Total health inspections
4
Hawaii average 4.4
Last Health inspection on Jan 2025
Hale Malamalama
Nursing Home, Hospice Care & Skilled Nursing · Honolulu, HI
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Hale Malamalama
Nursing Home, Hospice Care & Skilled Nursing · Honolulu, HI
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Beautifully set near Kuli’ou Beach Park and Maunalua Bay Beach Park in Summer Street, Honolulu, HI, Hale Malamalama ICF is a blissful haven that offers iskilled nursing and hospice services. With its purposely designed and welcoming accommodations, the community strives to provide exceptional care around the clock for up to 41 residents to ensure comfort and safety. Founded in 1957, the community continuously promotes a warm and nurturing environment for residents to thrive and live up to their potential.
Prioritzing holistic wellness, fun recreational activities and engaging programs are conducted, highlighting their interests and capabilities. Freshly prepared meals are served to satisfy residents’ dietary needs and preferences. The community is Medicaid and Medicare approved, ensuring up-to-standard care without financial constraints. Residents are guaranteed to enjoy their best years with the community’s exceptional services and state-of-the-art amenities.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Hawaii averages
Total nursing care
This home is ranked 17th out of 26 homes we track in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 21m
4% above state avgStaff type
Hours / day / resident
vs state avg
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 28m
−11% State avg: 1h 38m per day · National avg: 41m per day
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
4m
−82% State avg: 21m per day · National avg: 52m per day
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 50m
+3% State avg: 2h 44m per day · National avg: 2h 20m per day
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 55m
−7% State avg: 4h 11m per day · National avg: 3h 26m per day
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
−85% State avg: 5m per day · National avg: 4m per day
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
51m
−32% State avg: 1h 14m per day · National avg: 28m per day
5 of 6 metrics below state avg
Capacity and availability
This home usually has limited availability
Occupancy rate
86.3%
Rank #12 / 23Occupancy rate — State benchmarkedThis home is ranked 12th out of 23 homes we track in Hawaii for occupancy. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 23. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
35
40-bed community Rank #29 / 84Bed count — State benchmarkedThis home is ranked 29th out of 84 homes we track in Hawaii for bed count. Shows this facility's certified or reported bed count compared to other Hawaii facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 23 / 100 Rank #131 / 174Walk Score — State benchmarkedThis home is ranked 131st out of 174 homes we track in Hawaii for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Hawaii facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
CMS Certification Number125050
CMS Health Inspection History
Inspections
Total health citations
43
Rank #19 / 26Health citations — State benchmarkedThis home is ranked 19th out of 26 homes we track in Hawaii for health citations. Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 26 HI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Hawaii average 35.5
Citations per inspection
10.75
Rank #23 / 26Citations per inspection — State benchmarkedThis home is ranked 23rd out of 26 homes we track in Hawaii for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 26 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Hawaii average 8.23
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.
Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Hawaii averageHawaii average: 0.1
Serious health citations
3
200% worse than Hawaii averageHawaii average: 1
Citations history (last 4 years)
Abuse/Neglect serious citation
Jan 31, 2025
Corrected
Abuse/Neglect moderate citation
Jan 31, 2025
Corrected
Abuse/Neglect moderate citation
Jan 31, 2025
Corrected
Quality of Care moderate citation
Jan 31, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
59
Employees
25
Contractors
34
Staff to resident ratio
1.74 : 1
5% more staff per resident than Hawaii average
Avg staff/day
20
Average shift
8.9 hours
14% better than Hawaii average
Total staff hours (quarter)
16,393
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
8 total: 5 full-time employees and 3 contractors.
8
8 total: 5 full-time employees and 3 contractors.
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
All 2 LPN Staff are contractors.
2
All 2 LPN Staff are contractors.
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
28 total: 11 full-time employees and 17 contractors.
28
28 total: 11 full-time employees and 17 contractors.
