Hale Malamalama
Hale Malamalama provides nursing home, hospice care, nursing care, and skilled nursing in Honolulu, in the Kuliouou, Kalani Iki neighborhood. Nursing home and skilled nursing services provide licensed nursing care on site around the clock, while hospice care focuses on comfort for someone nearing the end of life. It may be a good fit for a resident who needs ongoing nursing support or hospice services in a smaller community.
The home has 40 beds, so staff and residents have the opportunity to get to know one another in a smaller setting. Private and shared rooms are available, giving a resident the choice of having a room alone or sharing with a companion. Total nurse staffing is 4 hours and 27 minutes per resident per day, representing the daily hands on nursing time assigned to each resident.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Standout metric: Certified nursing assistant is +8% above Hawaii average
5 of 6 metrics below Hawaii average
Daily care time per resident, by role
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
US average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
72.5% of staff hours were worked by the facility's own employees
Hawaii average: 87.1% · Contractors this quarter: Certified Nursing Assistant (17), Qualified Social Worker (4), Registered Nurse (3), Licensed Practical Nurse (2), Physical Therapy Assistant (2), Medical Director (1), Occupational Therapy Aide (1), Occupational Therapy Assistant (1), Respiratory Therapy Technician (1), Physical Therapy Aide (1), Speech Language Pathologist (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
Smaller home · May offer a more intimate, personalized care environment.
Based on residents per day and 40 beds.
Source: CMS Provider Information, average daily residents
About This Community
CMS Health Inspection History
ALM Inspection Grade
13 points below the Hawaii average for CMS-certified facilities (83/100)
Category breakdown
Citations
Concern
115 severity-weighted points (43 deficiencies) · 29% higher than the typical CMS-certified HI facility (median: 89)
Enforcement
Concern
$87,032 in fines · 2 enforcement actions
Persistence
Typical
41 days to fix issues · about the same as the typical CMS-certified HI facility (median: 41)
Citation severity
Latest inspection: Jan 31, 2025 · 5 citations, all corrected
Most cited category: Resident Rights, 12 of 43 citations · 10 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 43 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
37 of 43 citations resulted from standard inspections; and 6 of 43 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database · Data as of Aug 2026
2 penalties in the past 3 years
Latest: Jan 31, 2025 · $72,144 civil money penalty
Penalty history · past 3 years
Fine amount comparison
Totals count every penalty on record; the history lists the past 3 years. Hawaii and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Hawaii average.
13 long-stay measures: 8 better, 4 worse, 1 near HI average
1 short-stay measure: 1 worse
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Hospital & emergency visits
Short-stay residents
Rehab and recovery after a hospital stay · 1 measures
Preventive care
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Hale Malamalama’s finances from its CMS cost report for the fiscal year ending 2013. Includes all financial data for this property, which could include management/ownership changes.
Latest cost report is for the fiscal year ending 2013, older than most Hawaii homes. Rankings are not shown because peers report different years.
Is it financially stable?
Breaking even on care
3.5% operating margin
−1.4 pts vs prior year
Positive margin in 2 of the last 2 reported years. Net income $0.1M after other income.
Does it invest in staff?
Spends more on payroll than most Hawaii homes
65.5% payroll share of revenue
HI average 60.5%
Payroll rose $0.2M while revenue rose $0.4M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2013 scorecard
Each row shows the FY 2013 figure, the change since the prior report, the trend, and how it compares with Hawaii homes.
Revenue & profit
Profitable on care
| Metric | FY 2013 | vs prior year | Trend 2012 → 2013Trend | HI median | Compared with HI homesRank in HI | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $4.0M | +$0.4M | Trend 20122013 | HI median $16.2M | Rank in HI Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $3.9M | +$0.4M | Trend 20122013 | HI median — | Rank in HI Not ranked | Within revenue Operating expenses are lower than net patient revenue, so resident care covers its costs. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | $0.1M | −$0.0M | Trend 20122013 | HI median — | Rank in HI Not ranked | Profit, shrinking Resident care made money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | 3.5% | −1.4 pts | Trend 20122013 | HI median — | Rank in HI Not ranked | Thin margin A margin from 0% to 5% of revenue leaves little room for unexpected costs. |
| Net income The bottom line after other income. | $0.1M | −$0.0M | Trend — | HI median — | Rank in HI Not ranked | Profit The bottom line is above zero after other income. |
Staffing spend
Spends more of revenue on staff than most Hawaii homes
| Metric | FY 2013 | vs prior year | Trend 2012 → 2013Trend | HI median | Compared with HI homesRank in HI | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $2.6M | +$0.2M | Trend 20122013 | HI median $9.3M | Rank in HI Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 65.5% | −1.4 pts | Trend 20122013 | HI median 51.9% | Rank in HI Not ranked | 5.0 pts over HI average The HI average is 60.5% of revenue. Within 3 points of it reads as near the average. |
Charts, 2012–2013 2 charts · HI benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Hawaii payroll average.
