-02Record 125021-20230922-F812
2022-09-02Standard survey · 11 deficienciesOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-10-14Record 125021-20220902-F684
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-29Record 125021-20220902-F568
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 125021-20220902-F574
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 125021-20220902-F577
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 EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-02Record 125021-20220902-F584
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-05Record 125021-20220902-F637
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-14Record 125021-20220902-F692
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-14Record 125021-20220902-F727
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-09-06Record 125021-20220902-F755
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-09-09Record 125021-20220902-F757
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-11-24Record 125021-20220902-F812

Penalties & enforcement

DateActionAmountSource
2024-09-10Civil money penalty$34,588CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.84
Facility
Hawaii
National
Hawaii 1.75 · National 0.69
Total nurse hours per resident day4.85
Facility
Hawaii
National
Hawaii 4.97 · National 3.86
Weekend total nurse hours4.30
Facility
Hawaii
National
Hawaii 4.41 · National 3.42
Total nursing staff turnover10%
Facility
Hawaii
National
Hawaii 36% · National 46%
Registered nurse turnover13%
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
0.0%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%1.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
16.4%11.9%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.8%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
28.1%16.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
4.2%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
11.1%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
Kauai Veterans Memorial Hospital
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Hawaii Health Systems Corporation
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST20%
Asato, Christine
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Franklin, Nicholas
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Segawa, Lance
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Asato, Christine
Individual
CORPORATE OFFICERNOT APPLICABLE
Barnes, Walter
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Franklin, Nicholas
Individual
ADP OF THE SNFNOT APPLICABLE
Kanekoa, Ernest
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Nogami-Streufert, Glenda
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Okada-Asher, Donna
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rintel, Theodor
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Rowley, Dennis
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Segawa, Lance
Individual
ADP OF THE SNFNOT APPLICABLE
Segawa, Lance
Individual
CORPORATE OFFICERNOT APPLICABLE
Yuh, Christopher
Individual
MANAGING CONTROL - GOVERNING BODYNOT 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 Kauai.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Kauai Care Center
Waimea
0.2 mi2026-02-200110
Hale Kupuna Heritage Home, LLC
Koloa
11.8 mi2026-03-120241
Garden Isle Healthcare And Rehabilitation Center
Lihue
19.3 mi2025-02-210200
Samuel Mahelona Memorial Hospital
Kapaa
24.7 mi2026-05-140171
Pu'uwai 'o Makaha
Waianae
99.8 mi2025-07-250170
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