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.4 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
27.5%
4,501 contractor hours 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
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 11 | 17 | 28 | 8,616 | 92 | 100% | 9.4 |
| Registered Nurse | 5 | 3 | 8 | 2,872 | 92 | 100% | 8.9 |
| Administrator | 3 | 0 | 3 | 1,485 | 66 | 72% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 1,031 | 70 | 76% | 9.9 |
| Dental Services Staff | 1 | 0 | 1 | 688 | 64 | 70% | 10.7 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 65 | 71% | 7.5 |
| Dietitian | 1 | 0 | 1 | 411 | 53 | 58% | 7.8 |
| Other Dietary Services Staff | 1 | 0 | 1 | 350 | 44 | 48% | 7.9 |
| Licensed Practical Nurse | 0 | 2 | 2 | 296 | 37 | 40% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 57 | 13 | 14% | 4.4 |
| Medical Director | 0 | 1 | 1 | 28 | 14 | 15% | 2 |
| Speech Language Pathologist | 0 | 1 | 1 | 19 | 14 | 15% | 1.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 17 | 13 | 14% | 1.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Qualified Social Worker | 0 | 4 | 4 | 11 | 7 | 8% | 1.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 9 | 5 | 5% | 1.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 6 | 3 | 3% | 1.8 |
28 Certified Nursing Assistant
% of Days
100%
8 Registered Nurse
% of Days
100%
3 Administrator
% of Days
72%
2 Clinical Nurse Specialist
% of Days
76%
1 Dental Services Staff
% of Days
70%
1 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
58%
1 Other Dietary Services Staff
% of Days
48%
2 Licensed Practical Nurse
% of Days
40%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
15%
1 Speech Language Pathologist
% of Days
15%
1 Physical Therapy Aide
% of Days
14%
1 Occupational Therapy Assistant
% of Days
3%
4 Qualified Social Worker
% of Days
8%
1 Respiratory Therapy Technician
% of Days
5%
2 Physical Therapy Assistant
% of Days
3%
Penalties and fines
Includes penalties issued in 2023-2025
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 Jan 2026)
Total fines amount
$87K Rank #24 / 26Federal fines — State benchmarkedThis home is ranked 24th out of 26 homes we track in Hawaii for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 26 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
130% higher than Hawaii averageHawaii average: $38K
Number of fines
2
32% more fines than Hawaii averageHawaii average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$87K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 31, 2025
$72K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 15, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 15, 2023
$15K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.4
28% better than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.5
17% better than Hawaii averageHawaii average: 20.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.3%
Percent of long-stay residents whose need for help with daily activities has increased
13.3%
24% better than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.2%
Percent of long-stay residents whose ability to move independently worsened
22.2%
14% better than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
24% better than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.3%
Percent of long-stay high risk residents with pressure ulcers
1.3%
65% better than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
9.9%
Percent of long-stay residents who received an antipsychotic medication
9.9%
In line with Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.5%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.55
Number of hospitalizations per 1,000 long-stay resident days.
1.55
16% worse than Hawaii averageHawaii average: 1.34
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.65
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.65
27% better than Hawaii averageHawaii average: 0.89
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.4%
7% worse than Hawaii averageHawaii average: 83.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34
Medicaid
12
35.3% of residents
Private pay or other
22
64.7% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Hale Malamalama from 2012–2013, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 2013 — the home's most recent complete cost report, an older period than most facilities report.
Occupancy Rate
99.2%
↓ 0.4pp vs 2012
Net Patient Income
$141.1K
↓ ~$38.9K vs 2012
Payroll Costs
$2.6M
↑ ~$190.0K vs 2012
Operating Margin
3.5%
↓ 1.4pp vs 2012
What does this home offer?
No pets allowed
Housing Options: Private / Shared Rooms
Building Type: Single-story
Housekeeping Services
