64/100
Average
91-1360 Karayan Street, Ewa Beach, HI 96706
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$14,069 in federal fines
CMS has fined this facility across 1 penalty action(s).
Last inspection was more than 2 years ago
Ratings here are based on older survey data than at most facilities.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: June 6, 2024 (2 years ago).
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
Immediate jeopardy to resident health or safety
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide or arrange emergency care by a doctor 24 hours a day.
No actual harm, potential for more than minimal harm
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| ITO, RANDALL | Individual | W-2 MANAGING EMPLOYEE | — |
| ITO, RANDALL | Individual | CORPORATE OFFICER | — |
| LEFLER, TYRUS | Individual | CORPORATE OFFICER | — |
| OLSEN, SPENCER | Individual | CORPORATE OFFICER | — |
| PANG, BRIAN | Individual | CORPORATE OFFICER | — |
| YOSHIDA, CYNTHIA | Individual | CORPORATE OFFICER | — |
| ITO, RANDALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| OLSEN, SPENCER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| SORENSEN, KRISTEN | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — |
| PACIFIC SKILLED HEALTHCARE LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Kulana Malama holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 9.84 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 25 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Kulana Malama is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.