B85

Kulana Malama

Grade B 85/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

33

Ownership

For profit - Limited Liability company

Total Fines

$14,069

Last Survey

N/A

91-1360 KARAYAN STREET, EWA BEACH, HI 96706
8086811200

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
2.14h
LPN
0.12h
CNA
1.90h
Total
4.16h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

PACIFIC SKILLED HEALTHCARE LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2022

100%

MAYER, AARON

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2022

15%

OLSEN, SPENCER

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2022

73%

SORENSEN, KRISTEN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Jun 2022

13%

ITO, RANDALL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2023

ITO, RANDALL

IndividualCORPORATE OFFICERSince Feb 2023

LEFLER, TYRUS

IndividualCORPORATE OFFICERSince Sep 2022

OLSEN, SPENCER

IndividualCORPORATE OFFICERSince Sep 2022

PANG, BRIAN

IndividualCORPORATE OFFICERSince Feb 2023

YOSHIDA, CYNTHIA

IndividualCORPORATE OFFICERSince Feb 2023

ITO, RANDALL

IndividualW-2 MANAGING EMPLOYEESince Feb 2023

Penalties & Fines (1)

$14,069total fines
DateTypeDescriptionAmount
Jun 18, 2025Fine$14,069

Health Inspection Deficiencies (25)

September 26, 2025Health1 deficiency
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

June 18, 2025Health5 deficiencies1 severe
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jun 20, 2025
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 30, 2025
0713DMinimal harm, Isolated

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

Nursing and Physician Services Deficiencies

Corrected Jun 20, 2025
0726JImmediate jeopardy, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Jun 20, 2025
0867DMinimal harm, Isolated

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

Administration Deficiencies

Corrected Jun 20, 2025
June 6, 2024Health8 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jul 28, 2024
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Jul 28, 2024
0661DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 28, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 28, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 7, 2024
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Jul 28, 2024
0842DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 28, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 28, 2024
June 23, 2023Health6 deficiencies
0656DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 14, 2023
0693DMinimal harm, Isolated

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.

Quality of Life and Care Deficiencies

Corrected Jul 14, 2023
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Jul 14, 2023
0880FMinimal harm, Widespread

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 14, 2023
0887DMinimal harm, Isolated

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.

Infection Control Deficiencies

Corrected Jul 14, 2023
0908EMinimal harm, Pattern

Keep all essential equipment working safely.

Environmental Deficiencies

Corrected Jul 14, 2023
July 15, 2022Health5 deficiencies
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Aug 26, 2022
0609EMinimal harm, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Aug 26, 2022
0623EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Aug 26, 2022
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Aug 26, 2022
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Aug 26, 2022

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Frequently Asked Questions

What is the CareGrader rating for Kulana Malama?

Kulana Malama in EWA BEACH, Hawaii has a CareGrader grade of B (Good), with a composite score of 84.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Kulana Malama?

Kulana Malama has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Kulana Malama have?

Kulana Malama has 25 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Kulana Malama been fined?

Yes. Kulana Malama has $14,069 in total fines from CMS enforcement actions across 1 penalty.

How many beds does Kulana Malama have?

Kulana Malama has 33 certified beds with approximately 33 current residents (100% occupancy). The facility is located at 91-1360 KARAYAN STREET, EWA BEACH, Hawaii 96706. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.