% of net patient revenue
Payroll share Operating margin HI payroll average
Year-by-year data, 2012–2013 every reported year · latest first, scroll sideways
| Metric | 2012 | 2013 |
|---|---|---|
| Net patient revenue | $3.6M | $4.0M |
| Operating expenses | $3.5M | $3.9M |
| Net patient income | $0.2M | $0.1M |
| Operating margin | 4.9% | 3.5% |
| Net income | $0.2M | $0.1M |
| Payroll costs | $2.4M | $2.6M |
| Payroll share of revenue | 66.9% | 65.5% |
| Beds | 40 | 40 |
| Gross revenue | $3.6M | $4.0M |
| Salaries | $2.0M | $2.2M |
| Wage-related costs | $0.4M | $0.5M |
| Contract labor | — | — |
| Other operating costs | $1.0M | $1.2M |
| Net patient revenue per day | $250 | $277 |
| Cost per day | $237 | $267 |
| Average length of stay | 37.1 days | 43.0 days |
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Places of interest near Hale Malamalama
9.8 miles from city center
Estimated distance in miles from Honolulu's city center to Hale Malamalama's address, calculated via Google Maps.
Calculate Travel Distance to Hale Malamalama
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Compare Nursing Homes around Honolulu
Info below is compiled from CMS reports & the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Hawaii average is: 60.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 15 Craigside | NH ADC AL HC IL SNF | Honolulu (Nuuanu - Punchbowl) | 45
Facility
45
HI AVG
84
Rank
#20 / 30 | A+ |
95.8%
Facility
95.8%
HI AVG
83.3%
Rank
#1 / 22 | +15% | 5.22
Facility
5.22
HI AVG
4.74
Rank
#10 / 25 | +1% | +10% | $0
Facility
$0
HI AVG
$36.8k
Rank
#1 / 26 | 5
Facility
5
HI AVG
34.7
Rank
#1 / 26 | 2.5
Facility
2.5
HI AVG
7.8
Rank
#1 / 26 | - | 43 | A+ |
50
Facility
50
HI AVG
46
Rank
#14 / 32 | Bree Komagome | $8.1MFiscal year ending 12/2024
Facility
$8.1MFiscal year ending 12/2024
HI AVG
$20.1M
Rank
#22 / 22 | $5.9MFiscal year ending 12/2024
Facility
$5.9MFiscal year ending 12/2024
HI AVG
$10.7M
Rank
#21 / 22 | 73.5%Fiscal year ending 12/2024
Facility
73.5%Fiscal year ending 12/2024
HI AVG
60.5%
Rank
#3 / 22 | 125063 | ||||
| Maunalani Nursing and Rehabilitation Center | NH PC SNF | Honolulu (Kaimuki) | 100
Facility
100
HI AVG
84
Rank
#10 / 30 | A- |
88.3%
Facility
88.3%
HI AVG
83.3%
Rank
#10 / 22 | +6% | 4.91
Facility
4.91
HI AVG
4.74
Rank
#9 / 25 | -71% | +4% | $32.1k
Facility
$32.1k
HI AVG
$36.8k
Rank
#21 / 26 | 23
Facility
23
HI AVG
34.7
Rank
#5 / 26 | 3.8
Facility
3.8
HI AVG
7.8
Rank
#2 / 26 | 2 | 88 | - |
11
Facility
11
HI AVG
46
Rank
#24 / 32 | The Maunalani Foundation | $21.7MFiscal year ending 06/2025
Facility
$21.7MFiscal year ending 06/2025
HI AVG
$20.1M
Rank
#8 / 22 | $10.4MFiscal year ending 06/2025
Facility
$10.4MFiscal year ending 06/2025
HI AVG
$10.7M
Rank
#9 / 22 | 48%Fiscal year ending 06/2025
Facility
48%Fiscal year ending 06/2025
HI AVG
60.5%
Rank
#15 / 22 | 125013 | ||||
| Arcadia Retirement Residence | NH ADC HC IL SNF | Honolulu | 91
Facility
91
HI AVG
84
Rank
#14 / 30 | ? |
96.3%
Facility
96.3%
HI AVG
83.3%
Rank
