Skilled nursing facility · CMS certification number 125058
YUKIO OKUTSU STATE VETERANS HOME
HILO, Hawaii · Medicare and Medicaid
Certified beds, as filed in Care Compare: 95
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $13,049.00 · Payment denials: 0. The most recent penalty on file: October 30, 2023, Fine, $13,049. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,191,482 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$30,452 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,221,934 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,489,686 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,267,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,163,998 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$103,754 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$103,754 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 34,675 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 475 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,454 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 17,005 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 22,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 1 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 66 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5,454 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 286.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446676, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 7, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,439,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$41,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,481,091 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,315,311 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,834,220 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,374,930 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$459,290 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$459,290 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,634 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 892.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 227.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1403375, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for January 1, 2023 to June 30, 2023 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 7, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,918,424 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $19,987 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,898,437 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,090,989 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,192,552 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $930,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$262,163 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$262,163 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,065 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 640.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 235.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1374550, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 18, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,020,879 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$18,982 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,039,861 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,201,824 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,161,963 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $648,782 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,513,181 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,513,181 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,493 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 622.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 266.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359034, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,360,582 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $26,049 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,334,533 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,617,452 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,282,919 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,229,435 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,053,484 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,053,484 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,439 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 989.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 396.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334333, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,783,308 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,424,108 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,359,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,289,945 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,930,745 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $347,971 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,582,774 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,582,774 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,624 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 213 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 684.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305324, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,399,601 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,776,847 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,622,754 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,648,656 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,974,098 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $84,409 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,058,507 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,058,507 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,425 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 563.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 386.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279157, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,739,323 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,472,397 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,266,926 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,817,962 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,448,964 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,801 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,511,765 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,511,765 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,563 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 232 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 508.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239058, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,480,723 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,096,187 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,384,536 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,548,774 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $835,762 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,129 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $851,891 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $851,891 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,043 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 215 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 863.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208483, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,975,624 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,195,337 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,780,287 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,321,464 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $458,823 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,921 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $463,744 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $463,744 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,192 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 795.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 207.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172919, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,325,237 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,193,220 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,132,017 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,003,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $128,123 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,386 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $151,509 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $151,509 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,509 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 524.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141843, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,132,936 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,086,807 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,046,129 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,649,636 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $396,493 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$6,570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $389,923 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $389,923 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,505 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 216 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 517.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1106968, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,733,101 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,040,469 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,692,632 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,829,804 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$137,172 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $57,500 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$79,672 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$79,672 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,148 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 686.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 188.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076751, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,672,366 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,259,246 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,413,120 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,290,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$877,720 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $54,313 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$823,407 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$823,407 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,724 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 548.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 211.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044818, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 30, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,334,286 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,878,834 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,455,452 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,013,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$558,319 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,678 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$532,641 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$532,641 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,239 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1021162, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 1, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,867,618 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,361,911 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$494,293 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,555 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$456,738 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,434 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 353.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 161.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414198, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 20, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,175,133 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,473,110 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,297,977 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $843,516 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$454,461 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,122 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 387.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385960, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for March 10, 2008 to December 31, 2008 — a reporting period of 296 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 31, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,928,596 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,673,354 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,744,758 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,272 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,725,486 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,254 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 452 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 171.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356001, read from the public cost report file SNFFY2008.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| HAWAII HEALTH SYSTEMS CORPORATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/21/2007 |
