Nursing homeActive
Yukio Okutsu State Veterans Home
1180 Waianuenue Avenue, Hilo, HI 96720808961150095 certified beds · 67 residentsGovernment - StateMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
39
● 0● 36● 3
Penalties · 3 yrs
$13,049
1 fine
Last survey
2024-11-15
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
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| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2024-11-15 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2023-10-30 | Standard | 091 | CMS-2567 (Care Compare) | — |
| 2022-10-14 | Standard | 0162 | CMS-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.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F550
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F561
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 2024-12-30Record 125058-20241115-F623
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 2024-12-30Record 125058-20241115-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F684
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F698
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F726
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F812
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F847
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-30Record 125058-20241115-F883
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-07-27Record 125058-20231030-F689
F625Notify 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 125058-20231030-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 125058-20231030-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 2023-12-11Record 125058-20231030-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 125058-20231030-F657
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 125058-20231030-F686
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-11Record 125058-20231030-F759
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 2023-12-11Record 125058-20231030-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 2023-12-11Record 125058-20231030-F812
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 2023-12-11Record 125058-20231030-F880
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-12-16Record 125058-20221014-F686
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-12-16Record 125058-20221014-F697
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F550
F572Give residents a notice of rights, rules, services and charges.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F572
F574The resident has the right to receive notices in a format and a language he or she understands.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F574
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-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 2022-12-16Record 125058-20221014-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F684
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F725
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F740
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F744
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F760
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 2023-01-14Record 125058-20221014-F761
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F838
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-16Record 125058-20221014-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-01-14Record 125058-20221014-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-10-30 | Civil money penalty | $13,049 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.12
Facility
Hawaii
National
Hawaii 1.75 · National 0.69
Total nurse hours per resident day4.64
Facility
Hawaii
National
Hawaii 4.97 · National 3.86
Weekend total nurse hours4.07
Facility
Hawaii
National
Hawaii 4.41 · National 3.42
Total nursing staff turnover60%
Facility
Hawaii
National
Hawaii 36% · National 46%
Registered nurse turnover54%
Facility
Hawaii
National
Hawaii 32% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Hawaii | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.8% | 1.9% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.4% | 11.9% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.9% | 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 | 16.0% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 10.7% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 5.1% | 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)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Hawaii Health Systems Corporation Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| East Hawaii State Veterans Home Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pettijohn, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Belcher, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Brinkman, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Chu, Edward Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Farias, Chad Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gomez, Lara Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gray, Jerry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hash, Alan Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Ignacio, Jay Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kirton, Charles Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Kurohara, Randall Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Nunokawa, Clarysse Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rosen, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rosen, Linda Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sako, Deanna Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Skruch, Joseph Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Smith, Stephen Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stuart, Anne Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Vancamp, Carol Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Waltjen, Joni Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wong, Yvonne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Zelko-Schlueter, Jennifer Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Hawaii Health Systems Corporation — 7 facilities
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 Hawaii.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Hilo Benioff Medical Center Hilo | 0.0 mi | 2025-02-07 | 0160 |
| Hale Anuenue Restorative Care Hilo | 0.0 mi | 2024-02-02 | 0120 |
| Legacy Hilo Rehabilitation & Nursing Center Hilo | 0.9 mi | 2026-02-27 | 0331 |
| Life Care Center Of Hilo Hilo | 2.7 mi | 2026-04-01 | 0131 |
| Honoka'a Hospital & Skilled Nursing Honokaa | 34.1 mi | 2024-11-22 | 0130 |
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
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |