May 13, 2026

Suspect in fatal Hawaii nurse stabbing pleaded guilty last year to assaulting mental health worker

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A former Hawaii psychiatric hospital patient indicted Wednesday on a murder charge in the stabbing death of a nurse at the facility had pleaded guilty to a 2020 assault of a state mental health worker, court records show.

A grand jury indicted Tommy Kekoa Carvalho on a second-degree murder charge and a judge ordered him held without bail, the state attorney general’s office said.

Carvalho, 25, is accused of stabbing Justin Bautista, 29, a nurse working at a transitional group home at the Hawaii State Hospital in Kaneohe, a Honolulu suburb.

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