Nursing HomeInspections

Kulana Malama

Nursing home in Ewa Beach, HI

Medicare & Medicaid certified5★ overall (CMS)

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Public-record details

Address
91-1360 Karayan Street, Ewa Beach, HI 96706
Phone
(808) 681-1200
Listed under
For-profit, 4–5 star overall rating
Medicare CCN
125057
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
33
Average residents per day
35
Ownership
For-profit, limited Liability company
Legal business name
Psh Km LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 2007
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 125057. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Sep 26, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 23, 2023 to Sep 26, 2025): 6 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 26, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 26, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Sep 26, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 26, 2025Provide and implement an infection prevention and control program.
Infection Control · under dispute review		E
Potential for more than minimal harm, pattern
Jun 18, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 18, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 18, 2025Provide or arrange emergency care by a doctor 24 hours a day.
Nursing and Physician Services · complaint inspection · under dispute review		D
Potential for more than minimal harm, isolated
Jun 18, 2025Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 18, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection · under dispute review		J
Immediate jeopardy, isolated
Jun 6, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 6, 2024Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 6, 2024Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $14,069 in the last three years.

Jun 18, 2025Fine: $14,069

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
10.15 hours
Registered nurse (RN) time per resident per day
5.25 hours
Nurse aide time per resident per day
4.51 hours
Total nurse staffing on weekends
9.15 hours
Nursing staff turnover (yearly)
39%
RN turnover (yearly)
36%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error