OAHU CARE FACILITY

CCN 125042 · PSH OAHU LLC · For profit - Corporation · 82 certified beds · Honolulu · HI


OAHU CARE FACILITY is a 82-bed nursing home in HONOLULU, Hawaii. CMS has certified it for Medicare and Medicaid since 1995-09-14. It averages 65.3 residents a day.

What harm was found in the violations cited at OAHU CARE FACILITY?

CMS lists 37 health-inspection deficiencies for OAHU CARE FACILITY, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-20.

Survey dateTagDeficiencySeverity
2026-05-20F0627, F0628Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D
2025-11-18F0550, F0641, F0686, F0688, F0689, F0755, F0757, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide and implement an infection prevention and control program.D
2025-03-25F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-03-25F0655, F0686Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate pressure ulcer care and prevent new ulcers from developing.E
2025-03-25F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-08-29F0812, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-08-29F0552, F0604, F0625, F0656, F0660, F0676, F0689, F0755, F0761Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Plan the resident's discharge to meet the resident's goals and needs. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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.D
2023-10-17F0584, F0880Honor 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. / Provide and implement an infection prevention and control program.E
2023-10-17F0550, F0622, F0637, F0655, F0676, F0684, F0761, F0805, F0812, F0842Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Assess the resident when there is a significant change in condition / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D

Why was OAHU CARE FACILITY fined?

DateTypeAmount
2025-03-25Fine$8,278

How is OAHU CARE FACILITY staffed?

MeasureThis facilityHI average
Total nurse staffing hours per resident per day5.089744.97232
Total nursing staff turnover (%)47.836.4
Average number of residents per day65.381.9

Who owns OAHU CARE FACILITY?

OAHU CARE FACILITY is registered with CMS as For profit - Corporation, operates under the legal business name PSH OAHU LLC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPACIFIC SKILLED HEALTHCARE LLCsince 06/30/2022
5% OR GREATER INDIRECT OWNERSHIP INTERESTOLSEN, SPENCER, SORENSEN, KRISTENsince 06/30/2022
W-2 MANAGING EMPLOYEEKIM, OLIVIAsince 02/01/2023
CORPORATE OFFICERKIM, OLIVIA, LEFLER, TYRUS, OLSEN, SPENCER, PANG, BRIAN, YOSHIDA, CYNTHIAsince 02/01/2023
OPERATIONAL/MANAGERIAL CONTROLKIM, OLIVIAsince 02/01/2023

Were you or a family member harmed at OAHU CARE FACILITY?