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Data / Nursing homes / Hawaii / Samuel Mahelona Memorial Hospital

Samuel Mahelona Memorial Hospital, Kapaa, HI: 5 star rating, fined $17,155 across 1 fine

Samuel Mahelona Memorial Hospital in Kapaa, HI is owned by Samuel Mahelona Memorial Hospital, is rated 5 of 5 stars by Medicare, and was fined $17,155 across 1 fine in the three years to October 1, 2026. CMS lists 18 health citations from inspections in that time, the latest survey on May 14, 2026, and 1 of them found actual harm or immediate jeopardy.

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Address
4800 Kawaihau Road, Kapaa, HI 96746
Overall rating
5 of 5 stars
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measure rating
4 of 5
Certified beds
66
Residents per day
47 on average
Ownership type
Government, State
Legal business name
Samuel Mahelona Memorial Hospital
Fines
$17,155 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
18, of which 1 with actual harm or immediate jeopardy
Latest survey
May 14, 2026
CMS Certification Number
125029
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 14, 2026Fine$17,155Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 14, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F887Educate 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 15, 2026data.cms.gov
May 14, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 14, 2026F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
November 22, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
November 22, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmPlan of correctionDecember 20, 2024data.cms.gov
November 22, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 27, 2024data.cms.gov
November 22, 2024F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2025data.cms.gov
December 1, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
December 1, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
December 1, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
December 1, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
December 1, 2023F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov
December 1, 2023F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 5, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (10 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Samuel Mahelona Memorial HospitalDirect owner100%March 17, 2017data.cms.gov
Samuel Mahelona Memorial HospitalOperational or managerial controlNot listedApril 1, 2015data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.