Samuel Mahelona Memorial Hospital

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.05 therapist hours per resident per day in 2026Q1 — more than 2% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 66 beds and averages 47.1 residents a day — about 71% occupied, or roughly 19 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.10 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.18 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.52 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.66 hrs/resident/day on weekends vs 6.27 on weekdays — 10% thinner on weekends. RN hours go from 2.32 to 1.84 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 8% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · G2026-05-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to provide adequate supervision to prevent an accident for one of three residents (R) 13 sampled for accidents related to falls resulting in major injury and pain. The deficient practice puts all residents, who are at a high risk for falls, who are informally monitored on one to one for falls prevention, at great risk for a fall with injury and pain.Findings Include:On 08/06/25 at 4:49 PM the Office of Health Care Assurance received an initial report via fax from the facility reporting R13 had an unattended fall on 07/04/25 at 1:00 PM resulting in an Acute comminuted right femoral neck fracture. R13 was transferred to the hospital on [DATE] and underwent surgical repair on 07/05/25. R13 returned to the facility on [DATE] at 1015. Facility reported on 07/14/25 at 3:30 PM R13 had an unwitnessed fall from her wheelchair when she attempted to stand. X-rays were done showing Right proximal femoral endoprosthesis in place; No acute fractures identified. On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-14 · tag F0656 — failed to write and follow a full care plan — pattern
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to develop and implement individualized dementia care plans for three of four residents (Resident (R) 4, R6, and R7) reviewed for dementia care. This deficient practice placed residents with dementia at risk for unmet needs and failure to attain or maintain their highest practicable physical, mental, and psychosocial well-being. Findings Include:1) R6 is [AGE] year-old female admitted to the facility on [DATE] for long term care. Diagnoses included the following, but not limited, to high blood pressure, vascular dementia, type 2 diabetes, and motor speech disorder. Review of R6's Electronic Health Record (EHR) revealed R6 is prescribed psychotropic medications, has a diagnosis of dementia, and found no care plan related to dementia care. On 05/13/26 at 02:47 PM, an interview was conducted with Director of Nursing (DON). DON confirmed R6 did not have a care plan for dementia care. 2) R4 was admitted to the facility on [DATE] with diagnoses, but not limited…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-14 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, the facility failed to store and label food, and failed to ensure the ice machine in the kitchen was kept in clean and sanitary condition, in accordance with professional standards for food service safety. This deficient practice puts residents at risk for serious complications from foodborne illness as a result of their compromised health status. Unsanitary food handling and/or equipment maintenance practices represent a potential source of pathogen exposure for all residents at the facility. Findings Include: On 05/11/26 at 08:29 AM, during initial tour of the facility's kitchen, concurrent observation and interview were done with the Hospital Executive Chef (HEC). Observed large plastic container with expired uncooked rice with a use-by label date of 04/07/26. Multiple food items stored in the walk-in freezer observed as expired and without proper labels. HEC was queried if containers should be labeled correctly after food was transferred from the original containers and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on record review and interview, the facility failed to ensure a resident or resident representative was informed of treatment and provided consent for the use of psychotropic medication for one of five residents (Resident (R) 40) reviewed for unnecessary medications. This failure placed R40 at risk for receiving treatment without informed consent and compromised the resident's rights to participate in care planning and treatment decisions. Findings Include: Review of R40's physician orders revealed the resident was prescribed trazodone, an antidepressant medication, 50 milligrams (mg) every morning beginning on 11/10/25.Review of R40's Electronic Health Record (EHR) revealed no documented informed consent for trazodone 50mg prior to administration of the medication.On 05/13/26 at 02:01 PM, an interview was conducted with the Director of Nursing (DON), who confirmed the facility did not obtain consent for the administration of trazodone 50mg.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure the discharge/transfer form used by the facility was provided to the resident, resident's representative, and Ombudsman for one of three sampled residents (Resident (R)49). Findings include: On 05/12/26 at 01:36 PM, review of R49's Electronic Health Record (EHR) documented the resident was transferred and discharged to the hospital on [DATE] at 11:39 AM. Unable to locate a written discharge/transfer notification to the resident/resident representative or Ombudsman. Request a copy of the written transfer/discharge notification from the Director of Nursing (DON). On 05/13/26 at 02:28 PM, conducted an interview with the DON. DON confirmed a written notification was not provided to the resident, resident representative, and Ombudsman. Review of the facility's policy and procedure titled, Resident Transfer and Discharge with an effective date of 07/22/25, states that, .D. 1. Notice of discharge shall be provided to the resident and the resident's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-14 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews, the facility failed to ensure one of three treatment carts and one of three medication carts were locked when unattended by nursing staff. This deficient practice allowed unauthorized access to medications and treatment supplies, placing medications at risk for diversion and placing residents at risk for not