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Nursing home · Top rated by CMS

Samuel Mahelona Memorial Hospital

4800 Kawaihau Road, Kapaa, HI 96746 · Map
Government - State · 66 certified beds

Medicare and Medicaid certified
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Samuel Mahelona Memorial Hospital is a Medicare-certified nursing home in Kapaa, Hawaii. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 5/5 for health inspections). Nurse staffing is 6.08 hours per resident per day, above the Hawaii average of 4.71. Its most recent inspection on Nov 22, 2024 cited 4 deficiencies.

5 out of 5Overall CMS rating
5 out of 5Health inspections
5 out of 5Staffing
66 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating5/5
Health inspections5/5
Staffing5/5
Quality measures5/5
Long-stay quality5/5
Short-stay qualityNo data

How Samuel Mahelona Memorial Hospital compares

This facility vs. the Hawaii and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityHawaii avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)6.084.713.89above avg
RN staffing (hrs/resident/day)2.241.630.68above avg
Aide staffing (hrs/resident/day)3.472.732.34above avg
Nursing staff turnover7.3%36.5%46.4%below avg
Deficiencies cited, last inspection4.010.49.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

6.08Total nurse hrs/resident/day
2.24RN hrs/resident/day
0.37LPN hrs/resident/day
3.47Aide hrs/resident/day
5.62Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff7.3%
Registered nurses9.1%
Administrator changes—

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Nov 22, 2024Most recent inspection
4Deficiencies found
20Health inspection score
0Fines

What inspectors found at Samuel Mahelona Memorial Hospital

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Nov 22, 2024 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Nov 22, 2024 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Nov 22, 2024 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Nov 22, 2024 · Full report (PDF)
  • Potential for harm

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

    Nutrition and Dietary Deficiencies · Dec 1, 2023 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 1, 2023 · Full report (PDF)
  • Potential for harm

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

    Infection Control Deficiencies · Dec 1, 2023 · Full report (PDF)
  • Potential for harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Resident Assessment and Care Planning Deficiencies · Dec 1, 2023 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Dec 1, 2023 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Dec 1, 2023 · Full report (PDF)
  • Potential for harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Environmental Deficiencies · Sep 30, 2022
  • Potential for harm

    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.

    Infection Control Deficiencies · Sep 30, 2022

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
4800 Kawaihau Road
Kapaa, HI 96746
CMS certification #
125029
Ownership
Government - State
Certified beds
66
Avg residents/day
46.2
Provider type
Medicare and Medicaid
First certified
1976-07-15
Setting
Rural

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Samuel Mahelona Memorial Hospital using Google Maps.

Other public records

Full public records, with dates and sources

Location and nearby care

Nearest hospital with an emergency room
Samuel Mahelona Memorial Hospital, Kapaa. 0.3 miles away, straight line.
Nearest Medicare nursing home
Garden Isle Healthcare and Rehabilitation Center, Lihue. 8.4 miles away, straight line.
Nearest home health agency office
Home Health Kauai, Lihue. 8.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Longs Drugs. 2.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 96746 as micropolitan (micropolitan core).
Dialysis within 15 miles
Liberty Dialysis Hawaii - Kauai Dialysis Facility, Lihue, 8.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Hospice
2 Medicare hospices tell CMS they serve ZIP code 96746.
Kauai Hospice, office in Lihue, 9.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Nearest geriatric medicine practice
Ashok Kannan, DO, Kapaa. 2.7 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, coastal flooding relatively low, wildfire relatively low, tornado very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteNo plain statements of services found

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Frequently asked questions

Is Samuel Mahelona Memorial Hospital a good nursing home?

CMS gives Samuel Mahelona Memorial Hospital an overall rating of 5 out of 5 stars, including 5/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Samuel Mahelona Memorial Hospital staffed?

Samuel Mahelona Memorial Hospital reports 6.08 total nurse hours per resident per day, compared with the Hawaii average of 4.71.

Has Samuel Mahelona Memorial Hospital had inspection problems?

Its most recent CMS inspection cited 4 deficiencies.

How many beds does Samuel Mahelona Memorial Hospital have?

Samuel Mahelona Memorial Hospital is certified for 66 beds.