91-1360 Karayan Street, Ewa Beach, HI 96706 (opens Google Maps) · Honolulu County · (808) 681-1200· 33 certified beds · avg 34 residents/day · certified since May 1, 2007 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Jun 18, 2025 · F-0726 · triggered by a complaint
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Why it matters: Undertrained caregivers are more likely to miss warning signs and make care mistakes.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 20, 2025 (Deficient, Provider has date of correction)
Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.
The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint F-0842
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint F-0726
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint F-0656
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 26, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jun 18, 2025 | ▲ J · Immediate jeopardy, isolated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726 |
| Jun 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656 |
| Jun 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jun 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint · F-0713 |
| Jun 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint · F-0867 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Jun 6, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 23, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jun 23, 2023 | E · Potential for more than minimal harm, pattern | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Jun 23, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Jun 23, 2023 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
| Jun 23, 2023 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jun 23, 2023 | D · Potential for more than minimal harm, isolated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887 |
| Jul 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609 |
| Jul 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Jul 15, 2022 | E · Potential for more than minimal harm, pattern | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jul 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jul 15, 2022 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | E |
| 2023 | 6 | 0 | F |
| 2024 | 8 | 0 | D |
| 2025 | 6 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
1 fine totaling $14,069.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jun 18, 2025 | Fine | $14,069 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Hawaii avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.81 | 4.77 | 3.95 | bottom 22% in Hawaii; top 48% in the U.S. |
| Registered Nurse hours | 2.08 | 1.64 | 0.69 | top 17% in Hawaii; top 2% in the U.S. |
| Weekend total nurse staffing | 3.58 | 4.23 | 3.50 | bottom 34% in Hawaii; top 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 4.92 | 1.33 | 0.48 | top 2% in Hawaii; top 1% in the U.S. |
| Total nursing staff turnover (%) | 41.0 | 36.4 | 45.8 | bottom 29% in Hawaii; top 39% in the U.S. |
| RN turnover (%) | 36.7 | 31.5 | 42.9 | bottom 31% in Hawaii; top 41% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 9.84, RN 5.38, weekend 9.24.Comparing with Medicare Care Compare? Care Compare shows the raw figure (9.84 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Kulana Malama. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Olsen, Spencer | Individual | 5% or Greater Indirect Ownership Interest | 73% | 06/30/2022 |
| Pacific Skilled Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/30/2022 |
| Sorensen, Kristen | Individual | 5% or Greater Indirect Ownership Interest | 13% | 06/30/2022 |
| Ito, Randall | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2023 |
| Ito, Randall | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Ito, Randall | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2023 |
| Lefler, Tyrus | Individual | Corporate Officer | NOT APPLICABLE | 09/23/2022 |
| Olsen, Spencer | Individual | Corporate Officer | NOT APPLICABLE | 09/23/2022 |
| Pang, Brian | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
| Yoshida, Cynthia | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2023 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Daniel K Akaka State Veterans Home | 2.6 mi | Kapolei, HI | —/5 | ||
| Ka Punawai Ola | 4.5 mi | Kapolei, HI | ★★★☆☆ | 2/5 | |
| Pearl City Post Acute | 4.9 mi | Pearl City, HI | ★★★★★ | 4/5 | |
| Avalon Care Center - Honolulu, LLC | 10.3 mi | Honolulu, HI | ★★☆☆☆ | 1/5 | |
| Nuuanu Hale | 11.0 mi | Honolulu, HI | ★★☆☆☆ | 2/5 | |
| Maluhia | 11.0 mi | Honolulu, HI | ★★★★★ | 5/5 | |
| Liliha Healthcare Center | 11.1 mi | Honolulu, HI | ★★★☆☆ | 2/5 | |
| Kuakini Geriatric Care, INC | 11.1 mi | Honolulu, HI | ★☆☆☆☆ | 1/5 | SFF |
| The Ching Villas | 11.7 mi | Honolulu, HI | ★★★★☆ | 3/5 | |
| The Care Center of Honolulu | 11.7 mi | Honolulu, HI | ★★☆☆☆ | 2/5 | |
| 15 Craigside | 11.7 mi | Honolulu, HI | ★★★★★ | 5/5 | |
| Hale Nani Rehabilitation and Nursing Center | 12.5 mi | Honolulu, HI | —/5 | SFF |
Compare this facility with the 3 closest →
CMS records place this facility in Honolulu, HI — 27 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 125057.
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