SAMUEL MAHELONA MEMORIAL HOSPITAL

KAPAA, HI · 66 beds · Government - State

100 Trust Score
Grade: A+ LOW Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • 5-star health inspection rating
  • 5-star staffing rating
  • Below-average deficiency count (4 vs 10 state avg)
  • No fines or penalties on record
  • Above-average RN staffing (2.18 hrs vs 1.46 state avg)
  • Low staff turnover (7%)

Quick Facts

★★★★★
CMS Overall
★★★★★
Health Inspection
4
0.4x state avg
Deficiencies
$0
Fines (3-yr)
★★★★★
Staffing

Violation Timeline

November 21, 2024

8 deficiencyies
F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: E

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

November 30, 2023

12 deficiencyies
F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F0578 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

Show details

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0883 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Show details

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

See full violation history →

Staffing

2.18
RN hrs/res/day
0.36
LPN hrs/res/day
3.38
CNA hrs/res/day
5.46
Weekend hrs/res/day
7%
Total nurse turnover
9%
RN turnover

A nurse checks on each resident roughly every 4.1 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

Government - State Independent (not part of a chain)
  • SAMUEL MAHELONA MEMORIAL HOSPITAL

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 03/17/2017

    100% Organization
  • SAMUEL MAHELONA MEMORIAL HOSPITAL

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2015

    Organization
  • ASATO, CHRISTINE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2018

    Individual
  • FRANKLIN, NICHOLAS

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 08/16/2022

    Individual
  • SEGAWA, LANCE

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 04/01/2018

    Individual
  • ASATO, CHRISTINE

    CORPORATE OFFICER

    Since since 04/01/2018

    Individual
  • SEGAWA, LANCE

    CORPORATE OFFICER

    Since since 04/01/2018

    Individual

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