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    Nursing home · KAPAA, HI

    SAMUEL MAHELONA MEMORIAL HOSPITAL

    4800 KAWAIHAU ROAD, KAPAA, HI 96746

    CMS certification number: 125029 · Updated October 1, 2026

    Request care assistance8088224961Directions

    At a glance

    Official CMS profile

    CMS overall rating

    5 / 5

    Certified beds

    66

    Residents / day

    46.9

    Ownership

    Government - State

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Government - State
    County
    Kauai
    Certified beds
    66
    Average residents per day
    46.9
    First certified
    July 15, 1976

    CMS quality ratings

    Overall
    5 / 5
    Health inspections
    4 / 5
    Staffing
    5 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Kauai, Hawaii. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    5.00
    County peers
    3.75
    n=4
    State peers
    3.80

    Nurse hours / resident / day

    This home
    6.20
    County peers
    4.24
    n=4
    State peers
    4.96
    n=40

    Weekend nurse hours / resident / day

    This home
    5.65
    County peers
    3.83
    n=4
    State peers
    4.38
    n=40

    Nursing staff turnover (%)

    This home
    7.30
    County peers
    31.30
    n=4
    State peers
    35.20
    n=40

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 8.8% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 7.3% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    2
    Health citations
    18
    Resident measures
    17
    Ownership records
    16
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    6.19617
    Reported RN Staffing Hours per Resident per Day
    2.26722
    Reported LPN Staffing Hours per Resident per Day
    0.38484
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.54411
    Total number of nurse staff hours per resident per day on the weekend
    5.65307
    Registered Nurse hours per resident per day on the weekend
    1.87008
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01344
    Total nursing staff turnover
    7.3
    Registered Nurse turnover
    4.8
    Number of administrators who have left the nursing home
    Not reported
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    HI
    Urban
    N
    Chain ID
    Not reported
    Latitude
    22.0876
    Location
    4800 KAWAIHAU ROAD,KAPAA,HI,96746
    ZIP Code
    96746
    City/Town
    KAPAA
    Longitude
    -159.31
    QM Rating
    4
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Kauai
    Provider Name
    SAMUEL MAHELONA MEMORIAL HOSPITAL
    Provider Type
    Medicare and Medicaid
    Overall Rating
    5
    Ownership Type
    Government - State
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    5
    Provider Address
    4800 KAWAIHAU ROAD
    Telephone Number
    8088224961
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    SAMUEL MAHELONA MEMORIAL HOSPITAL
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.22880
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    4
    Number of Certified Beds
    66
    Provider SSA County Code
    040
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    4.8
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.87134
    Provider Resides in Hospital
    Y
    Total nursing staff turnover
    7.3
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    125029
    Administrator turnover footnote
    27
    Total Amount of Fines in Dollars
    17155.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    56
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    48.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    46.9
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    24
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    56
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    24
    Rating Cycle 1 Standard Survey Health Date
    2026-05-14
    Rating Cycle 2 Standard Health Survey Date
    2024-11-22
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    2.58159
    Case-Mix RN Staffing Hours per Resident per Day
    0.60265
    Reported RN Staffing Hours per Resident per Day
    2.26722
    Adjusted LPN Staffing Hours per Resident per Day
    0.43820
    Case-Mix LPN Staffing Hours per Resident per Day
    0.75097
    Reported LPN Staffing Hours per Resident per Day
    0.38484
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    8
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    5
    Rating Cycle 1 Number of Standard Health Deficiencies
    8
    Rating Cycle 2 Number of Standard Health Deficiencies
    4
    Reported Licensed Staffing Hours per Resident per Day
    2.65206
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    1
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    4.03552
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.04533
    Number of administrators who have left the nursing home
    Not reported
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.54411
    Adjusted Total Nurse Staffing Hours per Resident per Day
    7.05531
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.39895
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    1
    Reported Total Nurse Staffing Hours per Resident per Day
    6.19617
    Registered Nurse hours per resident per day on the weekend
    1.87008
    Date First Approved to Provide Medicare and Medicaid Services
    1976-07-15
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01344
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    6.43691
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.99133
    Total number of nurse staff hours per resident per day on the weekend
    5.65307

    COMMUNITY EXPERIENCE

    Reviews of SAMUEL MAHELONA MEMORIAL HOSPITAL

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026