Hawaii County, Hawaii · Nursing home
Yukio Okutsu State Veterans Home
4 of 5 overall from CMS
1180 Waianuenue Avenue, Hilo, HI 96720
At a glance
- Overall rating 4 of 5 Above the state average of 3.7
- Nurse time per resident, per day 4.64 hours Below the state average of 4.97
- Nursing staff who left in a year 60.3% Above the state average of 36.4%
- Health citations, last 3 inspection cycles 39 3 at the harm level or above
- Fines in 3 years $13,049 1 fine
- Certified beds in use 70.6% of 95 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Yukio Okutsu State Veterans Home is a 95-bed nursing home in Hilo, Hawaii (Hawaii County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 4.64 nurse staffing hours per resident per day, below the Hawaii average of 4.97. CMS lists 1 fine totaling $13,049 in the past three years.
- Certified beds
- 95
- Residents per day (average)
- 67.1
- Certified since
- 2008 (18 yrs)
Government - State Participates in Medicare and MedicaidPart of Hawaii Health Systems Corporation (7 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Yukio Okutsu State Veterans Home
Chosen from this home's public data.
- CMS lists 1 fine totaling $13,049 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 10 health deficiencies in the latest inspection cycle (the standard inspection on Nov 15, 2024 plus complaint and infection-control inspections); the Hawaii average is 9.5. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 60.3%, above the Hawaii average of 36.4%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Hawaii average 3.7
- Health inspections 3 of 5 Hawaii average 3.0
- Staffing 4 of 5 Hawaii average 4.4
- Quality measures 5 of 5 Hawaii average 4.3
The vertical line marks the Hawaii average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.64 h Hawaii average 4.97
- Nurse aides 3.03 h Hawaii average 2.88
- Licensed practical nurses 0.50 h Hawaii average 0.34
- Registered nurses 1.12 h Hawaii average 1.75
- All staff, weekends 4.07 h Hawaii average 4.41
How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the Hawaii average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover60.3%
- Hawaii average36.4%
- Registered nurse turnover53.6%
- Hawaii average31.5%
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Hawaii and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Hawaii | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 16.0% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 10.7% | 4.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% | 1.0% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.9% | 2.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 9.0% | 1.2% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.3% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.8% | 1.9% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.1% | 96.1% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 15.0% | 20.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.1% | 9.1% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.8% | 95.4% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.7% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.3% | 17.6% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 11.4% | 11.9% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.18 | 1.09 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.11 | 0.88 | 1.78 |
Short-stay residents
| Measure | This home | Hawaii | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 53.4% | 82.7% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.4% | 84.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.4% | 19.4% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 4.3% | 10.3% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 39 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 2 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Oct 30, 2023: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 15, 2024 | 10 | 0 |
| Oct 30, 2023 | 11 | 1 |
| Oct 14, 2022 | 18 | 0 |
Hawaii homes averaged 9.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (39)
-
EPotential for more than minimal harm, pattern
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 30, 2024)
Show 25 more
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Dec 30, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Dec 30, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jul 27, 2023)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Dec 11, 2023)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Dec 11, 2023)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 11, 2023)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 16, 2022)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 16, 2022)
-
FPotential for more than minimal harm, widespread
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 16, 2022)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 16, 2022)
-
FPotential for more than minimal harm, widespread
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.
Administration · Deficient, Provider has date of correction (Dec 16, 2022)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jan 14, 2023)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Dec 16, 2022)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Dec 16, 2022)
-
DPotential for more than minimal harm, isolated
Give residents a notice of rights, rules, services and charges.
Resident Rights · Deficient, Provider has date of correction (Dec 16, 2022)
Showing the 30 most recent of 39.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Oct 30, 2023 | Fine | $13,049 |
Hawaii homes averaged 0.7 fines and $19,339 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Hawaii
- Size20 of 42 by certified beds
- Hawaii average residents per day81.9
- ChainHawaii Health Systems Corporation
- Chain average overall rating4.7 of 5
- Resident or family councilResident
- Homes in Hilo5
- Homes in Hawaii County7
Common questions
What is the CMS star rating for Yukio Okutsu State Veterans Home?
Yukio Okutsu State Veterans Home has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 4 and quality measures is 5.
How many beds does Yukio Okutsu State Veterans Home have?
Yukio Okutsu State Veterans Home has 95 certified beds. It averages 67.1 residents per day, about 70.6% of its certified beds.
How much nursing care do residents get at Yukio Okutsu State Veterans Home?
The home reports 4.64 hours of nurse staffing per resident per day, including 1.12 hours from registered nurses. The Hawaii average is 4.97 hours and 1.75 hours from registered nurses.
Has Yukio Okutsu State Veterans Home been fined?
Yes. CMS lists 1 fine totaling $13,049 in the past three years.
Does Yukio Okutsu State Veterans Home accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Hilo Benioff Medical Center 52beds 117.7%in use 5.34nurse hours a day
- 4 of 5 Hale Anuenue Restorative Care 120beds 78.6%in use 3.60nurse hours a day
- 1 of 5 Legacy Hilo Rehabilitation & Nursing Center 100beds 88.6%in use 3.72nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Hawaii County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 125058. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.