Social and Recreational Activities
Exercise Programs
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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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 to lowest based on our ranking 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.
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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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: 64.3% 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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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maunalani Nursing and Rehabilitation Center | NH PC SNF | Honolulu (Kaimuki) | 100
Facility
100
HI AVG
43
Rank
#13 / 84 |
86.5%
Facility
86.5%
HI AVG
83.7
Rank
#11 / 23 | +3% | 5.05
Facility
5.05
HI AVG
4.20
Rank
#10 / 26 | -71% | +20% | $32.1k
Facility
$32.1k
HI AVG
$43.4k
Rank
#21 / 26 | 21
Facility
21
HI AVG
35.5
Rank
#2 / 26 | 4.2
Facility
4.2
HI AVG
8.2
Rank
#2 / 26 | 2 | 87 | - |
11
Facility
11
HI AVG
50
Rank
#152 / 174 | The Maunalani Foundation | $18.6MFiscal year ending 06/2024
Facility
$18.6MFiscal year ending 06/2024
HI AVG
$17.9M
Rank
#7 / 20 | $10.4MFiscal year ending 06/2024
Facility
$10.4MFiscal year ending 06/2024
HI AVG
$10.1M
Rank
#7 / 20 | 56%Fiscal year ending 06/2024
Facility
56%Fiscal year ending 06/2024
HI AVG
64.3%
Rank
#8 / 20 | 125013 | ||||
| Avalon Care Center – Honolulu | NH SNF | Honolulu (Kalihi Valley) | 108
Facility
108
HI AVG
43
Rank
#10 / 84 |
91.8%
Facility
91.8%
HI AVG
83.7
Rank
#5 / 23 | +10% | 4.05
Facility
4.05
HI AVG
4.20
Rank
#19 / 26 | +24% | -4% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 26 | 53
Facility
53
HI AVG
35.5
Rank
#24 / 26 | 17.7
Facility
17.7
HI AVG
8.2
Rank
#26 / 26 | - | 99 | A+ |
47
Facility
47
HI AVG
50
Rank
#93 / 174 | Avalon Of Hawaii LLC | $22.2MFiscal year ending 12/2023
Facility
$22.2MFiscal year ending 12/2023
HI AVG
$17.9M
Rank
#4 / 20 | $10.7MFiscal year ending 12/2023
Facility
$10.7MFiscal year ending 12/2023
HI AVG
$10.1M
Rank
#6 / 20 | 48.4%Fiscal year ending 12/2023
Facility
48.4%Fiscal year ending 12/2023
HI AVG
64.3%
Rank
#15 / 20 | 125020 | ||||
| 15 Craigside | NH ADC AL HC IL SNF | Honolulu (Nuuanu - Punchbowl) | 45
Facility
45
HI AVG
43
Rank
#25 / 84 |
99.8%
Facility
99.8%
HI AVG
83.7
Rank
#1 / 23 | +19% | 4.94
Facility
4.94
HI AVG
4.20
Rank
#11 / 26 | +1% | +17% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 26 | 5
Facility
5
HI AVG
35.5
Rank
#1 / 26 | 2.5
Facility
2.5
HI AVG
8.2
Rank
#1 / 26 | - | 45 | A+ |
50
Facility
50
HI AVG
50
Rank
#85 / 174 | Bree Komagome | $7.7MFiscal year ending 12/2023
Facility
$7.7MFiscal year ending 12/2023
HI AVG
$17.9M
Rank
#20 / 20 | $5.2MFiscal year ending 12/2023
Facility
$5.2MFiscal year ending 12/2023
HI AVG
$10.1M
Rank
#19 / 20 | 67.8%Fiscal year ending 12/2023
Facility
67.8%Fiscal year ending 12/2023
HI AVG
64.3%
Rank
#3 / 20 | 125063 | ||||
| Arcadia Retirement Residence | NH ADC HC IL SNF | Honolulu | 91
Facility
91
HI AVG
43
Rank
#18 / 84 |
93.6%
Facility
93.6%
HI AVG
83.7
Rank
#3 / 23 | +12% | 5.17
Facility
5.17
HI AVG
4.20
Rank
#8 / 26 | +26% | +23% | $12.9k
Facility
$12.9k
HI AVG
$43.4k
Rank
#19 / 26 | 36
Facility
36
HI AVG
35.5
Rank
#13 / 26 | 9.0
Facility
9.0
HI AVG
8.2
Rank
#20 / 26 | 2 | 85 | A+ |
86
Facility
86
HI AVG
50
Rank
#27 / 174 | Kathleen Yokouchi | $14.6MFiscal year ending 12/2023
Facility
$14.6MFiscal year ending 12/2023
HI AVG
$17.9M
Rank
#11 / 20 | $7.5MFiscal year ending 12/2023
Facility
$7.5MFiscal year ending 12/2023
HI AVG
$10.1M
Rank
#15 / 20 | 51.1%Fiscal year ending 12/2023
Facility
51.1%Fiscal year ending 12/2023
HI AVG
64.3%
Rank
#13 / 20 | 125014 | ||||
| Hale Malamalama | NH HOS SNF | Honolulu (Kuliouou - Kalani Iki) | 40
Facility
40
HI AVG
43
Rank
#29 / 84 |
86.3%
Facility
86.3%
HI AVG
83.7
Rank
#12 / 23 | +3% | 4.35
Facility
4.35
HI AVG
4.20
Rank
#17 / 26 | -34% | +4% | $87.0k
Facility
$87.0k
HI AVG
$43.4k
Rank
#24 / 26 | 43
Facility
43
HI AVG
35.5
Rank
#19 / 26 | 10.8
Facility
10.8
HI AVG
8.2
Rank
#23 / 26 | 3 | 35 | - |
23
Facility
23
HI AVG
50
Rank
#131 / 174 | 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 |
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 93.5%.
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.
Has Hale Malamalama had any deficiencies?
Hale Malamalama has had 43 reported deficiencies since 2022 according to records from State of Hawaii Department of Health.
Are there photos of Hale Malamalama?
Yes — there are 4 photos of Hale Malamalama in the photo gallery on this page.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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