SAMUEL MAHELONA MEMORIAL HOSPITAL

The information listed below provides an in-depth look into the type and quality of care offered at Samuel Mahelona Memorial Hospital. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

SAMUEL MAHELONA MEMORIAL HOSPITAL
4800 KAWAIHAU ROAD
KAPAA, HI 96746
(808) 822-4961

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

89%

Number of Residents and Certified Beds

  • Residents: 59
  • Certified Beds: 66

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - State
  • Offers Both Resident and Family Counseling Services
  • Located Inside of a Hospital Facility
  • This Facility is Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Lihue | Koloa | Waimea

Rating Details For Samuel Mahelona Memorial Hospital

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours51 Minutes43 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours1 Hour and 1 Minutes34 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 54 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 52 Minutes1 Hour and 17 Minutes
Total Nurse Hours4 Hours and 46 Minutes3 Hours and 43 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Hawaii are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityHawaii Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious11%12%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%9%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%3%
Percent of Long-Stay Residents Who Lose Too Much Weight1%7%
Percent of Long-Stay Residents Who Were Physically Restrained-6%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%6%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%63%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%87%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/22/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Environmental

Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 01/25/2008
  • Correction Date: 03/24/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/29/2009
Be Designed, Built, Equipped, or Well Kept to Protect the Health and Safety of Residents, Workers, and the Public.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/29/2009
Keep Safe, Clean and Homelike Surroundings.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010
Make Sure There is a Program to Prevent/Deal with Mice, Insects, or Other Pests.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010

Nutrition and Dietary

Provide Food in a Way That Meets a Resident's Needs.
  • Inspection Date: 01/25/2008
  • Correction Date: 03/24/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/29/2009

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/25/2008
  • Correction Date: 03/24/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/03/2009
  • Correction Date: 05/29/2009
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/22/2010
  • Correction Date: 09/27/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Samuel Mahelona Memorial Hospital had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 07/22/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 04/01/2009
  • Correction Date: 05/29/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/01/2009
  • Correction Date: 05/29/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 01/23/2008
  • Correction Date: 03/24/2008
Source: Medicare Nursing Home Compare; Hawaii Department of Health - Retrieved 2011