Maluhia
1027 Hala Drive, Honolulu, HI 96817 · Honolulu County · 158 certified beds · avg 82 residents/day · certified since Jan 1, 1967
Part of chain: HAWAII HEALTH SYSTEMS CORPORATION (7 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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)
▲ Actual harm, one-off · Apr 25, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 3, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Jul 10, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 25, 2025 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Apr 25, 2025 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 3, 2024 | 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. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 3, 2024 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 3, 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. |
| Jul 3, 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jul 27, 2023 | 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. |
| Jul 27, 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. |
| Jul 27, 2023 | 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Jul 27, 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. |
| Jul 27, 2023 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 27, 2023 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 9 | 0 | D |
| 2024 | 7 | 0 | D |
| 2025 | 4 | 1 | G ▲ |
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 $8,278.
| Date | Type | Amount / length |
|---|---|---|
| Apr 25, 2025 | Fine | $8,278 |
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) | 3.95 | 4.77 | 3.95 | bottom 27% in Hawaii; top 42% in the U.S. |
| Registered Nurse hours | 1.61 | 1.64 | 0.69 | top 46% in Hawaii; top 4% in the U.S. |
| Weekend total nurse staffing | 2.91 | 4.23 | 3.50 | bottom 5% in Hawaii; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.04 | 1.33 | 0.48 | bottom 29% in Hawaii; top 5% in the U.S. |
| Total nursing staff turnover (%) | 29.6 | 36.4 | 45.8 | top 38% in Hawaii; top 14% in the U.S. |
| RN turnover (%) | 20.0 | 31.5 | 42.9 | top 24% in Hawaii; top 13% 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 4.14, RN 1.68, weekend 3.05. Staffing rating: 5/5.
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
Government - State
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hawaii Health Systems Corporation | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/03/2007 |
| Akiyoshi, Derek | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2014 |
| Azama, Garet | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Chun, Bradley | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Hamamoto, Michael | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2018 |
| Hawaii Health Systems Corporation | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/03/2007 |
| Rosen, Linda | Individual | Corporate Officer | NOT APPLICABLE | 12/16/2014 |
| Sanada, Sean | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2018 |
| Sunada, Jared | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Tsuneishi, Lani | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Walker, Ken | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Won, Tricia | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/16/2017 |
| Woo, Jason | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Liliha Healthcare Center | 0.4 mi | Honolulu, HI | ★★★☆☆ | 2/5 | |
| Kuakini Geriatric Care, INC | 0.5 mi | Honolulu, HI | ★☆☆☆☆ | 1/5 | SFF |
| The Ching Villas | 0.7 mi | Honolulu, HI | ★★★★☆ | 3/5 | |
| Nuuanu Hale | 0.7 mi | Honolulu, HI | ★★☆☆☆ | 2/5 | |
| The Care Center of Honolulu | 0.8 mi | Honolulu, HI | ★★☆☆☆ | 2/5 | |
| 15 Craigside | 0.8 mi | Honolulu, HI | ★★★★★ | 5/5 | |
| Avalon Care Center - Honolulu, LLC | 1.3 mi | Honolulu, HI | ★★☆☆☆ | 1/5 | |
| Hale Nani Rehabilitation and Nursing Center | 1.9 mi | Honolulu, HI | —/5 | SFF | |
| Arcadia Retirement Residence | 2.7 mi | Honolulu, HI | ★★★★☆ | 3/5 | |
| Kalakaua Gardens | 2.9 mi | Honolulu, HI | ★★☆☆☆ | 2/5 | |
| Islands Skilled Nursing & Rehabilitation | 2.9 mi | Honolulu, HI | ★☆☆☆☆ | 1/5 | SFF |
| Oahu Care Facility | 3.0 mi | Honolulu, HI | ★★★★★ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 125009.