Among nursing homes in Hawaii, Kulana Malama stands out with an A grade and a score of 89 out of 100. It ranks in the 79th percentile statewide, reflecting consistently high performance across CMS quality metrics.
Staffing levels at Kulana Malama exceed national averages, with 11.10 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 5.71 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 25 deficiencies at Kulana Malama, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 11.10 | 3.8 | Above Average |
| Registered Nurses (RN) | 5.71 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.31 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 5.08 | 2.4 | Above Average |
| Weekend Total Nursing | 10.45 | 3.8 | Above Average |
| Weekend RN Hours | 5.04 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0842 Severity DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarSep 25, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0726 Severity JEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Jun 17, 2025 · Nursing and Physician Services Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 17, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jun 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0713 Severity DProvide or arrange emergency care by a doctor 24 hours a day.Jun 17, 2025 · Nursing and Physician Services Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.6% | 4.5% | Better |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 0.0% | 14.5% | Better |
| Urinary tract infections | 1.6% | 2.5% | Better |
| Excessive weight loss | 4.8% | 7.5% | Better |
| New/worsened incontinence | 3.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,069
How This Grade Was Calculated
This facility's grade of A is based on a score of 89 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 5★ → 20 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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