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Special Focus Facility candidate

Medicare lists this nursing home as a candidate for its Special Focus Facility program, for nursing homes with a history of serious quality problems.

Nursing home

Hale Malamalama

Honolulu, Hawaii · Honolulu County

  • 6163 Summer Street, Honolulu, HI 96821 · Directions
  • (808) 396‑0537
  • Medicare overall rating: 2 of 5 starsMedicare overall rating
  • Ownership: For profit – corporation
  • 42 health citations in its last 3 inspection cycles (most serious: level G), $72,144 in fines. See the inspection record

Summary

Hale Malamalama is a Medicare-certified nursing home in Honolulu, Hawaii, with 40 certified beds. Medicare overall rating: 2 of 5 stars. Most recent standard health inspection: 2024-09-27, with 6 health deficiencies. Medicare lists 1 fine. Ownership: for profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 2 of 5 starsMedicare overall rating
40Certified beds
Health inspections: 1 of 5 starsHealth inspections

Quick answers

Where is Hale Malamalama?
6163 Summer Street, Honolulu, HI 96821, in Honolulu County, Hawaii.
What is the phone number of Hale Malamalama?
(808) 396-0537, as listed by Medicare (CMS).
What is the Medicare star rating of Hale Malamalama?
Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
Has Hale Malamalama been fined?
Medicare lists 1 fine totaling $72,144.
What did inspectors find at Hale Malamalama?
In its last three inspection cycles (October 6, 2022 to January 31, 2025), Medicare lists 42 health citations; the most serious was level G. 3 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 2 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 1 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Not rated
Quality rating for people who stay a short time, usually to recover after a hospital stay. Medicare (CMS) does not show this rating for this provider. This happens, for example, when a provider is new or has too few patients or survey answers.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (October 6, 2022 to January 31, 2025), Hale Malamalama had 42 health citations; the most serious was level G (actual harm to residents). 3 of them were level G or higher (actual harm or immediate jeopardy). It was fined $72,144 in total (1 fine, the latest on January 31, 2025). Nurse staffing is 4.28 hours per resident per day; the Hawaii average is 4.99 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: September 27, 2024 — 6 health citations

Inspections in this cycle: September 27, 2024 (standard health inspection).

Show 6 citations (levels A to F, no actual harm)
  • F0867 Level F September 27, 2024 · corrected October 31, 2024

    “Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.”

  • F0584 Level E September 27, 2024 · corrected October 31, 2024

    “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.”

  • F0921 Level E September 27, 2024 · corrected October 31, 2024

    “Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”

  • F0550 Level D September 27, 2024 · corrected October 31, 2024

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0657 Level D September 27, 2024 · corrected October 31, 2024

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0761 Level D September 27, 2024 · corrected October 31, 2024

    “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.”

Previous cycle: September 15, 2023 — 27 health citations

Inspections in this cycle: September 15, 2023 (standard health inspection); January 31, 2025 (complaint investigation).

  • F0600 Level G January 31, 2025 · from a complaint · corrected February 27, 2025

    “Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”

    actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies

  • F0684 Level G September 15, 2023 · corrected October 31, 2023

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

  • F0689 Level G September 15, 2023 · corrected October 31, 2023

    “Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”

    actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 24 less serious citations (levels A to F)
  • F0657 Level F September 15, 2023 · corrected October 31, 2023

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0730 Level F September 15, 2023 · corrected October 31, 2023

    “Observe each nurse aide's job performance and give regular training.”

  • F0812 Level F September 15, 2023 · corrected October 31, 2023

    “Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”

  • F0835 Level F September 15, 2023 · corrected October 31, 2023

    “Administer the facility in a manner that enables it to use its resources effectively and efficiently.”

  • F0837 Level F September 15, 2023 · corrected October 31, 2023

    “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.”

  • F0865 Level F September 15, 2023 · corrected October 31, 2023

    “Have a plan that describes the process for conducting QAPI and QAA activities.”

  • F0880 Level F September 15, 2023 · corrected December 6, 2023

    “Provide and implement an infection prevention and control program.”

  • F0919 Level F September 15, 2023 · corrected October 31, 2023

    “Make sure that a working call system is available in each resident's bathroom and bathing area.”

  • F0552 Level E September 15, 2023 · corrected December 6, 2023

    “Ensure that residents are fully informed and understand their health status, care and treatments.”

  • F0565 Level E September 15, 2023 · corrected October 31, 2023

    “Honor the resident's right to organize and participate in resident/family groups in the facility.”

  • F0584 Level E September 15, 2023 · corrected October 31, 2023

    “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.”

  • F0585 Level E September 15, 2023 · corrected October 31, 2023

    “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.”

  • F0609 Level D January 31, 2025 · from a complaint · corrected February 28, 2025

    “Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”

  • F0610 Level D January 31, 2025 · from a complaint · corrected February 27, 2025

    “Respond appropriately to all alleged violations.”

