Federal inspection record · CMS data as of October 1, 2026
Kulana Malama
91-1360 Karayan Street, Ewa Beach, HI · (808) 681-1200
- CMS high-performer trophy
- Certified beds
- 33
- Residents per day
- 35
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 1, 2007
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Hawaii.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Hawaii homes
Kulana Malama carries 20 inspection points. That is fewer than 88% of Hawaii's 41 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Hawaii: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–48 pts
- 3★ 48–69 pts
- 2★ 69–86 pts
- 1★ over 86 pts
Bars show every rated home in Hawaii by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
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.
Everything else, by area of care
Resident Assessment and Care Planning5D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control4F
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
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.
Quality of Life and Care4D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
- D
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.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
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.
Nutrition and Dietary1D
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nursing and Physician Services1D
- D
Provide or arrange emergency care by a doctor 24 hours a day.
Administration1D
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Environmental1E
- E
Keep all essential equipment working safely.
Inspection history
2025-09-26
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-06-06
13 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-06-23
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 10 h 9 min of nursing staff time a day, 5 h 15 min of it from a registered nurse.
This home
10 h 9 min
Hawaii average
5 h
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 36% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$14,069 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-06-18 | Fine | $14,069 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts better | 97.0% | 96.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 0.0% | 2.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 0.0% | 1.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 4.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication45.4 pts worse | 54.9% | 9.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.4 pts better | 0.0% | 12.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.7 pts better | 1.5% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.6 pts better | 1.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3 pts better | 0.5% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine57.2 pts worse | 25.9% | 83.1% | 82.3% |
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Who owns and runs it
10 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Pacific Skilled Healthcare LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Olsen, Spencer | 5% Or Greater Indirect Ownership Interest · Individual | 73% | 3 facilities |
| Sorensen, Kristen | 5% Or Greater Indirect Ownership Interest · Individual | 13% | 3 facilities |
| Ito, Randall | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Ito, Randall | Corporate Officer · Individual | 0% | 1 facilities |
| Ito, Randall | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lefler, Tyrus | Corporate Officer · Individual | 0% | 3 facilities |
| Olsen, Spencer | Corporate Officer · Individual | 0% | 3 facilities |
| Pang, Brian | Corporate Officer · Individual | 0% | 2 facilities |
| Yoshida, Cynthia | Corporate Officer · Individual | 0% | 3 facilities |
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