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SAMUEL MAHELONA MEMORIAL HOSPITAL

4800 KAWAIHAU ROAD
KAPAA, HI 96746 · 8088224961 · Kauai County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds66
OwnershipGovernment - State
State rank#8

By the numbers

18
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$0
Federal fines (CMPs)
The trend: Citations are rising — 8 in the most recent cycle versus 6 two cycles ago.

Recent Health Citations

May 14, 2026 · Health survey · F-tag 0887
D — No actual harm
Infection Control Deficiencies
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.
May 14, 2026 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
May 14, 2026 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
May 14, 2026 · Health survey · F-tag 0628
D — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 14, 2026 · Health survey · F-tag 0552
D — No actual harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
May 14, 2026 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 14, 2026 · Health survey · F-tag 0656
E — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
May 14, 2026 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Jun 26, 2026 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Nov 22, 2024 · Health survey · F-tag 0842
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 22, 2024 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Nov 22, 2024 · Health survey · F-tag 0584
D — No actual harm
Resident Rights Deficiencies
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.
Nov 22, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dec 1, 2023 · Health survey · F-tag 0883
D — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Dec 1, 2023 · Health survey · F-tag 0842
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 1, 2023 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Dec 1, 2023 · Health survey · F-tag 0584
D — No actual harm
Resident Rights Deficiencies
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.
Dec 1, 2023 · Health survey · F-tag 0578
D — No actual harm
Resident Rights Deficiencies
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.
Dec 1, 2023 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Showing the 18 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Hawaii →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.