Pu’Uwai ‘O Makaha is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-07-03. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (808) 695-9508 or your local Medicaid office to verify current eligibility.

Pu’Uwai ‘O Makaha holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 79.7/100, placing it #3813 of 14703 facilities nationally and #26 of 42 in Hawaii. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Pu’Uwai ‘O Makaha receives a reported average of 4 hours 6 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 6 minutes; Licensed Practical Nurse (LPN) — 24 minutes; Nurse Aide — 2 hours 36 minutes. On weekends, total nurse staffing is 3 hours 34 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 26.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $65,455. 8 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $65,455, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 45.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Pu’Uwai ‘O Makaha ranks 3813th out of 14,703 facilities (composite score: 79.7/100), placing it in the above average nationwide. Within HI, it ranks 26th out of 42 nursing homes. For 2026 staffing: total nurse hours rank #4,185 nationally and RN hours rank #1,491 nationally (#35 in HI). Our composite quality score of 79.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Waianae, visit: https://nursinghomesnearme.org/hawaii/waianae/