facebook tracking Kulana Malama, Ewa Beach HI: CMS Ratings & Inspections
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Kulana Malama

All states › Hawaii › Ewa Beach › Kulana Malama

91-1360 Karayan Street Ewa Beach, HI 96706 · Honolulu County

(808) 681-1200

Accepts Medicare Accepts Medicaid 33 certified beds For profit

CMS certification number 125057 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 23 citations in the last three years. CMS imposed 1 penalty, including $14,069 in fines, in that time.

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%).

Nursing care per resident per day 10.15 hours
Above the Hawaii median of 4.62 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 5.25 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 9.15 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 38.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 35.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds33
Residents per day 35 About 106% of beds filled, on average
OwnershipFor profit - Limited Liability company
Payment acceptedMedicare and Medicaid
Certified sinceMay 2007
Legal business namePSH KM LLC

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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Nov 7, 2025)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Nov 30, 2025)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Nov 30, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Complaint inspection · Deficient, Provider has date of correction (Nov 7, 2025)

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.

Immediate jeopardy · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2025)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Mar 30, 2025)

DProvide or arrange emergency care by a doctor 24 hours a day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0713 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2025)

DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Jun 20, 2025)

June 6, 2024 · 8 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Jul 28, 2024)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jul 28, 2024)

DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0661 · Deficient, Provider has date of correction (Jul 28, 2024)

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jul 28, 2024)

DEnsure that residents are free from significant medication errors.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0760 · Past Non-Compliance (Jan 7, 2024)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Jul 28, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jul 28, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 28, 2024)

June 23, 2023 · 6 citations

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 14, 2023)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Jul 14, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 14, 2023)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Jul 14, 2023)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 14, 2023)

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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Jul 14, 2023)

Questions to ask on a tour of Kulana Malama

  1. 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?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. 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.

DateTypeAmount or length
Jun 18, 2025 Fine $14,069

Rating history

CMS monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

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Pearl City Post Acute Pearl City · 4.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 122 beds · Medicaid
Avalon Care Center - Honolulu Honolulu · 10.3 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 108 beds · Medicaid
Nuuanu Hale Honolulu · 11.0 mi away ★★★☆☆ Inspection 2/5 · Staffing 4/5 75 beds · Medicaid

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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.

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https://www.nursinghomesineachstate.com/hawaii/ewa-beach/kulana-malama/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.