| Hale Malamalama | |
| 6163 Summer Street, Honolulu, Hawaii 96821 | |
| (808) 396-0537 | |
| Name | Hale Malamalama |
|---|---|
| Location | 6163 Summer Street, Honolulu, Hawaii |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 40 |
| Occupancy Rate | 86.25% |
| Medicare ID (CCN) | 125050 |
| Legal Business Name | Ono Enterprise Ltd |
| Ownership Type | For Profit - Corporation |
| NPI Number | 1366598476 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Ono Enterprise Ltd |
| Doing Business As | Hale Malamalama |
| Address | 6163 Summer St, Honolulu, HI 96821 |
| Phone Number | 808-396-0537 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.18 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.4 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.06 | 0.86 |
| Nurse aide hours per resident per day | 2.71 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.75 | 3.42 |
| RN hours per resident per day on the weekend | 0.84 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 51.2% | 45.8% |
| Registered nurse turnover | 30% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $87,032 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 31, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Actual harm, isolated | Corrected by Feb 27, 2025 |
| Jan 31, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Feb 28, 2025 |
| Jan 31, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Feb 27, 2025 |
| Jan 31, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Mar 26, 2025 |
| Jan 31, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 26, 2025 |
| Sep 27, 2024 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867, Administration, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2024 |
| Sep 27, 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Sep 27, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Sep 27, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Sep 27, 2024 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Sep 27, 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Sep 15, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563, Resident Rights, Complaint inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 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. F0837, Administration, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865, Administration, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Dec 6, 2023 |
| Sep 15, 2023 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Dec 6, 2023 |
| Sep 15, 2023 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2023 |
| Sep 15, 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. F0584, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2023 |
| Sep 15, 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. F0585, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2023 |
| Sep 15, 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2023 |
| Sep 15, 2023 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2023 |
| Sep 15, 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. F0622, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2023 |
| Sep 15, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.57 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.17 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.75 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.47 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.26 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.47 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.15 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 0.83 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.1 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 23.68 | 15.38 |
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