#3 / 22 | +16% | 4.90
Facility
4.90
HI AVG
4.74
Rank
#7 / 25 | +26% | +4% | $12.9k
Facility
$12.9k
HI AVG
$36.8k
Rank
#17 / 26 | 37
Facility
37
HI AVG
34.7
Rank
#14 / 26 | 7.4
Facility
7.4
HI AVG
7.8
Rank
#13 / 26 | 2 | 88 | A+ |
86
Facility
86
HI AVG
46
Rank
#6 / 32 | Kathleen Yokouchi | $15.3MFiscal year ending 12/2024
Facility
$15.3MFiscal year ending 12/2024
HI AVG
$20.1M
Rank
#15 / 22 | $8.0MFiscal year ending 12/2024
Facility
$8.0MFiscal year ending 12/2024
HI AVG
$10.7M
Rank
#17 / 22 | 52.6%Fiscal year ending 12/2024
Facility
52.6%Fiscal year ending 12/2024
HI AVG
60.5%
Rank
#8 / 22 | 125014 | ||||
| Liliha Healthcare Center | NH HOS PC RC SNF | Honolulu (Liliha - Kapalama) | 92
Facility
92
HI AVG
84
Rank
#13 / 30 | C+ |
88.9%
Facility
88.9%
HI AVG
83.3%
Rank
#19 / 22 | +7% | 4.24
Facility
4.24
HI AVG
4.74
Rank
#10 / 25 | -36% | -11% | $0
Facility
$0
HI AVG
$36.8k
Rank
#1 / 26 | 48
Facility
48
HI AVG
34.7
Rank
#21 / 26 | 12.0
Facility
12.0
HI AVG
7.8
Rank
#23 / 26 | 2 | 82 | - |
81
Facility
81
HI AVG
46
Rank
#7 / 32 | - | $13.2MFiscal year ending 12/2024
Facility
$13.2MFiscal year ending 12/2024
HI AVG
$20.1M
Rank
#17 / 22 | $6.4MFiscal year ending 12/2024
Facility
$6.4MFiscal year ending 12/2024
HI AVG
$10.7M
Rank
#19 / 22 | 48.5%Fiscal year ending 12/2024
Facility
48.5%Fiscal year ending 12/2024
HI AVG
60.5%
Rank
#14 / 22 | 125041 | ||||
| Hale Malamalama | NH HOS SNF | Honolulu (Kuliouou - Kalani Iki) | 40
Facility
40
HI AVG
84
Rank
#24 / 30 | C- |
84.5%
Facility
84.5%
HI AVG
83.3%
Rank
#11 / 22 | +1% | 4.45
Facility
4.45
HI AVG
4.74
Rank
#16 / 25 | -34% | -6% | $87.0k
Facility
$87.0k
HI AVG
$36.8k
Rank
#24 / 26 | 43
Facility
43
HI AVG
34.7
Rank
#19 / 26 | 10.8
Facility
10.8
HI AVG
7.8
Rank
#22 / 26 | 3 | 34 | - |
23
Facility
23
HI AVG
46
Rank
#21 / 32 | Ono Enterprise Ltd | $4.0M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $2.6M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 65.5%*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 125050 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other HI nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Nursing Home in Hawaii
Hale Malamalama is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Frequently Asked Questions about Hale Malamalama
What neighborhood is Hale Malamalama in?
Hale Malamalama is in the Kuliouou - Kalani Iki neighborhood of Honolulu.
Is Hale Malamalama in a walkable area?
Hale Malamalama has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.
What is the occupancy rate at Hale Malamalama?
Hale Malamalama's occupancy is 84.5%.
Are pets allowed at Hale Malamalama?
No, Hale Malamalama has a no-pet policy.
Does Hale Malamalama operate as a for-profit or non-profit?
Hale Malamalama is registered as a for-profit in HI.
What is the overall rating for Hale Malamalama?
Hale Malamalama received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
How many beds does Hale Malamalama have?
Hale Malamalama has 40 beds.
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