facebook tracking Samuel Mahelona Memorial Hospital, Kapaa HI: CMS Ratings
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Samuel Mahelona Memorial Hospital

All states › Hawaii › Kapaa › Samuel Mahelona Memorial Hospital

4800 Kawaihau Road Kapaa, HI 96746 · Kauai County

(808) 822-4961

Accepts Medicare Accepts Medicaid 66 certified beds Government

CMS certification number 125029 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Samuel Mahelona Memorial Hospital a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Samuel Mahelona Memorial Hospital as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Hawaii average of 3.8. Inspectors issued 18 citations in the last three years. CMS imposed 1 penalty, including $17,155 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 6.20 hours per resident per day at Samuel Mahelona Memorial Hospital, above the Hawaii median of 4.62 (US median: 3.72). About 2.27 of those hours are from registered nurses. On weekends it falls to 5.65 hours, 9% below its all-week average. 7.3% of nursing staff left within a year (Hawaii median 32.8%). That is lower than most homes in Hawaii, a sign of a steadier team.

Nursing care per resident per day 6.20 hours
Above the Hawaii median of 4.62 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 2.27 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 5.65 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 7.3% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 4.8% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds66
Residents per day 47 About 71% of beds filled, on average
OwnershipGovernment - State
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1976
Legal business nameSAMUEL MAHELONA MEMORIAL HOSPITAL
Located in a hospitalYes

Paying for care at Samuel Mahelona Memorial Hospital: Medicare and Medicaid

Samuel Mahelona Memorial Hospital is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Hawaii's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

This home is located in a hospital.

Health inspections

The most recent standard inspection was on May 14, 2026 and found 7 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 18 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 18 citations at Samuel Mahelona Memorial Hospital across 3 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 14, 2026. The most common areas cited were resident rights (5) and infection control (3). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, May 14, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.

May 14, 2026 · 8 citations · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jun 26, 2026)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 26, 2026)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 15, 2026)

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Jun 26, 2026)

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Deficient, Provider has date of correction (Jun 26, 2026)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 26, 2026)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jun 26, 2026)

DEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Jun 26, 2026)

November 22, 2024 · 4 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has plan of correction (Dec 20, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 3, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Dec 27, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Dec 27, 2024)

December 1, 2023 · 6 citations · includes complaint inspection

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 5, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Jan 5, 2024)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jan 5, 2024)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jan 5, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Jan 5, 2024)

DDevelop and implement policies and procedures for flu and pneumonia vaccinations.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0883 · Deficient, Provider has date of correction (Jan 5, 2024)

Questions to ask on a tour of Samuel Mahelona Memorial Hospital

  1. Inspectors cited the home at the actual-harm level on May 14, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on December 1, 2023. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $17,155 in fines.

DateTypeAmount or length
May 14, 2026 Fine $17,155

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 5/5 4/5
August 2026 5/5 4/5 5/5 4/5
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Location

Hospitals near Samuel Mahelona Memorial Hospital

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Garden Isle Healthcare and Rehabilitation Center Lihue · 8.4 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 110 beds · Medicaid
Hale Kupuna Heritage Home Koloa · 16.1 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 84 beds · Medicaid
Kauai Veterans Memorial Hospital Waimea · 24.7 mi away ★★★★★ Inspection 3/5 · Staffing 5/5 20 beds · Medicaid
Kauai Care Center Waimea · 24.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 4/5 53 beds · Medicaid
Pu'uwai 'o Makaha Waianae · 82.6 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 93 beds · Medicaid

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/hawaii/kapaa/samuel-mahelona-memorial-hospital/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.