Hawaii › Kauai County › Kapaa
Samuel Mahelona Memorial Hospital
4800 Kawaihau Road, Kapaa, HI 96746
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Samuel Mahelona Memorial Hospital, in Kapaa, Hawaii, is certified for 66 beds under government, state ownership.
CMS gives it 5 of 5 stars overall, above the Hawaii median of 4; the health inspection rating is 4, staffing 5 and quality measures 4.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (8, 4, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 27.3 per 100 beds, fewer than the state median of 39.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 6.1 hours per resident per day (2.2 RN), above the Hawaii median of 4.6; nursing staff turnover is 7.5%.
Compared with county, state and nation
| Measure | This facility | Kauai Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 18 | 23 | 34 | 28.7 |
| Citations per 100 beds | 27.3 | 33.6 | 39.8 | 26.8 |
| Total nurse hours per resident day | 6.1 | 4.2 | 4.6 | 3.9 |
| RN hours per resident day | 2.2 | 1.7 | 1.6 | 0.7 |
| Nursing staff turnover | 7.5% | 29.5% | 32.2% | 45.8% |
| Fines listed | $0 | $0 | $8,018 | — |
County and state figures are medians across facilities (5 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2026, 22 Nov 2024.
Severity mix: G ×1 D ×13 E ×3 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 26 Jun 2026 |
| 14 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Jun 2026 |
| 14 May 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0761 | 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 | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 26 Jun 2026 |
| 14 May 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 26 Jun 2026 |
| 22 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Dec 2024 |
| 22 Nov 2024 | F0584 | 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 | Standard survey | 3 Jan 2025 |
| 22 Nov 2024 | F0761 | 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 | Standard survey | 27 Dec 2024 |
| 22 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Dec 2024 |
| 1 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Jan 2024 |
| 1 Dec 2023 | F0578 | 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 | Standard survey | 5 Jan 2024 |
| 1 Dec 2023 | F0584 | 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 | Standard survey | 5 Jan 2024 |
| 1 Dec 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jan 2024 |
| 1 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 5 Jan 2024 |
| 1 Dec 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 5 Jan 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 7.5%, RNs 9.5%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Hawaii median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 1.2% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.4% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, state.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Samuel Mahelona Memorial Hospital | 5% or greater direct ownership interest | 100% | 03/17/2017 |
| Samuel Mahelona Memorial Hospital | Operational/managerial control | NOT APPLICABLE | 04/01/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kauai County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Garden Isle Healthcare and Rehabilitation Center | Lihue | 110 | 5 | 4 | 5 | 37 | 33.6 | — | 21 Feb 2025 |
| Hale Kupuna Heritage Home, LLC | Koloa | 84 | 4 | 3 | 5 | 25 | 29.8 | $11K | 12 Mar 2026 |
| Kauai Care Center | Waimea | 53 | 3 | 3 | 4 | 23 | 43.4 | — | 20 Feb 2026 |
| Kauai Veterans Memorial HospitalSFF Candidate | Waimea | 20 | 2 | 1 | 5 | 21 | 105.0 | $35K | 10 Sep 2024 |
All 5 facilities in Kauai County
Questions and answers
How many deficiencies has Samuel Mahelona Memorial Hospital been cited for?
18 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Samuel Mahelona Memorial Hospital been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Samuel Mahelona Memorial Hospital compare?
Reported total nurse staffing is 6.1 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Samuel Mahelona Memorial Hospital?
Ownership type is government, state. Organisations in the CMS ownership record include Samuel Mahelona Memorial Hospital and Samuel Mahelona Memorial Hospital. Individual owners and managers are not listed on this site.
When was Samuel Mahelona Memorial Hospital last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 14 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.