Samuel Mahelona Memorial Hospital
Samuel Mahelona Memorial Hospital Information
| Facility Name | Samuel Mahelona Memorial Hospital |
| Location | 4800 Kawaihau Road, Kapaa, HI 96746 |
| County (SSA Code) | Kauai (40) |
| Phone Number | 808-822-4961 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 66 |
| Average Number of Residents | 47.8 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | Yes |
| Resident Family Council | Both |
| Provider Business Name | SAMUEL MAHELONA MEMORIAL HOSPITAL |
| Ownership Type | Government - State |
| Date First Approved | 1976-07-15 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.33358 |
| Reported LPN Staffing Hours per Resident per Day | 0.81122 |
| Reported RN Staffing - Hours per Resident per Day | 1.43901 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.25023 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.58381 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03104 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.11958 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.63193 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.26297 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.01449 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.90556 |
| Total Weighted Health Survey Score for three cycles | 97.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-22 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 112 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-24 |
| Rating cycle 2 - Health Deficiency Score | 112 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-10-07 |
| Rating cycle 3 - Health Deficiency Score | 278 |
| Rating cycle 3 - Total Health Inspection Score | 278 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 43544 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |