Hi'olani Care Center at Kahala Nui
4389 Malia Street
Honolulu, HI 96821
Hale Malamalama is a 40-bed for-profit nursing home in Honolulu, HI. Medicare rates it 2 out of 5 stars overall (below average); the average in Hawaii is 3.7. Medicare lists it as a candidate for its Special Focus program because of a history of serious problems. At its last full inspection (Sep 2024), inspectors found 6 problems, fewer than the Hawaii average of 9.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 11 min a day with each resident, less than the Hawaii average of 4 hr 58 min. About 51% of its nursing staff left in the past year. Medicare fined it $72,144 in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Certified for Medicaid; ask whether a Medicaid bed is available.
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
2 strengths and 5 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
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Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Hawaii average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Medicare rates these separately, and many homes are better at one than the other.
For residents who live at the home for months or years.
Source: Medicare (CMS) quality measures, compared with the Hawaii average. Lower is better for every rate shown.
Its overall Medicare rating is 2 stars now, down from 3 stars in January 2019. It has ranged from 1 to 5 stars and changed 10 times.
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 3 | 3 | 1 | 5 | – |
| Jan 2020 | 4 | 3 | 3 | 5 | 3.1 |
| Jan 2021 | 5 | 3 | 4 | 5 | 3.7 |
| Jan 2022 | 2 | 1 | 2 | 5 | 3.2 |
| Jan 2023 | 3 | 2 | 4 | 5 | 3.5 |
| Jan 2024 | 2 | 1 | 4 | 5 | 3.5 |
| Feb 2025 | 1 | 1 | 4 | 4 | 3.6 |
| Feb 2026 | 2 | 1 | 5 | 5 | 4.5 |
| Sep 2026 | 2 | 1 | 4 | 5 | 4.2 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
How this facility compares to state and national averages on CMS-reported problems.
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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