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Kulana Malama Inspection Report, Violations & Safety Grade (EWA BEACH, Hawaii)

91-1360 KARAYAN STREET, EWA BEACH, Hawaii 96706

Phone: 8086811200

CMS Overall:5/5

Overview & Bed Count

Certified Beds
33
Avg Residents/Day
34.9
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Honolulu
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall5/5
Health5/5
Staffing4/5
Quality5/5

Nurse Staffing Check

MetricThis FacilityHawaii AvgDifference
RN Hours per Resident per Day5.251.73+3.52
Total Nurse Hours per Resident per Day10.154.99+5.16
CMS Staffing Rating4/54.5/5-
Nursing Staff Turnover38.6%34.5%-

Health Citation History

23 health citations on record

DateCategoryDescriptionSeverity
2025-09-26Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-09-26Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-09-26Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2025-09-26Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2025-06-18Nursing and Physician Services DeficienciesEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.J – Immediate Jeopardy
2025-06-18Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-06-18Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-06-18Nursing and Physician Services DeficienciesProvide or arrange emergency care by a doctor 24 hours a day.D – Moderate Harm Potential
2025-06-18Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.D – Moderate Harm Potential
2024-06-06Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2024-06-06Resident Rights DeficienciesHonor 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.D – Moderate Harm Potential
2024-06-06Resident Assessment and Care Planning DeficienciesEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.D – Moderate Harm Potential
2024-06-06Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-06-06Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2024-06-06Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.D – Moderate Harm Potential
2024-06-06Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2024-06-06Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-06-23Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2023-06-23Environmental DeficienciesKeep all essential equipment working safely.E – Moderate Harm Potential
2023-06-23Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-06-23Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2023-06-23Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2023-06-23Infection Control DeficienciesEducate 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.D – Moderate Harm Potential

Fire Safety Citation History

0 fire safety citations on record

No fire safety citations on record.

Total Penalties & Fines

$14,069
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-06-18Fine$14,069-

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