Kulana Malama in Ewa Beach, HI has a 5 out of 5 star overall rating, with 4-star health inspection and staffing ratings and 5-star quality measures. Reported nurse staffing is 10.37 hours per resident per day, above the federal benchmark of 4.1, but the facility also had $14,069 in fines in the last 24 months and a recent federal penalty.
Last inspection: September 26, 2025Penalties, last 24 months: $14,069recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 10.3687.
Staffing detail
Registered nurses
5.46
Licensed practical nurses
0.31
Nurse aides
4.61
Weekend nursing
9.60
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 33%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%0%No change
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
13.3%5.9%Improving
Residents who were physically restrained
0%0%No change
Long-stay residents on antianxiety or sleep medication
60%52.9%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
0%5.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.8%—
Long-stay residents given the pneumonia vaccine
96.7%97.1%No change
Short-stay residents given the pneumonia vaccine
—23.1%—
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited June 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2023 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited June 2023 — limited pattern, potential for harm.
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F-Tag 908 — 42 CFR §483.90 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited July 2022 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited July 2022 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $14,069 was recorded.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 8 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 fine · $14,069 in total fines.
Federal fine
Jun 18, 2025
$14,069
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
33.8 residents on an average day (102% of 33 beds)
Medicare history
Certified for 19 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.