All states › Hawaii › Ewa Beach › Kulana Malama
91-1360 Karayan Street Ewa Beach, HI 96706 · Honolulu County
CMS certification number 125057 · See this home on Medicare Care Compare
Is Kulana Malama a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Kulana Malama as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Hawaii average of 3.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 10.15 hours per resident per day at Kulana Malama, above the Hawaii median of 4.62 (US median: 3.72). About 5.25 of those hours are from registered nurses. On weekends it falls to 9.15 hours, 10% below its all-week average. 38.6% of nursing staff left within a year (Hawaii median 32.8%).
About this nursing home
Paying for care at Kulana Malama: Medicare and Medicaid
Kulana Malama is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Hawaii's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on September 26, 2025 and found 2 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 23 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 23 citations at Kulana Malama across 4 inspection dates, 6 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 18, 2025 (complaint inspection). The most common areas cited were resident assessment and care planning (5) and infection control (4). The most serious was cited under the CMS rule to "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" (tag F0726, level J, June 18, 2025).
September 26, 2025 · 4 citations · includes complaint inspection
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 18, 2025 · 5 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide or arrange emergency care by a doctor 24 hours a day.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
June 6, 2024 · 8 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor 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.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that residents are free from significant medication errors.
DProvide or obtain dental services for each resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
June 23, 2023 · 6 citations
FProvide and implement an infection prevention and control program.
EKeep all essential equipment working safely.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
DEnsure 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.
DEducate 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.
Questions to ask on a tour of Kulana Malama
- Inspectors cited the home at the immediate-jeopardy level on June 18, 2025 under the rule on nursing and physician services. What changed afterwards, and can I see the plan of correction?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $14,069 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 18, 2025 | Fine | $14,069 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 5/5 | 4/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 4/5 | 5/5 |
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Location
Hospitals near Kulana Malama
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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6.4 mi
Pali Momi Medical Center AieaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 36m for patients treated and sent home
- 8.4 mi
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8.8 mi
Tripler AMC (Ft Shafter) HonoluluEmergency roomMedian ER visit 3h 11m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.