01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-10 | 1 | 2024-07-03 | 1 |
| Cycle 2 | 2024-07-03 | 10 | 2023-07-27 | 1 |
| Cycle 3 | 2023-07-27 | 9 | 2022-07-22 | 2 |
CMS CCN 1250092026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Maluhia
1027 Hala Drive · Honolulu, HI 96817 · Honolulu County
Certified beds158CMS provider file
Recent citation rows24current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
24 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-10 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-08-242025-04-25 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-06-03 · complaint2025-04-25 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-03 · complaint2025-04-25 · HEALTHF0806Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Correction field: Deficient, Provider has date of correction · 2025-06-16 · complaint2024-07-03 · HEALTHF0604Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-03 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-03 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-03 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-03 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-03 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-03 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-03 · FIREK0914Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Correction field: Deficient, Provider has date of correction · 2024-07-262023-07-27 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0661Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0803Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-08-302023-07-27 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Waiver has been granted · 2023-10-112022-07-22 · FIREK0353Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2022-08-042022-07-22 · FIREK0363Severity C · widespread; potential for minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2022-08-0403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-25 | Fine | $8,278 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HAWAII HEALTH SYSTEMS CORPORATIONOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/03/2007
- WON, TRICIAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 10/16/2017
- AZAMA, GARETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- CHUN, BRADLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- SUNADA, JAREDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- TSUNEISHI, LANIIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- WALKER, KENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2019
- WOO, JASONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2018
- AKIYOSHI, DEREKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2014
- HAMAMOTO, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2018
- ROSEN, LINDAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/16/2014
- SANADA, SEANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2018
- HAWAII HEALTH SYSTEMS CORPORATIONOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/03/2007
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.14per resident day
RN hours1.68per resident day
Weekend nurse hours3.05per resident day
Staff turnover29.6%CMS reported field
06 / LOCAL RECORDS
Open the Honolulu ledger →Other published facilities nearby
15 Craigside45 beds · CMS overall 5/55 citation rowsArcadia Retirement Residence91 beds · CMS overall 4/543 citation rowsAvalon Care Center - Honolulu, Llc108 beds · CMS overall 2/561 citation rowsHale Malamalama40 beds · CMS overall 2/552 citation rowsHale Nani Rehabilitation And Nursing Center288 beds · CMS overall —/5107 citation rowsHi'Olani Care Center At Kahala Nui20 beds · CMS overall 5/526 citation rowsIslands Skilled Nursing & Rehabilitation42 beds · CMS overall 1/565 citation rowsKalakaua Gardens49 beds · CMS overall 2/560 citation rows