Total health inspections
4
Hawaii average 4.4
Last Health inspection on Jan 2025
Hale Malamalama
Nursing Home, Assisted Living & Hospice Care · Hawaii, HI
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Hale Malamalama
Nursing Home, Assisted Living & Hospice Care · Hawaii, HI
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 breakdown
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.
Total nursing care / resident
This home is ranked 18th out of 24 homes in Hawaii.
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.
This home is ranked 18th out of 24 homes in Hawaii.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.
3h 47m per day
Rank #18 / 24Nurse hours — State benchmarkedThis home is ranked 18th out of 24 homes in Hawaii.Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 24 Hawaii SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Hawaii avg
-10%
Standout metric
Nurse Aide is +12% above state avg
| Staff 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.
| 1h 19m per day | ▼ 19% 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.
| 7m per day | ▼ 67% 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.
| 3h 3m per day | ▲ 12% State avg: 2h 44m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 13m per day | ▼ 23% State avg: 4h 11m per day · National avg: 3h 26m per day |
|
RN (Weekend)
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.
| 49m per day | ▼ 34% State avg: 1h 14m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
93.5%
Rank #2 / 22Occupancy rate — State benchmarkedThis home is ranked 2nd out of 22 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 22. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Occupancy rate
93.5%
Rank #2 / 22Occupancy rate — State benchmarkedThis home is ranked 2nd out of 22 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 22. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.0M
Privately-owned community
Operated by a business corporation.
Home revenue
$4.0M Rank #23 / 23Revenue — State benchmarkedThis home is ranked 23rd out of 23 homes in Hawaii.Shows this facility's annual revenue compared to the Hawaii SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 23Payroll — State benchmarkedThis home is ranked 23rd out of 23 homes in Hawaii.Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #23 / 23Payroll — State benchmarkedThis home is ranked 23rd out of 23 homes in Hawaii.Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walk Score: 23 / 100 Rank #19 / 26Walk Score — State benchmarkedThis home is ranked 19th out of 26 homes in Hawaii.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii SNFs. Higher scores benefit residents, families, and staff.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.
CMS Certification Number125050
Staffing
Key information about the people who lead and staff this community.
ContactMrs. Pauline Fukumura, Administrator
What does this home offer?
Housing Options: Private / Shared Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
Exercise Programs
Types of Care at Hale Malamalama
Assisted Living
Nursing Home
Hospice Care
Inspection History
In Hawaii, the Department of Health, Office of Health Care Assurance performs regular inspections and unannounced surveys to verify that healthcare facilities maintain high standards of resident care.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
43
Rank #18 / 25Health citations — State benchmarkedThis home is ranked 18th out of 25 homes in Hawaii.Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 25 HI SNFs. Lower citation counts earn a better rank.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 #22 / 25Citations per inspection — State benchmarkedThis home is ranked 22nd out of 25 homes in Hawaii.Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 25 SNFs with citation data. Lower is better.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
Rank #12 / 16Serious citations (G–I) — State benchmarkedThis home is ranked 12th out of 16 homes in Hawaii.Shows G–I scope serious health citations for this facility versus other Hawaii SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
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.
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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Staffing Data
Reporting period: April 1 – June 30, 2025 (Q2 2025). Source: CMS Payroll-Based Journal report.
Total staff
58
Employees
26
Contractors
32
Staff to resident ratio
1.71:1
0% compared with Hawaii average
Avg staff/day
22
Average shift
8.2 hours
5% better than Hawaii average
Total staff hours (quarter)
16,477
Nursing staff breakdown
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Registered Nurse
Manages medical care and health needs.
Total count
9
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 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
1
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
29
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 hoursThis role is partially covered by contractors.
Contractor staffing
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
Total hours from contractors
35.5%
5,854 contractor hours this quarter
Certified Nursing Assistant: 17
Registered Nurse: 4
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Physical Therapy Aide: 2
Licensed Practical Nurse: 1
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Respiratory Therapy Technician: 1
Staff by category
Q2 2025 · Apr 1 – Jun 30
This data comes from the CMS Payroll-Based Journal report covering April 1 – June 30, 2025.
| Certified Nursing Assistant | 12 | 17 | 29 | 8,956 | 91 | 100% | 8.9 |
| Registered Nurse | 5 | 4 | 9 | 2,772 | 91 | 100% | 9.4 |
| Administrator | 3 | 0 | 3 | 1,463 | 65 | 71% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 726 | 78 | 86% | 9.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 712 | 68 | 75% | 8.1 |
| Licensed Practical Nurse | 0 | 1 | 1 | 516 | 62 | 68% | 8.3 |
| Dietitian | 1 | 0 | 1 | 464 | 60 | 66% | 7.7 |
| Nurse Practitioner | 1 | 0 | 1 | 383 | 51 | 56% | 7.5 |
| Other Dietary Services Staff | 1 | 0 | 1 | 322 | 41 | 45% | 7.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 61 | 13 | 14% | 4.7 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 31 | 19 | 21% | 1.6 |
| Medical Director | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Speech Language Pathologist | 0 | 2 | 2 | 22 | 20 | 22% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Physical Therapy Aide | 0 | 2 | 2 | 8 | 12 | 13% | 0.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 5 | 4 | 4% | 1.3 |
29 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
100%
3 Administrator
% of Days
71%
1 Dental Services Staff
% of Days
86%
2 Clinical Nurse Specialist
% of Days
75%
1 Licensed Practical Nurse
% of Days
68%
1 Dietitian
% of Days
66%
1 Nurse Practitioner
% of Days
56%
1 Other Dietary Services Staff
% of Days
45%
1 Occupational Therapy Aide
% of Days
14%
1 Respiratory Therapy Technician
% of Days
21%
1 Medical Director
% of Days
14%
2 Speech Language Pathologist
% of Days
22%
1 Occupational Therapy Assistant
% of Days
3%
2 Physical Therapy Aide
% of Days
13%
2 Physical Therapy Assistant
% of Days
4%
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.
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.
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 Jan 2026)
Total fines amount
$87K Rank #23 / 25Federal fines — State benchmarkedThis home is ranked 23rd out of 25 homes in Hawaii.Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 25 skilled nursing facilities in the pool. Lower total dollars mean a better rank.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
Financial Trends
Historical financial and operational data for Hale Malamalama based on CMS SNF Cost Reports.
Occupancy Rate
99.2%
↓ 0.4pp vs 2012
Net Income
$124.6K
↓ ~$35.5K vs 2012
Total Payroll
$2.6M
↑ ~$190.0K vs 2012
Profit Margin
3.1%
↓ 1.3pp vs 2012
Guides for Better Senior Living
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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%.
What is the address of Hale Malamalama?
Hale Malamalama is located at 6163 Summer St, Honolulu, HI 96821.
What is the phone number of Hale Malamalama?
(808) 396-0537 will put you in contact with the team at Hale Malamalama.
Is Hale Malamalama Medicare or Medicaid certified?
Yes — Hale Malamalama is a CMS-certified provider of Medicare and Medicaid.
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