receiving medications and dressing changes as prescribed.Findings Include:1) On 05/13/26 at 08:34 AM, during medication administration observation, observed the treatment cart with prescribed topical medications and other supplies for the residents in the hallway unlocked and unsecured. Registered Nurse (RN) 24 was asked if medication cart should be locked when not in use, or before leaving treatment cart to administer medication to residents, RN24 confirmed that it should be locked and secured. RN24 stated that she forgot to lock the cart after grabbing band aid to apply to a resident's wound. On 05/13/26 at 09:20 AM, an interview was conducted with the Director of Nursing (DON). Shared observation of the unlocked treatment cart with DON…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-05-14 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to provide education for five of five residents (Resident (R) 1, R3, R4, R7 and R13) or their representative, reviewed for influenza immunizations, regarding the risks and benefits and potential side effects of influenza immunization before offering the influenza immunization and obtaining consent or declination from the resident or their representative. This deficient practice puts all residents at risk of not being fully informed about their risks and benefits and potential side effects of receiving or declining the influenza immunization.Findings Include:On 05/12/26 at 02:53 PM, record review was conducted for R1, R3, R4, R7 and R13 to assure each resident received or declined their annual influenza vaccination for 2025. The facility was able to provide copies of these residents' consent/declination forms.Review of R1's form found it was dated 09/28/25 and consent was given for the influenza vaccination. Review of this form found the facility staff had circled N (No) for I was provided with education and the CDC…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0887 — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to provide education for one of five residents (Resident (R) 1) or their representative, reviewed for COVID-19 vaccine, regarding the benefits and risks and potential side effects associated with the COVID-19 vaccine before offering the vaccine and obtaining consent or declination from the resident or their representative. This deficient practice puts all residents at risk of not being fully informed about the benefits and risks and potential side effects associated with the COVID-19 vaccine administered at the facility.Findings Include:On 05/12/26 at 02:53 PM, record review was conducted for R1 to assure the resident received or declined their COVID-19 vaccine. The facility was able to provide a copy of R1's consent/declination form.Review of R1's consent/declination form found it was dated 09/28/25 and consent was given for the COVID-19 vaccination. Review of this form found the facility staff had circled N (No) for I was provided with education and the CDC Vaccination Information Statement (VIS) (if available) about the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-11-22 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record review, the facility failed to dispose of food items that have passed the use by date and store food in accordance with professional standards. This deficient practice puts all the residents and staff who consume food or drink prepared at the facility at risk for foodborne illnesses. Findings include: 1) On 11/19/24 at 11:16 AM, initial tour of the kitchen was done with Hospital Executive Chef (HEC). Inspection of the dry goods storage was done. Observed three jars of mustard with an expiration date of 05/08/24 on the storage shelf. HEC acknowledged that they were past the manufacturer's stated expiration date and removed them from the shelf. An opened jar of mustard was also found in the refrigerator by the food preparation area with an expiration date of 05/08/24 and confirmed by Kitchen Helper (KH)3. During the inspection of the walk-in refrigerator, observed 10 one-quart jugs of milk with an expiration date of 10/29/24. HEC asked another kitchen worker to remove them from the refrigerator and discard them. 2) On 11/19/24 at 01:28 PM,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Dcited before2024-11-22 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews, the facility failed to ensure a comfortable temperature level for one Resident (R12) sampled. Observed R12 was lying in bed with a blanket covering his entire body, including his face and R12's Family Member (FM)3 seated under the air conditioner (AC). The room was noticeably colder in R12's portion of the room and the AC was blowing directly onto R12. R12 and FM3 reported the room is too cold, the air conditioner constantly blows cold air directly onto him, and must cover his entire body, head included, to avoid the cold air even when he has visitors. Director of Nursing (DON) confirmed the temperature in R12's room was colder than the temperature displayed on the AC controller and the cold air from the AC is not a comfortable temperature for R12. As a result of this deficient practice, residents are at risk for more that minimal physical and psychosocial harm. Findings include: On 11/19/24 at 01:15 PM, Surveyor (S)1 entered room [ROOM NUMBER] walked the room and observed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-22 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to discard expired medication stored in the medication cart for one Resident. The deficient practice potentially places residents at risk for more than minimal harm. Findings include: On [DATE] at 08:35 AM, conducted an inspection of a medication cart with Registered Nurse (RN)45. Observed an expired bottle of Melatonin, 5 milligrams (mg) (a medication used for sleep), expiration date of 10/2024, was stored in the medication cart. The bottle was labeled with Resident (R) 37's name. RN45 reviewed the bottle of Melatonin and confirmed the expired medication should have been removed from the cart. RN45 confirmed the resident currently resides in the facility and takes the medication every night. Electronic Health Record (EHR) reviewed. R37's Medication Administration Record (MAR) documented R37 was administered two expired tablets of Melatonin 5 mg every evening and had last received the medication on [DATE] at 06:00 PM, last night. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in HI