Kulana Malama
91-1360 Karayan Street, Ewa Beach, HI 96706 · Honolulu County · 33 certified beds · avg 34 residents/day · certified since May 1, 2007
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
⚠ 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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · 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): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 20, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 26, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jun 18, 2025 | ▲ J · Immediate jeopardy, one-off | 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 |
| Jun 18, 2025 | D · Potential for harm, one-off | 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 |
| Jun 18, 2025 | D · Potential for harm, one-off | 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 |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange for a doctor to be available for emergencies 24 hours a day. · from a complaint |
| Jun 18, 2025 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Jun 6, 2024 | D · Potential for harm, one-off | 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. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 6, 2024 | D · Potential for harm, one-off | 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. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 6, 2024 | D · Potential for harm, one-off | 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. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jun 6, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 6, 2024 | D · Potential for harm, one-off | 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. |
| Jun 23, 2023 | F · Potential for harm, facility-wide | 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. |
| Jun 23, 2023 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Jun 23, 2023 | D · Potential for harm, one-off | 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. |
| Jun 23, 2023 | D · Potential for harm, one-off | 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. |
| Jun 23, 2023 | D · Potential for harm, one-off | 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. |
| Jun 23, 2023 | D · Potential for harm, one-off | 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. |
| Jul 15, 2022 | E · Potential for harm, repeated | 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. |
| Jul 15, 2022 | E · Potential for harm, repeated | 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. |
| Jul 15, 2022 | E · Potential for harm, repeated | 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. |
| Jul 15, 2022 | D · Potential for harm, one-off | 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. |
| Jul 15, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 8).
| 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.
Fines and enforcement (last 3 years)
1 fine totaling $14,069.
| Date | Type | Amount / length |
|---|---|---|
| Jun 18, 2025 | Fine | $14,069 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "If my family member has a medical emergency at 2 a.m., who does your staff call and how fast can a doctor respond?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| 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 |
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Facility data as of CMS processing date 2026-08-01. CCN 125057.