Skilled nursing facility · CMS certification number 125029
SAMUEL MAHELONA MEMORIAL HOSPITAL
KAPAA, Hawaii · Medicare and Medicaid
Certified beds, as filed in Care Compare: 66
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| SAMUEL MAHELONA MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/17/2017 |
| FRANKLIN, NICHOLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/30/2025 |
| SEGAWA, LANCE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/29/2025 |
| ASATO, CHRISTINE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2018 |
| SEGAWA, LANCE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2018 |
| BARNES, WALTER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2023 |
| KANEKOA, ERNEST | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2020 |
| NOGAMI-STREUFERT, GLENDA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 11/01/2020 |
| OKADA-ASHER, DONNA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/07/2015 |
| RINTEL, THEODOR | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/13/2023 |
| ROWLEY, DENNIS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2023 |
| YUH, CHRISTOPHER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/01/2024 |
| ASATO, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
| FRANKLIN, NICHOLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/16/2022 |
| SAMUEL MAHELONA MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2015 |
| SEGAWA, LANCE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2018 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SAMUEL MAHELONA MEMORIAL HOSPITAL (enrollment ID O20170403000085).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| SAMUEL MAHELONA MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/17/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| LANCE K SEGAWA | Individual | ADP OF THE SNF | Not stated in the filing | 1/29/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICHOLAS P FRANKLIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE M ASATO | Individual | CORPORATE OFFICER | 50 | 4/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE K SEGAWA | Individual | CORPORATE OFFICER | 100 | 4/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTOPHER YUH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS ROWLEY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DONNA OKADA-ASHER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/7/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERNEST KANEKOA | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLENDA NOGAMI-STREUFERT | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 11/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THEODOR RINTEL | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WALTER BARNES | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHRISTINE M ASATO | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LANCE K SEGAWA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NICHOLAS P FRANKLIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/16/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMUEL MAHELONA MEMORIAL HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- April 1, 2025: CHRISTINE M ASATO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LANCE K SEGAWA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ERNEST KANEKOA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: DONNA OKADA-ASHER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 7, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CHRISTOPHER YUH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LANCE K SEGAWA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: THEODOR RINTEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: DENNIS ROWLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: WALTER BARNES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: NICHOLAS P FRANKLIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: NICHOLAS P FRANKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GLENDA NOGAMI-STREUFERT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- November 1, 2023: CHRISTINE M ASATO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: CHRISTINE M ASATO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: CHRISTINE M ASATO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LANCE K SEGAWA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LANCE K SEGAWA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LANCE K SEGAWA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since March 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- October 2, 2023: CHRISTINE M ASATO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHRISTINE M ASATO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHRISTINE M ASATO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GRAHAM TIMOTHY CHELIUS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JAMES W MCGEE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LANCE K SEGAWA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LANCE K SEGAWA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LANCE K SEGAWA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TRAVIS H PARKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Recent changes on this record
- April 1, 2025: CHRISTINE M ASATO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LANCE K SEGAWA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: ERNEST KANEKOA (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: DONNA OKADA-ASHER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since December 7, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: CHRISTOPHER YUH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: LANCE K SEGAWA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 29, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: THEODOR RINTEL (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since February 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: DENNIS ROWLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since July 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: WALTER BARNES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: NICHOLAS P FRANKLIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since January 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: NICHOLAS P FRANKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since August 16, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- April 1, 2025: GLENDA NOGAMI-STREUFERT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-04-01.csv
- November 1, 2023: CHRISTINE M ASATO (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: CHRISTINE M ASATO (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: CHRISTINE M ASATO (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LANCE K SEGAWA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LANCE K SEGAWA (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: LANCE K SEGAWA (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- November 1, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2023; associated with this enrollment since March 17, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-11-01.csv
- October 2, 2023: CHRISTINE M ASATO no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHRISTINE M ASATO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: CHRISTINE M ASATO no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: GRAHAM TIMOTHY CHELIUS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: JAMES W MCGEE no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LANCE K SEGAWA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LANCE K SEGAWA no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: LANCE K SEGAWA no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: SAMUEL MAHELONA MEMORIAL HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- October 2, 2023: TRAVIS H PARKER no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 14, 2026 | November 22, 2024 | 8 | 0 |
| 2 | November 22, 2024 | December 1, 2023 | 4 | 1 |
| 3 | December 1, 2023 | September 30, 2022 | 6 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
18 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 14, 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | June 26, 2026 |
| May 14, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | June 26, 2026 |
| May 14, 2026 | Health | F 0656 | 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. | E | No | Deficient, Provider has date of correction | June 26, 2026 |
| May 14, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | June 26, 2026 |
| May 14, 2026 | Health | F 0761 | 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. | D | No | Deficient, Provider has date of correction | June 26, 2026 |
| May 14, 2026 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 14, 2026 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | June 26, 2026 |
| May 14, 2026 | Health | F 0887 | 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. | D | No | Deficient, Provider has date of correction | June 26, 2026 |
| November 22, 2024 | Health | F 0584 | 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. | D | No | Deficient, Provider has date of correction | January 3, 2025 |
| November 22, 2024 | Health | F 0761 | 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. | D | No | Deficient, Provider has date of correction | December 27, 2024 |
| November 22, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has plan of correction | December 20, 2024 |
| November 22, 2024 | Health | F 0842 | 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. | D | No | Deficient, Provider has date of correction | December 27, 2024 |
| December 1, 2023 | Health | F 0578 | 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. | D | No | Deficient, Provider has date of correction | January 5, 2024 |
| December 1, 2023 | Health | F 0584 | 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. | D | No | Deficient, Provider has date of correction | January 5, 2024 |
| December 1, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | January 5, 2024 |
| December 1, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 5, 2024 |
| December 1, 2023 | Health | F 0842 | 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. | D | No | Deficient, Provider has date of correction | January 5, 2024 |
| December 1, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | January 5, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - State |
| Legal Business Name | SAMUEL MAHELONA MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1976-07-15 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Kauai |
| Telephone Number | 8088224961 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 66 |
| Average Number of Residents per Day | 47.1 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on August 1, 2026.
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One email a day naming what moved on SAMUEL MAHELONA MEMORIAL HOSPITAL: the field, the value before, the value after, and the date of the file that first showed it.
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On April 1, 2025: CHRISTINE M ASATO no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for SAMUEL MAHELONA MEMORIAL HOSPITAL
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Hawaii at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 125029.