| HASH, ALAN | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/01/2014 |
| KIRTON, CHARLES | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/23/2012 |
| STUART, ANNE | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/01/2014 |
| IGNACIO, JAY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2019 |
| NUNOKAWA, CLARYSSE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 06/01/2019 |
| ROSEN, LINDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/16/2014 |
| SAKO, DEANNA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2018 |
| SMITH, STEPHEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 02/24/2018 |
| VANCAMP, CAROL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/01/2019 |
| ZELKO-SCHLUETER, JENNIFER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/04/1977 |
| BELCHER, DANIEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2020 |
| BRINKMAN, DANIEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/22/2015 |
| CHU, EDWARD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/16/2010 |
| FARIAS, CHAD | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2021 |
| GOMEZ, LARA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 11/01/2022 |
| GRAY, JERRY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/22/2019 |
| KUROHARA, RANDALL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2021 |
| ROSEN, LINDA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/16/2014 |
| SKRUCH, JOSEPH | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/22/2019 |
| WALTJEN, JONI | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/16/2018 |
| WONG, YVONNE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/01/2022 |
| EAST HAWAII STATE VETERANS HOME | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/02/2021 |
| PETTIJOHN, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2015 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HAWAII HEALTH SYSTEMS CORPORATION (enrollment ID O20070710001032).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HAWAII HEALTH SYSTEMS CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/21/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| HAWAII HEALTH SYSTEMS CORPORATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/21/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALAN B HASH | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 3/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANNE H STUART | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 3/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHARLES R KIRTON | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 10/23/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CAROL A VANCAMP | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLARYSSE K NUNOKAWA | Individual | CORPORATE DIRECTOR | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEANNA S SAKO | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAY M IGNACIO | Individual | CORPORATE DIRECTOR | Not stated in the filing | 4/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER L ZELKO-SCHLUETER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 10/4/1977 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN M SMITH | Individual | CORPORATE DIRECTOR | Not stated in the filing | 2/24/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHAD KEONE FARIAS | Individual | CORPORATE OFFICER | Not stated in the filing | 3/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL H BELCHER | Individual | CORPORATE OFFICER | Not stated in the filing | 6/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL JOHN BRINKMAN | Individual | CORPORATE OFFICER | Not stated in the filing | 6/22/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JERRY L GRAY | Individual | CORPORATE OFFICER | Not stated in the filing | 5/22/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONI MU WALTJEN | Individual | CORPORATE OFFICER | Not stated in the filing | 4/16/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOSEPH F SKRUCH | Individual | CORPORATE OFFICER | Not stated in the filing | 5/22/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARA GOMEZ | Individual | CORPORATE OFFICER | Not stated in the filing | 11/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANDALL KUROHARA | Individual | CORPORATE OFFICER | Not stated in the filing | 2/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| YVONNE WONG | Individual | CORPORATE OFFICER | Not stated in the filing | 10/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA ROSEN | Individual | DIRECTOR | Not stated in the filing | 12/16/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EDWARD CHU | Individual | OFFICER | Not stated in the filing | 11/16/2010 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA ROSEN | Individual | OFFICER | Not stated in the filing | 12/16/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID R PETTIJOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EAST HAWAII STATE VETERANS HOME | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/2/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- September 1, 2024: AVALON CARE CENTER - VA HILO, L.L.C. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: KAREN L PELLEGRIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: BRENDA S HO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: RAE A YAMANAKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: AVALON HEALTH CARE MANAGEMENT OF HAWAII, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: DEAN AU no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: CHAD KEONE FARIAS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: EAST HAWAII STATE VETERANS HOME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since January 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: YVONNE WONG (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: LARA GOMEZ (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: RANDALL KUROHARA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: DANIEL H BELCHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- January 16, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- February 7, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- September 1, 2024: AVALON CARE CENTER - VA HILO, L.L.C. no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: KAREN L PELLEGRIN no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: BRENDA S HO no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: RAE A YAMANAKA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: AVALON HEALTH CARE MANAGEMENT OF HAWAII, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: DEAN AU no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: CHAD KEONE FARIAS (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since March 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: EAST HAWAII STATE VETERANS HOME (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since January 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: YVONNE WONG (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since October 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: LARA GOMEZ (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: RANDALL KUROHARA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since February 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- September 1, 2024: DANIEL H BELCHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 1, 2024; associated with this enrollment since June 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- March 7, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 18, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- November 24, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- January 28, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 1, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 11, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 18, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 6, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 22, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 1, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 30, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- August 1, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 20, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 31, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 15, 2024 | November 15, 2024 | 10 | 0 |
| 2 | October 30, 2023 | October 30, 2023 | 11 | 1 |
| 3 | October 14, 2022 | October 14, 2022 | 18 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| November 15, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0561 | Resident Rights Deficiencies | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0847 | Administration Deficiencies | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | No | Deficient, Provider has date of correction | December 30, 2024 |
| November 15, 2024 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | December 30, 2024 |
| October 30, 2023 | Health | F 0625 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Past Non-Compliance | July 27, 2023 |
| October 30, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | 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 | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 30, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 11, 2023 |
| October 14, 2022 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0572 | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0574 | Resident Rights Deficiencies | The resident has the right to receive notices in a format and a language he or she understands. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0577 | Resident Rights Deficiencies | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0584 | Resident Rights Deficiencies | Honor 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. | E | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | F | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | G | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0761 | Pharmacy Service Deficiencies | 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 | No | Deficient, Provider has date of correction | January 14, 2023 |
| October 14, 2022 | Health | F 0838 | Administration Deficiencies | Conduct 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. | F | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | December 16, 2022 |
| October 14, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | January 14, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| October 30, 2023 | Fine | $13,049 | 131598 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Date First Approved to Provide Medicare and Medicaid Services | 2008-03-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Hawaii |
| Telephone Number | 8089611500 |
| Chain Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Chain ID | 250 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 95 |
| Average Number of Residents per Day | 67.1 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
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The citable document for YUKIO OKUTSU STATE VETERANS HOME
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Hawaii at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 125058.