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A+
Excellent

Kulana Malama

91-1360 KARAYAN STREET · EWA BEACH, HI 96706

8086811200 · For profit - Limited Liability company

33 beds33.1 residents156 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Kulana Malama receives an overall staffing grade of A+ (Excellent). With 11.1127 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 7.22 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 8.07% compared to weekdays. The facility has low agency staff usage (3.59% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

📊Staffing levels are highly variable day to day (consistency score: 0.9846). This means the care experience can be very different depending on the day.

✨ Strengths (5)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (3.59%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 8.07% drop-off
Total Nurse HPRD
11.1127hrs/resident/day▲ 7.22
CMS benchmark: 3.48
RN HPRD
5.7114hrs/resident/day▲ 5.03
Recommended: 0.75
Weekend Drop-off
8.07%
11.3721 weekday → 10.4544 weekend
Agency Staff
3.59%
6.66% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
4.1588hrs/resident/day
Direct care aides
LPN HPRD
0.3143hrs/resident/day
Licensed practical nurses
Consistency
0.9846std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Honolulu County Average+6.17 HPRD
4.94
011.11 HPRD
vs. Hawaii State Average+6.40 HPRD
4.71
011.11 HPRD
vs. National Average+7.22 HPRD
3.90
011.11 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Kulana Malama ★
EWA BEACH · This facility
—
A+
11.11275.7114★★★★★
KA PUNAWAI OLA
KAPOLEI
4.5 mi
A
4.11291.6764★★★★★
PEARL CITY POST ACUTE
PEARL CITY
4.9 mi
A+
5.80861.9199★★★★☆
AVALON CARE CENTER - HONOLULU, LLC
HONOLULU
10.3 mi
A
4.60331.9165★★★☆☆
NUUANU HALE
HONOLULU
10.9 mi
C
3.46831.2187★☆☆☆☆
Maluhia
Honolulu
11 mi
B
4.0991.6861★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
25
Total Deficiencies
$14,069
Fines Assessed
Sep 26, 2025Health
1 deficiency cited
▼
Jun 18, 2025Health
5 deficiencies cited· Includes actual harm
▼
Jun 6, 2024Health
8 deficiencies cited
▼
Jun 23, 2023Health
6 deficiencies cited
▼
Jul 15, 2022Health
5 deficiencies cited
▼

Penalty History

Jun 18, 2025Fine
$14,069
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.