Kulana Malama

91-1360 Karayan Street · Ewa Beach, HI · 96706 · 8086811200

33 certified beds For profit - Limited Liability company

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Staffing hours comfortably above national benchmarks.

The composite number cleared 72 points, but Recommended is gated: immediate-jeopardy citation in the current inspection cycle. That rule is part of the published method.

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 70
Staffing 20% 96
Federal penalties 15% 74
Trend 10% 53
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day10.373.48 min · 4.1 strong
RN hours / resident-day5.460.55–0.75
Weekend hours / resident-day9.60≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)1 · $14,069

Inspection citations (25 in the current record)

  • Potential for harm · D September 26, 2025 · found via complaint

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

    Corrected November 7, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J June 18, 2025 · found via complaint

    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.

    Corrected June 20, 2025 · Nursing and Physician Services

  • Potential for harm · D June 18, 2025 · found via complaint

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

    Corrected June 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 18, 2025 · found via complaint

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

    Corrected March 30, 2025 · Quality of Life and Care

  • Potential for harm · D June 18, 2025 · found via complaint

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

    Corrected June 20, 2025 · Nursing and Physician Services

  • Potential for harm · D June 18, 2025 · found via complaint

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

    Corrected June 20, 2025 · Administration

  • Potential for harm · D June 6, 2024

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

    Corrected July 28, 2024 · Resident Rights

  • Potential for harm · D June 6, 2024

    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.

    Corrected July 28, 2024 · Resident Rights

  • Potential for harm · D June 6, 2024

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

    Corrected July 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2024

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

    Corrected July 28, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024

    Ensure that residents are free from significant medication errors.

    Corrected January 7, 2024 · Pharmacy Service

  • Potential for harm · D June 6, 2024

    Provide or obtain dental services for each resident.

    Corrected July 28, 2024 · Quality of Life and Care

  • Potential for harm · D June 6, 2024

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

    Corrected July 28, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 6, 2024

    Provide and implement an infection prevention and control program.

    Corrected July 28, 2024 · Infection Control

  • Potential for harm · D June 23, 2023

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

    Corrected July 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 23, 2023

    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.

    Corrected July 14, 2023 · Quality of Life and Care

  • Potential for harm · D June 23, 2023

    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.

    Corrected July 14, 2023 · Pharmacy Service

  • Potential for harm · F June 23, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 14, 2023 · Infection Control

  • Potential for harm · D June 23, 2023

    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.

    Corrected July 14, 2023 · Infection Control

  • Potential for harm · E June 23, 2023

    Keep all essential equipment working safely.

    Corrected July 14, 2023 · Environmental

  • Potential for harm · D July 15, 2022

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

    Corrected August 26, 2022 · Resident Rights

  • Potential for harm · E July 15, 2022

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 26, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 15, 2022

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected August 26, 2022 · Resident Rights

  • Potential for harm · D July 15, 2022

    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.

    Corrected August 26, 2022 · Resident Rights

  • Potential for harm · E July 15, 2022

    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.

    Corrected August 26, 2022 · Pharmacy Service

Federal penalties

DateTypeAmount / length
June 18, 2025Fine$14,069

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125057 · certified since May 1, 2007. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.