  • F0657 Level D January 31, 2025 · from a complaint · corrected March 26, 2025

    “Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”

  • F0684 Level D January 31, 2025 · from a complaint · corrected March 26, 2025

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0578 Level D September 15, 2023 · corrected December 6, 2023

    “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.”

  • F0582 Level D September 15, 2023 · corrected October 31, 2023

    “Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”

  • F0622 Level D September 15, 2023 · corrected October 31, 2023

    “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.”

  • F0655 Level D September 15, 2023 · corrected October 31, 2023

    “Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”

  • F0660 Level D September 15, 2023 · corrected October 31, 2023

    “Plan the resident's discharge to meet the resident's goals and needs.”

  • F0661 Level D September 15, 2023 · corrected October 31, 2023

    “Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.”

  • F0697 Level D September 15, 2023 · corrected October 31, 2023

    “Provide safe, appropriate pain management for a resident who requires such services.”

  • F0883 Level D September 15, 2023 · corrected October 31, 2023

    “Develop and implement policies and procedures for flu and pneumonia vaccinations.”

Earlier cycle: October 6, 2022 — 9 health citations

Inspections in this cycle: October 6, 2022 (standard health inspection).

Show 9 citations (levels A to F, no actual harm)
  • F0835 Level E October 6, 2022 · corrected October 28, 2022

    “Administer the facility in a manner that enables it to use its resources effectively and efficiently.”

  • F0880 Level E October 6, 2022 · corrected November 1, 2022

    “Provide and implement an infection prevention and control program.”

  • F0550 Level D October 6, 2022 · corrected October 28, 2022

    “Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”

  • F0584 Level D October 6, 2022 · corrected October 28, 2022

    “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.”

  • F0656 Level D October 6, 2022 · corrected October 28, 2022

    “Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”

  • F0684 Level D October 6, 2022 · corrected October 28, 2022

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

  • F0688 Level D October 6, 2022 · corrected October 28, 2022

    “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.”

  • F0728 Level D October 6, 2022 · corrected October 28, 2022

    “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.”

  • F0811 Level D October 6, 2022 · corrected October 28, 2022

    “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.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (9)
  • K0914 Level D September 27, 2024 · corrected October 31, 2024

    “Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”

  • E0030 Level F September 15, 2023 · corrected October 31, 2023

    “List the names and contact information of those in the facility.”

  • E0039 Level F September 15, 2023 · corrected October 31, 2023

    “Conduct testing and exercise requirements.”

  • K0761 Level D September 15, 2023 · corrected October 25, 2023

    “To conduct inspection, testing and maintenance of fire doors by qualified individuals.”

  • K0918 Level D September 15, 2023 · corrected October 25, 2023

    “Have generator or other power source capable of supplying service within 10 seconds.”

  • K0291 Level F October 6, 2022 · corrected November 1, 2022

    “Install emergency lighting that can last at least 1 1/2 hours.”

  • K0345 Level F October 6, 2022 · corrected November 25, 2022

    “Have approved installation, maintenance and testing program for fire alarm systems.”

  • K0351 Level F October 6, 2022 · corrected November 25, 2022

    “Install an approved automatic sprinkler system.”

  • K0918 Level F October 6, 2022 · corrected November 1, 2022

    “Have generator or other power source capable of supplying service within 10 seconds.”

Fines and payment denials

Total fines over about the last three years: $72,144 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
January 31, 2025Fine$72,144

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeHawaiiNational
Registered nurse (RN) hours per resident per day1.411.730.69
Licensed practical nurse (LPN) hours per resident per day0.010.350.86
Nurse aide hours per resident per day2.852.912.35
Total nurse staff hours per resident per day4.284.993.90
Total nurse staff hours per resident per day on the weekend3.634.413.43
RN hours per resident per day on the weekend0.941.320.48
Nursing staff turnover (per year)50.0%34.5%45.3%
RN turnover (per year)40.0%30.5%42.5%
Administrators who left in the last year0.00.20.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Legal business name: Ono Enterprise LTD.

Owners and managers Medicare lists (3)
NameRoleShareSince
Ono Enterprise LTDDirect owner—July 8, 1967
Fukumura, GaryDirect owner—March 4, 2011
Fukumura, PaulineDirect owner—March 4, 2011

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds40
Average residents per day33.8
Takes part inMedicare and Medicaid
OwnershipFor profit – corporation
Legal business nameOno Enterprise LTD
First approved by Medicare/Medicaid1999-09-16
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address6163 Summer Street, Honolulu, HI 96821
CountyHonolulu County
StateHawaii
Phone(808) 396‑0537
CMS Certification Number125050
Name in Medicare recordsHALE MALAMALAMA
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13