SAMUEL MAHELONA MEMORIAL HOSPITAL
4800 KAWAIHAU ROAD, KAPAA, HI 96746 · CCN 125029
Ratings
- Overall
- ★★★★★ 5
- Health inspection
- ★★★★★ 5
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★★ 5
Facility
- Ownership type
- Government - State
- Certified beds
- 66
- Avg residents/day
- 46.2
- Phone
- 8088224961
Inspection history vs Hawaii & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Hawaii avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-11-22 | 4 | 10.7 | 9.5 | -6.7 better |
| 2 | 2023-12-01 | 6 | 12.4 | 9.8 | -6.4 better |
| 3 | 2022-09-30 | 7 | 12.4 | 9.3 | -5.4 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 6.08 | 7.3% |
| RN staffing (reported) | 2.24 | 9.1% |
| Total nurse staffing (adjusted) | 5.92 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (17)
- DF0584Honor 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.2024-11-22 · Health · corrected 2025-01-03
Potential for more than minimal harm
- DF0761Ensure 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.2024-11-22 · Health · corrected 2024-12-27
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-11-22 · Health · corrected 2024-12-20
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-22 · Health · corrected 2024-12-27
Potential for more than minimal harm
- DF0578Honor 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.2023-12-01 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0584Honor 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.2023-12-01 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-12-01 · Health · corrected 2024-01-05
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-12-01 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-01 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-12-01 · Health · corrected 2024-01-05
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- EF0887Educate 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.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-09-30 · Health · corrected 2022-11-11
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SAMUEL MAHELONA MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-03-17 |
| SAMUEL MAHELONA MEMORIAL HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2015-04-01 |
| ASATO, CHRISTINE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| FRANKLIN, NICHOLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-08-16 |
| SEGAWA, LANCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-04-01 |
| ASATO, CHRISTINE | Individual | CORPORATE OFFICER | — | 2018-04-01 |
| SEGAWA, LANCE | Individual | CORPORATE OFFICER | — | 2018-04-01 |
Other facilities in KAPAA
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.