SAMUEL MAHELONA MEMORIAL HOSPITAL

In hospital · Government - State · 66 certified beds · CCN 125029 · SAMUEL MAHELONA MEMORIAL HOSPITAL · Kauai · HI


SAMUEL MAHELONA MEMORIAL HOSPITAL is a 66-bed nursing home in KAPAA, Hawaii. CMS has certified it for Medicare and Medicaid since 1976-07-15. It averages 47.1 residents a day.

What harm was found in the violations cited at SAMUEL MAHELONA MEMORIAL HOSPITAL?

CMS lists 18 health-inspection deficiencies for SAMUEL MAHELONA MEMORIAL HOSPITAL, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-14.

Survey dateTagDeficiencySeverity
2026-05-14F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2026-05-14F0656, F0812Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-05-14F0552, F0628, F0761, F0883, F0887Ensure that residents are fully informed and understand their health status, care and treatments. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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
2024-11-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2024-11-22F0584, F0761, F0842Honor 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-12-01F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-12-01F0578, F0584, F0609, F0842, F0883Honor 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. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D

How is SAMUEL MAHELONA MEMORIAL HOSPITAL staffed?

MeasureThis facilityHI average
Total nurse staffing hours per resident per day6.098824.97232
Total nursing staff turnover (%)7.536.4
Average number of residents per day47.181.9

Who owns SAMUEL MAHELONA MEMORIAL HOSPITAL?

SAMUEL MAHELONA MEMORIAL HOSPITAL is registered with CMS as Government - State, operates under the legal business name SAMUEL MAHELONA MEMORIAL HOSPITAL.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTSAMUEL MAHELONA MEMORIAL HOSPITALsince 03/17/2017
MANAGING CONTROL - GOVERNING BODYBARNES, WALTER, KANEKOA, ERNEST, NOGAMI-STREUFERT, GLENDA, OKADA-ASHER, DONNA, RINTEL, THEODOR, ROWLEY, DENNIS, YUH, CHRISTOPHERsince 01/01/2023
CORPORATE OFFICERASATO, CHRISTINE, SEGAWA, LANCEsince 04/01/2018
OPERATIONAL/MANAGERIAL CONTROLSAMUEL MAHELONA MEMORIAL HOSPITAL, ASATO, CHRISTINE, FRANKLIN, NICHOLAS, SEGAWA, LANCEsince 04/01/2015
ADP OF THE SNFFRANKLIN, NICHOLAS, SEGAWA, LANCEsince 01/29/2025

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