Samuel Mahelona Memorial Hospital
Nursing Home · Kapaa, HI
CMS certification number125029
Contact & location
4800 Kawaihau RoadKapaa, HI 96746
Kauai County
- Phone
- (808) 822-4961
- ZIP code
- 96746 – all care providers
Facility details
- Certified beds
- 66
- Residents per day
- 47.1 (71% occupied)
- Ownership
- Government - State
- Medicare certified since
- July 15, 1976
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 6.10 (state 4.97 · U.S. 3.86)
- Registered nurses (RN)
- 2.18 (state 1.75 · U.S. 0.69)
- Licensed practical nurses
- 0.41 (state 0.34 · U.S. 0.86)
- Nurse aides
- 3.52 (state 2.88 · U.S. 2.32)
- Weekend total
- 5.66 (state 4.41 · U.S. 3.42)
- Nursing staff turnover
- 7.5 (state 36.4 · U.S. 45.8)%
- RN turnover
- 9.5 (state 31.5 · U.S. 42.9)%
Inspections
- Last standard inspection
- May 14, 2026
- Health deficiencies (last cycle)
- 8.0 (state 10.0 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 18 health · 2 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2026-06-26 |
| 2026-05-14 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-15 |
| 2026-05-14 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2026-05-14 | 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-26 |
| 2024-11-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-11-22 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-03 |
| 2024-11-22 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2024-11-22 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-27 |
| 2023-12-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-01 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-01 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-01 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-01 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
| 2023-12-01 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-05 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Samuel Mahelona Memorial Hospital (organization) | 5%+ Direct Ownership Interest · 100% | |
| Franklin, Nicholas (individual) | Administrator · NOT APPLICABLE | |
| Segawa, Lance (individual) | Administrator · NOT APPLICABLE | |
| Asato, Christine (individual) | Corporate Officer · NOT APPLICABLE | |
| Segawa, Lance (individual) | Corporate Officer · NOT APPLICABLE | |
| Barnes, Walter (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kanekoa, Ernest (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Nogami-Streufert, Glenda (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Okada-Asher, Donna (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Rintel, Theodor (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Rowley, Dennis (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Yuh, Christopher (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Asato, Christine (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Franklin, Nicholas (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Samuel Mahelona Memorial Hospital (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Segawa, Lance (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Samuel Mahelona Memorial Hospital?
Samuel Mahelona Memorial Hospital has a 5-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.6-star average in Hawaii.
How many beds does Samuel Mahelona Memorial Hospital have?
It has 66 certified beds and cares for about 47 residents per day.
Has Samuel Mahelona Memorial Hospital been fined?
CMS lists no federal fines or payment denials in the last three years.
What is the phone number of Samuel Mahelona Memorial Hospital?
(808) 822-4961. The facility is located at 4800 Kawaihau Road, Kapaa, HI 96746.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.