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Nursing HomeMedicaid Top Rated

Kulana Malama

Strong Medicare quality ratings; families often praise expertise in pediatric respiratory care. Still worth an in-person visit.

91-1360 Karayan Street, Ewa · Ewa Beach, HI 9670633 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 7 Google reviews

5
4
3
2
1
Kulana Malama Nursing Home in Ewa Beach, HI — Street View
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What this means for your family

Kulana Malama is an excellent choice for families seeking specialized pediatric respiratory care, as it is uniquely positioned on the island to provide these services. The staff is highly praised for their responsiveness and heart-centered approach, making it a reliable environment for medically fragile children.

Google Reviews

Google Reviews

7 reviews on Google
Kulana Malama is highly regarded by families for its specialized care of children with complex medical needs, particularly those requiring respiratory support. Reviewers consistently praise the compassionate, responsive staff and the supportive, community-oriented environment created for the residents.

Quality Themes

Tap a score for details
FoodN/AStaff10.0CleanN/AActivities9.0MedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Expertise in pediatric respiratory care
  • Warm and responsive nursing staff
  • Supportive environment for medically fragile children
  • Consistent communication with family members

Rating Trends

Tap a year to see what changed

2341.02019(1)5.02024(2)5.02025(4)4.02026(1)

Distribution · 8 analyzed

5
6
4
1
3
0
2
0
1
1

How They Respond to Reviews

43%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given your facility's specialization in pediatric respiratory care, how do you tailor the daily activity schedule to support the unique developmental needs of medically fragile children?
  • 2I noticed that your team is very responsive to families; how do you maintain that level of consistent communication regarding a resident's health status?
  • 3With 12 recent state violations noted, could you walk me through the specific steps the facility has taken to address these concerns and improve the inspection outcomes?
  • 4Since your staffing rating is excellent, how does your team balance the high-acuity medical needs of the residents with providing a warm, nurturing environment?
  • 5In the event of a respiratory emergency, what are the immediate protocols in place to ensure the safety and stabilization of the residents?
  • 6I see that you engage with families online; what is the best way for us to stay connected and involved in our loved one's care plan on a regular basis?

Personalized based on this facility's data


Key Review Excerpts

Kulana Malama is the only place on the island that offers respiratory services, which was invaluable for us.

Parent of special needs child · 2025★★★★★

The staff at Kulana Malama have been exceptionally responsive to all of my nephew's needs. Whenever I had any concerns, I reached out to them, and they consistently followed up with updates on his well-being.

Family member of resident · 2025★★★★★

Wonderful, loving facility for the medically fragile, they do so much for the residents and really give from their heart to take care of the residents.

Family member of resident · 2024★★★★★
Source: 7 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
5.46hrs
OK
Registered nurses for medical care
Total Nursing
10.37hrs
OK
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 13 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility55.8%
Worse than Avg
Here
55.8%
US
19.5%
HI
8.6%
Honolulu
6.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.1%
Better than Avg
Here
3.1%
US
19.4%
HI
17.6%
Honolulu
19.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.5%
HI
11.3%
Honolulu
9.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
HI
1.2%
Honolulu
0.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
4.9%
HI
3.6%
Honolulu
4.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.9%
Better than Avg
Here
96.9%
US
93.4%
HI
96.0%
Honolulu
95.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
81.8%
HI
82.8%
Honolulu
84.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
1penalties
Above state avg (10.4)
6 complaint-triggered
$14,069 in fines

This facility shows concerning patterns with families filing reports that triggered 6 deficiencies, including issues with nursing competency and emergency care availability. The most recurring problems involve care planning, resident rights, and medication management, appearing across multiple surveys from 2022-2025. While most deficiencies have been corrected, the persistence of similar issues over three years and recent complaint-driven citations suggest ongoing quality concerns families should carefully consider.

Sep 26, 2025Complaint
1
0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jun 18, 2025Complaint
5
0726Immediate jeopardy · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0713Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide or arrange emergency care by a doctor 24 hours a day.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Jun 6, 2024Routine
8
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 23, 2023Routine
6
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Jul 15, 2022Routine
5
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Federal Penalties

Fine

Jun 18, 2025

$14,069

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kulana Malama

Organization Type

for profit

Ownership & Management

Owners

Pacific Skilled Healthcare LLC

Owner · Organization

100%

Olsen, Spencer

Owner (parent company)

73%

Sorensen, Kristen

Owner (parent company)

13%

Key personnel

Ito, RandallW-2 Managing EmployeeIto, RandallOfficer / DirectorLefler, TyrusOfficer / DirectorOlsen, SpencerOfficer / DirectorPang, BrianOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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