KULANA MALAMA
Address
91-1360 KARAYAN STREET
EWA BEACH, HI 96706
(808) 681-1203
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
90%Number of Residents and Certified Beds
- Residents: 27
- Certified Beds: 30
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By For Profit - Corporation
- This Facility Does Not Offer Any Resident or Family Counseling
- This Facility is Not Part of a Chain or Franchise
Resident Services
The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Extensive Services". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Kulana Malama. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Extensive Services
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-16 - Tracheostomy care and ventilator/respirator | 55.2% |
| ADL Index Range: 2-16 - Tracheostomy care or ventilator/respirator | 44.8% |
| Total Percent: | 100.0% |
Rating Details For Kulana Malama
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 4 Hours and 25 Minutes | 1 Hour and 49 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 20 Minutes | 1 Hour and 26 Minutes |
| Certified Nursing Assistant (CNA) Hours | 4 Hours and 27 Minutes | 2 Hours and 44 Minutes |
| Total Licensed Nurse Hours | 5 Hours and 45 Minutes | 3 Hours and 15 Minutes |
| Total Nurse Hours | 10 Hours and 12 Minutes | 5 Hours and 58 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Hawaii are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Hawaii Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
Long-Term Stay Deficiencies
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 4% | 7% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 3% | 7% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 70% | 6% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 2% | 9% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 2% | 3% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | - | 3% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 5% | 12% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 3% | 6% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/20/2011.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Keep Accurate and Appropriate Medical Records.
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Environmental
Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
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Have Enough Backup Water Supply for Important Areas of the Nursing Home.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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Pharmacy Service
Properly Mark Drugs and Other Similar Products.
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Quality Care
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Provide Activities to Meet the Needs of Each Resident.
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Resident Assessment
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Kulana Malama had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/19/2011.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
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