Samuel Mahelona Memorial Hospital
4800 KAWAIHAU ROAD, Kapaa, HI 96746
Kapaa, Hawaii · CMS verdict
Samuel Mahelona Memorial Hospital holds a 5 of 5 CMS overall star rating - above the Hawaii state average of 3.6, reflecting above-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Samuel Mahelona Memorial Hospital in Kapaa, Hawaii holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 93 of 100 (grade A). The 66-bed facility operates where a semi-private nursing-home room in Hawaii runs a median of $15,473 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (upper star tercile)
This facility's 5/5 CMS overall rating sits in the upper U.S. star tercile (>4/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 93 is built
Each segment is a dimension's weighted points toward the score, summing to 93.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Samuel Mahelona Memorial Hospital's upper-tercile CMS stars
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Samuel Mahelona Memorial Hospital's overall quality rating at 5 out of 5 stars, a composite of three sub-ratings: health inspection (5/5), staffing (5/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Kapaa, Hawaii, this facility operates 66 certified beds with an average daily census of roughly 46 residents - an occupancy rate of about 70%. The facility is classified under government - state ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 70% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (17 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Samuel Mahelona Memorial Hospital's upper-tercile stars compare to Hawaii
CMS five-star sub-ratings (0–5) for this facility against the Hawaii facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Hawaii state average. Higher is better on all four CMS measures.
Facility details
| Attribute | Value |
|---|---|
| Beds | 66 |
| Residents | 46 |
| Ownership | Government - State |
| County | Kauai |
| Penalties | 0 |
| Deficiencies | 17 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Samuel Mahelona Memorial Hospital? ▾
5 out of 5 stars is Samuel Mahelona Memorial Hospital's current CMS overall rating, built from a health inspection rating of 5/5, a staffing rating of 5/5, and a quality measures rating of 5/5.
How much does a nursing home cost per month in Hawaii? ▾
The median cost for a semi-private nursing home room in Hawaii is $15,473 per month ($185,679 annually). A private room averages $16,395 per month. Costs are from the CareScout 2025 survey.
What services does Samuel Mahelona Memorial Hospital offer? ▾
With 66 beds with approximately 46 current residents, Samuel Mahelona Memorial Hospital is a skilled nursing facility. It operates under government - state ownership, and CMS's inspection record shows 17 deficiencies and 0 penalties.
Does Samuel Mahelona Memorial Hospital have any deficiencies or penalties? ▾
Samuel Mahelona Memorial Hospital has multiple deficiencies (17 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Hawaii? ▾
In Hawaii, alternatives include assisted living ($12,096/mo), home health aides ($7,817/mo), and adult day care ($2,551/mo).
Keep reading
Also see the Hawaii elder-care overview and highest-rated states. Provider ID: 125029.
Read our methodology - how this data is sourced, computed, and verified.