The Nyandiwa Level 4 Hospital in Homa Bay County is embroiled in controversy after local residents claimed it has never been operational, despite the Social Health Authority (SHA) CEO Mercy Mwangangi's assertion of its long-standing operation. This comes after the hospital was listed as having received a Ksh20 million disbursement from SHA in August 2025.

• The Nyandiwa Level 4 Hospital allegedly received Ksh20 million from the SHA for an August 2025 disbursement.
• Residents report traveling to Rachuonyo for medical services, stating the hospital has been a "waste project" and never operational.
• SHA CEO Mercy Mwangangi refuted claims of the hospital being a "ghost facility," maintaining it is operational, while Health CS Aden Duale reportedly called its inclusion an error.