SNF

HALE MALAMALAMA

CCN: 125050 · HONOLULU, HI 96821 · Honolulu County

⚠ SFF Candidate

Overview

Address
6163 SUMMER STREET, HONOLULU, HI 96821
Phone
8083960537
Certified beds
40
Avg daily residents
35 (88% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1999-09-16
Setting
Urban
2 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 5/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures — Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 4.49 3.81 4.55 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 1.32 0.67 1.34 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.12 0.85 0.12 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 3.05 2.30 3.09 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.44 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.00 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
4.10
hrs / resident / day
RN (weekend)
0.81
hrs / resident / day
Total nurse (adjusted, weekend)
4.15
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
48.5%
annual
RN turnover
30.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-09-27 6 6 0 44 1 44
Cycle 2/3 (prior) 2023-09-15 28 22 6 284 2 426
Total weighted health score
139.5
lower is better

Deficiencies (43)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

40 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-01-31 2025-02-27
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-01-31 2025-02-28
0610 Respond appropriately to all alleged violations. D 2025-01-31 2025-02-27
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-01-31 2025-03-26
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-01-31 2025-03-26
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-09-27 2024-10-31
0584 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. E 2024-09-27 2024-10-31
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-09-27 2024-10-31
0761 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. D 2024-09-27 2024-10-31
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F 2024-09-27 2024-10-31
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2024-09-27 2024-10-31
0552 Ensure that residents are fully informed and understand their health status, care and treatments. E 2023-09-15 2023-12-06
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2023-09-15 2023-10-31
0578 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. D 2023-09-15 2023-12-06
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2023-09-15 2023-10-31
0584 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. E 2023-09-15 2023-10-31
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. E 2023-09-15 2023-10-31
0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. D 2023-09-15 2023-10-31
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2023-09-15 2023-10-31
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F 2023-09-15 2023-10-31
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2023-09-15 2023-10-31
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D 2023-09-15 2023-10-31
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2023-09-15 2023-10-31
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-09-15 2023-10-31
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2023-09-15 2023-10-31
0730 Observe each nurse aide's job performance and give regular training. F 2023-09-15 2023-10-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-09-15 2023-10-31
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. F 2023-09-15 2023-10-31
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F 2023-09-15 2023-10-31
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2023-09-15 2023-10-31
0880 Provide and implement an infection prevention and control program. F 2023-09-15 2023-12-06
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-09-15 2023-10-31
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. F 2023-09-15 2023-10-31
0563 Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F 2023-09-15 2023-10-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2022-10-06 2022-10-28
0584 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. D 2022-10-06 2022-10-28
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2022-10-06 2022-10-28
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2022-10-06 2022-10-28
0688 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. D 2022-10-06 2022-10-28
0728 Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. D 2022-10-06 2022-10-28
0811 Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. D 2022-10-06 2022-10-28
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. E 2022-10-06 2022-10-28
0880 Provide and implement an infection prevention and control program. E 2022-10-06 2022-11-01

Penalties (2)

Fines issued
2
last 3 years
Total fines
$87,032
Date Type Fine amount
2023-09-15 Fine $14,888
2025-01-31 Fine $72,144

Source: CMS Nursing Home Penalties.

Ownership & Corporate Structure

Owner / manager organizations (2)

Organization Role Association
ONO ENTERPRISE LTD 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/08/1967
ONO ENTERPRISE LTD 5% OR GREATER MORTGAGE INTEREST since 12/10/2022

Owner / manager individuals (8)

Name Role Association
FUKUMURA, GARY 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/04/2011
FUKUMURA, PAULINE 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/04/2011
FUKUMURA, GARY CORPORATE DIRECTOR since 02/15/1994
FUKUMURA, PAULINE CORPORATE DIRECTOR since 02/15/1994
FUKUMURA, GARY CORPORATE OFFICER since 06/30/2012
FUKUMURA, PAULINE CORPORATE OFFICER since 06/30/2012
FUKUMURA, GARY W-2 MANAGING EMPLOYEE since 03/04/2011
FUKUMURA, PAULINE W-2 MANAGING EMPLOYEE since 03/04/2011

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Special focus status
SFF Candidate
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.11863 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.09110 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 1.34085 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.55059 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.15430 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 35.1 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.84606 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.29941 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66688 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.81235 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.36019 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town HONOLULU City/Town
Provider Information CMS Certification Number (CCN) 125050 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Honolulu County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1999-09-16 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 21.2855 Latitude
Provider Information Legal Business Name ONO ENTERPRISE LTD Legal Business Name
Provider Information Location 6163 SUMMER STREET,HONOLULU,HI,96821 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -157.72 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 40 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.35055 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.98033 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 6163 SUMMER STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name HALE MALAMALAMA Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 020 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 44 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 6 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-09-27 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 44 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 6 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 22 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-09-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 284 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 142 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 6 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 426 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 28 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.80941 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 30.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.44112 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.11714 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 3.05222 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00217 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 1.32399 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.49334 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating — Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 5 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State HI State
Provider Information Telephone Number 8083960537 Telephone Number
Provider Information Total Amount of Fines in Dollars 87032.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 4.10204 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 48.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 139.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 96821 ZIP Code