Hale Malamalama

Hale Malamalama is in the large metropolitan area of Honolulu, Hawaii. With an A- overall grade, we rated this facility in the top third of all nursing homes in the country. You simply can't do any better than this nursing home. This place also received consistently good ratings in all of the major categories we assessed. More information about these categories can be found below.

We also wanted to emphasize that this facility has received nearly flawless health inspections in recent years. We awarded them an impressive grade of A in this area. We weigh several aspects of a nursing home's inspection report in determining these inspection scores. One critical factor is health deficiencies. You should keep in mind that the severity of these deficiencies is usually more meaningful than the quantity of deficiencies, as some are relatively insignificant. While this facility had some minor dings on its inspection report, it had zero severe deficiencies. Severe deficiencies are found in categories G, H, I, J, K and L. This means that CMS did not deem any of the deficiencies on this facility's report to pose an imminent threat to patient safety or health. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.

One of the other reasons we rated this facility so highly is that it earned a very impressive nursing grade. In that area, we awarded this nursing home an A. The nursing rating weighs several subcategories, but the primary consideration is the quantity of nurse hours spent with patients. This facility provided 3 hours of nursing care per resident per day. Lastly, we also looked at some nursing quality-based metrics in determining our nursing grades. This place performed very well in the area of avoiding major falls and pressure ulcers. We consider these areas to be good indicators of the quality of nursing care.

This nursing home is also strong in the category of short-term care, where it received a grade of B. It outperformed most nursing homes in this category. In determining our short-term care scores, we scrutinize the facility's levels of highly skilled nursing services, which includes registered nurses, physical therapists speech therapists and other licensed professionals. This rating is often a useful measure of the facility's ability to rehabilitate patients. One of this nursing home's strengths is registered nurse hours. We found that it offers more care from registered nurses to its residents than most facilities. The final measure we looked at in this area is the number of patients who were able to leave the facility and return home. We discovered that 0 percent of this facility's residents were able to return home.

The final category we graded is long-term care, where this facility was given a grade of B. This actually ended up being this nursing home's weakest area. A facility could be doing a lot worse when it's weakest grade still beats out most other nursing homes. For prospective residents seeking a permanent place to live as opposed to skilled nursing, long-term care is an important category. Once we assessed the amount of care provided by aids and other staff, we next considered the facility's vaccination statistics. This facility vaccinated 93.83561 percent of its patients against pneumonia, which happens to be somewhat lower than we anticipated but still a reasonably acceptable figure. Clearly, this facility is doing something right in this area as it also excelled at keeping its residents out of the hospital. It had only 0.18 hospitalizations per one thousand long-term resident days, which is a remarkably low number.