Elder Care Record

Hawaii › Honolulu County › Honolulu

Hale Malamalama

6163 Summer Street, Honolulu, HI 96821

CCN 125050 · For-profit, corporation · 40 certified beds

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Hale Malamalama is a For-profit, corporation nursing home in Honolulu, Hawaii, certified for 40 beds and caring for about 35 residents a day.

CMS gives it 2 of 5 stars overall, below the Hawaii median of 4; the health inspection rating is 1, staffing 4 and quality measures 5.

Inspectors recorded 43 health deficiencies across the three most recent survey cycles (6, 27, 10 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 107.5 per 100 beds, more than the state median of 39.8.

CMS lists 2 penalties in the period covered: fines totalling $87K.

Reported nurse staffing is 4.2 hours per resident per day (1.4 RN), close to the Hawaii median of 4.6; nursing staff turnover is 51.2%.

CMS flags that the facility is a Special Focus Facility candidate.

43health deficiencies, 3 survey cycles3 at actual harm or worse
$87Kfines listed by CMS2 penalties in period
4.2nurse hours per resident per daystate median 4.6
86%occupancy (residents ÷ beds)35 residents a day

Compared with county, state and nation

MeasureThis facilityHonolulu Co. medianHawaii medianUS average
Overall star rating2443.0
Health citations, 3 cycles43373428.7
Citations per 100 beds107.542.539.826.8
Total nurse hours per resident day4.24.64.63.9
RN hours per resident day1.41.71.60.7
Nursing staff turnover51.2%34.6%32.2%45.8%
Fines listed$87,032$8,278$8,018—

County and state figures are medians across facilities (27 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)6
Cycle 227
Cycle 310

Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Sep 2024, 15 Sep 2023.

Severity mix: G ×3 D ×22 E ×8 F ×10

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
31 Jan 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint investigation27 Feb 2025
31 Jan 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 Feb 2025
31 Jan 2025F0610Respond appropriately to all alleged violations.DComplaint investigation27 Feb 2025
31 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation26 Mar 2025
31 Jan 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation26 Mar 2025
27 Sep 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey31 Oct 2024
27 Sep 2024F0584Honor 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.EStandard survey31 Oct 2024
27 Sep 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey31 Oct 2024
27 Sep 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey31 Oct 2024
27 Sep 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey31 Oct 2024
27 Sep 2024F0761Ensure 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.DStandard survey31 Oct 2024
15 Sep 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey31 Oct 2023
15 Sep 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey31 Oct 2023
15 Sep 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.FStandard survey31 Oct 2023
15 Sep 2023F0730Observe each nurse aide's job performance and give regular training.FStandard survey31 Oct 2023
15 Sep 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey31 Oct 2023
15 Sep 2023F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey31 Oct 2023
15 Sep 2023F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FStandard survey31 Oct 2023
15 Sep 2023F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey31 Oct 2023
15 Sep 2023F0880Provide and implement an infection prevention and control program.FStandard survey6 Dec 2023
15 Sep 2023F0919Make sure that a working call system is available in each resident's bathroom and bathing area.FStandard survey31 Oct 2023
15 Sep 2023F0552Ensure that residents are fully informed and understand their health status, care and treatments.EStandard survey6 Dec 2023
15 Sep 2023F0565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard survey31 Oct 2023
15 Sep 2023F0584Honor 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.EStandard survey31 Oct 2023
15 Sep 2023F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey31 Oct 2023
15 Sep 2023F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey6 Dec 2023
15 Sep 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey31 Oct 2023
15 Sep 2023F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey31 Oct 2023
15 Sep 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey31 Oct 2023
15 Sep 2023F0660Plan the resident's discharge to meet the resident's goals and needs.DStandard survey31 Oct 2023
15 Sep 2023F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey31 Oct 2023
15 Sep 2023F0697Provide safe, appropriate pain management for a resident who requires such services.DStandard survey31 Oct 2023
15 Sep 2023F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey31 Oct 2023
15 Sep 2023F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.FComplaint investigation31 Oct 2023
6 Oct 2022F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EStandard survey28 Oct 2022
6 Oct 2022F0880Provide and implement an infection prevention and control program.EStandard survey1 Nov 2022
6 Oct 2022F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey28 Oct 2022
6 Oct 2022F0584Honor 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.DStandard survey28 Oct 2022
6 Oct 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Oct 2022
6 Oct 2022F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey28 Oct 2022
6 Oct 2022F0688Provide 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.DStandard survey28 Oct 2022
6 Oct 2022F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.DStandard survey28 Oct 2022
6 Oct 2022F0811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.DStandard survey28 Oct 2022

Penalties

DateTypeAmountDetail
31 Jan 2025Fine$72,144
15 Sep 2023Fine$14,888

Staffing

Total nursing4.18 h
Nurse aides2.71 h
LPN0.06 h
RN1.4 h
Weekend total3.75 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 51.2%, RNs 30.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityHawaii medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay28.6%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.7%1.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.5%1.2%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay22.2%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.8%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay23.7%11.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Ono Enterprise Ltd.

OrganisationRole in the CMS recordInterestSince
Ono Enterprise Ltd5% or greater direct ownership interestNO PERCENTAGE PROVIDED07/08/1967
Ono Enterprise Ltd5% or greater mortgage interestNOT APPLICABLE12/10/2022

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Honolulu County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
15 CraigsideHonolulu45555511.1—23 Jun 2025
Hale Ola Kino By ArcadiaHon325452475.0—21 Feb 2025
Harry and Jeanette Weinberg Care CenterKaneohe445551943.2—30 Jan 2025
Hi'Olani Care Center At Kahala NuiHonolulu2053524120.0—27 Jun 2024
Kulana MalamaEwa Beach335442575.8$14K26 Sep 2025
Leahi HospitalHonolulu1555451811.6—25 Jul 2025
MaluhiaHonolulu1585552012.7$8K10 Jul 2025
Maunalani Nursing and Rehabilitation CenterHonolulu1005442323.0$32K10 Jun 2026

All 27 facilities in Honolulu County

Questions and answers

How many deficiencies has Hale Malamalama been cited for?

43 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.

Has Hale Malamalama been fined?

Yes. CMS lists fines totalling $87K in the period covered.

How does staffing at Hale Malamalama compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.

Who operates Hale Malamalama?

Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Ono Enterprise Ltd. Individual owners and managers are not listed on this site.

When was Hale Malamalama last inspected?

The most recent survey or investigation in the CMS record is dated 31 Jan 2025; the most recent standard health survey was 27 Sep 2024.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.