Hawaii › Honolulu County › Ewa Beach
Kulana Malama
91-1360 Karayan Street, Ewa Beach, HI 96706
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.
Certified for 33 beds, Kulana Malama serves Ewa Beach in Honolulu County, Hawaii and has taken Medicare and Medicaid residents since 2007.
CMS gives it 5 of 5 stars overall, above the Hawaii median of 4; the health inspection rating is 4, staffing 4 and quality measures 5.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (9, 11, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 75.8 per 100 beds, more than the state median of 39.8.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 9.8 hours per resident per day (5.4 RN), above the Hawaii median of 4.6; nursing staff turnover is 41.0%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Honolulu Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 25 | 37 | 34 | 28.7 |
| Citations per 100 beds | 75.8 | 42.5 | 39.8 | 26.8 |
| Total nurse hours per resident day | 9.8 | 4.6 | 4.6 | 3.9 |
| RN hours per resident day | 5.4 | 1.7 | 1.6 | 0.7 |
| Nursing staff turnover | 41.0% | 34.6% | 32.2% | 45.8% |
| Fines listed | $14,069 | $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
Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 Jun 2024, 23 Jun 2023.
Severity mix: J ×1 D ×19 E ×4 F ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 7 Nov 2025 |
| 18 Jun 2025 | F0726 | 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. | J | Complaint investigation (under dispute review) | 20 Jun 2025 |
| 18 Jun 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Jun 2025 |
| 18 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Mar 2025 |
| 18 Jun 2025 | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | Complaint investigation (under dispute review) | 20 Jun 2025 |
| 18 Jun 2025 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 20 Jun 2025 |
| 6 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 28 Jul 2024 |
| 6 Jun 2024 | F0584 | 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. | D | Standard survey | 28 Jul 2024 |
| 6 Jun 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 28 Jul 2024 |
| 6 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Jul 2024 |
| 6 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 7 Jan 2024 |
| 6 Jun 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 28 Jul 2024 |
| 6 Jun 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 28 Jul 2024 |
| 6 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Jul 2024 |
| 23 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 14 Jul 2023 |
| 23 Jun 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 14 Jul 2023 |
| 23 Jun 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Jul 2023 |
| 23 Jun 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 14 Jul 2023 |
| 23 Jun 2023 | F0761 | 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 | Standard survey | 14 Jul 2023 |
| 23 Jun 2023 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 14 Jul 2023 |
| 15 Jul 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 26 Aug 2022 |
| 15 Jul 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 26 Aug 2022 |
| 15 Jul 2022 | F0761 | 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. | E | Standard survey | 26 Aug 2022 |
| 15 Jul 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Aug 2022 |
| 15 Jul 2022 | F0625 | 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. | D | Standard survey | 26 Aug 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 18 Jun 2025 | Fine | $14,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 41.0%, RNs 36.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Hawaii median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.3% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.2% | 2.8% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 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, limited liability company. Legal business name: Psh Km Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Skilled Healthcare LLC | 5% or greater direct ownership interest | 100% | 06/30/2022 |
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
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| 15 Craigside | Honolulu | 45 | 5 | 5 | 5 | 5 | 11.1 | — | 23 Jun 2025 |
| Hale Ola Kino By Arcadia | Hon | 32 | 5 | 4 | 5 | 24 | 75.0 | — | 21 Feb 2025 |
| Harry and Jeanette Weinberg Care Center | Kaneohe | 44 | 5 | 5 | 5 | 19 | 43.2 | — | 30 Jan 2025 |
| Hi'Olani Care Center At Kahala Nui | Honolulu | 20 | 5 | 3 | 5 | 24 | 120.0 | — | 27 Jun 2024 |
| Leahi Hospital | Honolulu | 155 | 5 | 4 | 5 | 18 | 11.6 | — | 25 Jul 2025 |
| Maluhia | Honolulu | 158 | 5 | 5 | 5 | 20 | 12.7 | $8K | 10 Jul 2025 |
| Maunalani Nursing and Rehabilitation Center | Honolulu | 100 | 5 | 4 | 4 | 23 | 23.0 | $32K | 10 Jun 2026 |
| Oahu Care Facility | Honolulu | 82 | 5 | 3 | 5 | 37 | 45.1 | $8K | 20 May 2026 |
All 27 facilities in Honolulu County
Questions and answers
How many deficiencies has Kulana Malama been cited for?
25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Kulana Malama been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Kulana Malama compare?
Reported total nurse staffing is 9.8 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Kulana Malama?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pacific Skilled Healthcare LLC. Individual owners and managers are not listed on this site.
When was Kulana Malama last inspected?
The most recent survey or investigation in the CMS record is dated 26 Sep 2025; the most recent standard health survey was 6 Jun 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.