Samuel Mahelona Memorial Hospital
4800 Kawaihau Road, Kapaa, HI 96746
Samuel Mahelona Memorial Hospital, a 66-bed government - state nursing facility in Kapaa, HI, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #10 of 41 rated homes in HI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 8088224961
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #10 of 41
- In-state rank among rated HI homes
- 6.10
- Well above average · nurse hrs/day · nat'l 3.86
- 18
- Inspection findings · 1 serious
The verdict
Samuel Mahelona Memorial Hospital, a 66-bed government - state nursing facility in Kapaa, HI, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #10 of 41 rated homes in HI on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 5 / 5
- CMS overall · national 3.0
- #10 of 41
- In-state rank among rated HI homes
- 6.10
- Nurse hrs/resident-day · national 3.86
- 18
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 43 HI nursing homes split by ownership sector
This facility is recorded as Government - State. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 125029
- Ownership
- Government - State
- Provider Type
- Medicare and Medicaid
- Beds
- 66
- Residents
- 47
- In Hospital
- Yes
- County
- Kauai
- Last Inspection
- May 14, 2026
Staffing Data
How the 6.10 total nursing hours per resident-day are staffed:
- RN Hours
- 2.18 (nat'l avg: 0.69)
- LPN Hours
- 0.41
- CNA Hours
- 3.52
- Total Nursing Hours
- 6.10 (nat'l avg: 3.86)
- PT Hours
- 0.01
- Nursing Turnover
- 7.5%
- RN Turnover
- 9.5%
What the CMS Record Reveals About Samuel Mahelona Memorial Hospital
According to CMS Nursing Home Compare, Samuel Mahelona Memorial Hospital ranks #10 of 41 rated nursing homes in HI on overall stars (tie-broken by health+staffing+quality, then fewer fines). Samuel Mahelona Memorial Hospital operates 66 certified beds in Kapaa, HI with approximately 47 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 4★).
The inspection file contains 18 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 6.10 total nursing hours (national average 3.86) and 2.18 RN hours.
Classified as "Government - State" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Samuel Mahelona Memorial Hospital falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 7.5% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
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.
Category: Infection Control Deficiencies
Corrected: Jun 26, 2026
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Jun 26, 2026
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.
Category: Pharmacy Service Deficiencies
Corrected: Jun 26, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Category: Resident Rights Deficiencies
Corrected: Jun 26, 2026
Ensure that residents are fully informed and understand their health status, care and treatments.
Category: Resident Rights Deficiencies
Corrected: Jun 26, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 15, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 26, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 26, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Dec 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.
Category: Pharmacy Service Deficiencies
Corrected: Dec 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.
Category: Resident Rights Deficiencies
Corrected: Jan 3, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 20, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Category: Infection Control Deficiencies
Corrected: Jan 5, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 5, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 5, 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.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Jan 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jan 5, 2024
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.6% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.4% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.6% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.4% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.5% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 4.9% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 14.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | N/A | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Samuel Mahelona Memorial Hospital, both outside HI so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside HI (66 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside HI (7.02 here).
Nearby Nursing Homes in HI
42 other nursing homes are on record in HI; 6 are shown here.
15 Craigside
Honolulu, HI
Aloha Nursing & Rehab Centre
Kaneohe, HI
Ann Pearl Nursing Facility
Kaneohe, HI
Arcadia Retirement Residence
Honolulu, HI
Avalon Care Center - Honolulu, LLC
Honolulu, HI
Daniel K Akaka State Veterans Home
Kapolei, HI
Understanding Nursing Home Data
What the CMS records show for Samuel Mahelona Memorial Hospital
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The HI registry aggregates state averages and the highest-rated homes in this cohort. View HI registry
- Peer homes near 66 beds show how CMS stars vary at a similar scale in HI. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Samuel Mahelona Memorial Hospital?
Where does Samuel Mahelona Memorial Hospital rank among nursing homes in HI?
What are the staffing levels at Samuel Mahelona Memorial Hospital?
How many beds does Samuel Mahelona Memorial Hospital have?
Does Samuel Mahelona Memorial Hospital have any deficiencies on record?
Has Samuel Mahelona Memorial Hospital received any fines or penalties?
Who owns Samuel Mahelona Memorial Hospital?
When was Samuel Mahelona Memorial Hospital last inspected?
What quality measures are tracked for Samuel Mahelona Memorial Hospital?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
