ElderGrade
A

91.6/100

Excellent

Samuel Mahelona Memorial Hospital

4800 Kawaihau Road, Kapaa, HI 96746

CMS 5/5 stars #1 of 5 in Kauai County (808) 822-4961
Certified beds
66
Occupancy
71%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

25.6/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -0.4 for 18 total citations against a national median of 17

Staffing

29/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 7.02 total nurse hours per resident per day (national median 3.77)
  • 2.18 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 8% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 6.10 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 2.18 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 5.66 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 7.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 18 citations

Last standard health inspection: May 14, 2026 (3 months ago).

G May 14, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Actual harm to a resident

E May 14, 2026 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

E May 14, 2026 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D May 14, 2026 F0552

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D May 14, 2026 F0628

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D May 14, 2026 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D May 14, 2026 F0883

Infection Control Deficiencies

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

No actual harm, potential for more than minimal harm

D May 14, 2026 F0887

Infection Control Deficiencies

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
BARNES, WALTER Individual MANAGING CONTROL - GOVERNING BODY
KANEKOA, ERNEST Individual MANAGING CONTROL - GOVERNING BODY
NOGAMI-STREUFERT, GLENDA Individual MANAGING CONTROL - GOVERNING BODY
OKADA-ASHER, DONNA Individual MANAGING CONTROL - GOVERNING BODY
RINTEL, THEODOR Individual MANAGING CONTROL - GOVERNING BODY
ROWLEY, DENNIS Individual MANAGING CONTROL - GOVERNING BODY
YUH, CHRISTOPHER Individual MANAGING CONTROL - GOVERNING BODY
ASATO, CHRISTINE Individual CORPORATE OFFICER
SEGAWA, LANCE Individual CORPORATE OFFICER
SAMUEL MAHELONA MEMORIAL HOSPITAL Organization OPERATIONAL/MANAGERIAL CONTROL
ASATO, CHRISTINE Individual OPERATIONAL/MANAGERIAL CONTROL
FRANKLIN, NICHOLAS Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Samuel Mahelona Memorial Hospital

What is the ElderGrade for Samuel Mahelona Memorial Hospital? +

Samuel Mahelona Memorial Hospital holds an ElderGrade of A (91.6 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Samuel Mahelona Memorial Hospital? +

Residents receive an average of 6.10 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Samuel Mahelona Memorial Hospital been cited for harming residents? +

Yes. 1 of the 18 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Samuel Mahelona Memorial Hospital accept Medicaid? +

Yes, Samuel Mahelona Memorial Hospital is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.