nursing home in Honolulu, HI

Islands Skilled Nursing & Rehabilitation

1205 Alexander Street, Honolulu, HI 96826 · (808) 773-8700

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★3
  • Quality measures★★★★★3
  • Special Focus candidate

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Islands Skilled Nursing & Rehabilitation at a glance

Islands Skilled Nursing & Rehabilitation is a 42-bed for-profit nursing home in Honolulu, Hawaii (Honolulu County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Hawaii average of 3.7.

Residents receive about 5.7 hours of nursing care per day (2.9 of them from registered nurses), better than the state average of 5 hours.

Its most recent standard health inspection (April 30, 2025) found 14 health citations. The Hawaii average is 9.2.

Federal regulators fined it 3 times in the past three years, totaling $108,251.

Nursing staff turnover is 40% per year (state average 36.4%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
42
Certified for
Medicare and Medicaid
Medicare-certified since
April 30, 2020
Resident/family council
Resident
County
Honolulu County
CMS Certification Number
125067

Ratings

MeasureThis facilityHawaii avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 53 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 54.4 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)3 / 54.3 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 54.3 / 53.8 / 5Worse

Staffing

This facility5.67 hrsHawaii average4.97 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Hawaii and U.S. averages
MeasureThis facilityHawaii avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)5.67 hrs4.97 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)2.89 hrs1.75 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.74 hrs2.88 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)4.99 hrs4.41 hrs3.42 hrsBetter
Nursing staff turnover (yearly) (lower is better)40%36.4%45.8%Better
Registered nurse turnover (yearly) (lower is better)44.8%31.5%42.9%Average
Administrators who left in the past year (lower is better)001Better

Inspections

This facility14Hawaii average9U.S. average9
Health citations in the most recent inspection: this facility vs. Hawaii and U.S. averages
MeasureThis facilityHawaii avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1499Worse
Citations from complaint investigations (latest cycle) (lower is better)013Better
Weighted health inspection score ⓘ (lower is better)11267.980.6Worse

Penalties

This facility3Hawaii average1U.S. average1
Fines in the past 3 years: this facility vs. Hawaii and U.S. averages
MeasureThis facilityHawaii avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)311Worse
Total fines in the past 3 years (lower is better)$108,251$19,339$30,972Worse
All federal penalties in the past 3 years (lower is better)311Worse

Size

MeasureThis facilityHawaii avg.U.S. avg.vs. U.S.
Certified beds42101107
Average residents per day368286
Occupancy86.7%81.5%80.9%

Long-stay residents

This facility0%Hawaii average1.9%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Hawaii and U.S. averages
MeasureThis facilityHawaii avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0%1.9%3.2%Better
Long-stay residents with pressure ulcers (lower is better)7.4%3.4%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)3.3%11.9%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)6.3%2.4%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)10%1%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)13.6%16.8%13.9%Average
Long-stay residents who lose too much weight (lower is better)3.2%4.9%5.2%Better
Long-stay residents with depressive symptoms (lower is better)0%1.2%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.3%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)14.3%9.1%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)9.1%17.6%19%Better
Long-stay residents given a flu vaccine (higher is better)100%95.4%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)96.8%96.1%93.6%Average

Short-stay residents

This facility0%Hawaii average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Hawaii and U.S. averages
MeasureThis facilityHawaii avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.4%1.6%Better
Short-stay residents given a pneumonia vaccine (higher is better)62.7%82.7%82%Worse

Inspection citations

State inspectors cited this home for 64 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
April 30, 2025
Standard
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Tag F0851
F
Potential harm, widespread
Corrected June 27, 2025
April 30, 2025
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
F
Potential harm, widespread
Corrected June 27, 2025
April 30, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected June 27, 2025
April 30, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected June 27, 2025
April 30, 2025
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected June 27, 2025
April 30, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected June 27, 2025
July 18, 2024
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
G
Actual harm, isolated
Corrected September 13, 2024
July 18, 2024
Complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected September 5, 2024
July 18, 2024
Complaint
Provide or arrange emergency care by a doctor 24 hours a day.
Nursing and Physician Services Deficiencies · Tag F0713
D
Potential harm, isolated
Corrected September 5, 2024
July 18, 2024
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected September 5, 2024
July 18, 2024
Complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Resident Rights Deficiencies · Tag F0626
D
Potential harm, isolated
Corrected September 5, 2024
July 18, 2024
Complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · Tag F0622
D
Potential harm, isolated
Corrected September 5, 2024
May 16, 2024
Standard
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Administration Deficiencies · Tag F0838
F
Potential harm, widespread
Corrected June 30, 2024
May 16, 2024
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
F
Potential harm, widespread
Corrected July 8, 2024
May 16, 2024
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected August 2, 2024
May 16, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected July 12, 2024
May 16, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected June 30, 2024
May 16, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected July 12, 2024
May 16, 2024
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
E
Potential harm, pattern
Corrected June 25, 2024
May 16, 2024
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
E
Potential harm, pattern
Corrected July 12, 2024
May 16, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected July 25, 2024
May 16, 2024
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected June 30, 2024
May 16, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected July 12, 2024
May 16, 2024
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected July 12, 2024
May 16, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected July 12, 2024
May 16, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected July 4, 2024
May 16, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected July 12, 2024
May 16, 2024
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected August 2, 2024
May 16, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected July 1, 2024
May 16, 2024
Standard
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · Tag F0551
D
Potential harm, isolated
Corrected June 30, 2024
May 16, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
D
Potential harm, isolated
Corrected June 30, 2024
May 16, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected July 12, 2024
May 16, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected July 12, 2024
September 6, 2023
Standard · Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected September 25, 2023
September 6, 2023
Standard · Infection control
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected September 25, 2023
May 25, 2023
Fire safety
List the names and contact information of those in the facility.
Emergency Preparedness Deficiencies · Tag E0030
E
Potential harm, pattern
Corrected May 26, 2023
May 25, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected June 30, 2023
May 25, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected July 5, 2023
May 25, 2023
Standard
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Tag F0577
E
Potential harm, pattern
Corrected July 1, 2023
May 25, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
E
Potential harm, pattern
Corrected June 30, 2023
May 25, 2023
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected June 29, 2023
May 25, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
E
Potential harm, pattern
Corrected June 30, 2023
May 25, 2023
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected June 18, 2023
May 25, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 30, 2023
May 25, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 19, 2023
May 25, 2023
Standard
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies · Tag F0625
E
Potential harm, pattern
Corrected July 7, 2023
May 25, 2023
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
E
Potential harm, pattern
Corrected June 30, 2023
May 25, 2023
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected June 30, 2023
May 25, 2023
Standard
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Tag F0806
D
Potential harm, isolated
Corrected June 19, 2023
May 25, 2023
Standard
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected July 5, 2023
May 25, 2023
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected June 28, 2023
May 25, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected July 7, 2023
May 25, 2023
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected June 23, 2023
May 25, 2023
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 22, 2023
May 25, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected June 30, 2023
May 25, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected June 23, 2023
May 25, 2023
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected June 9, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 3 federal penalties in the past three years, including $108,251 in fines.

DatePenaltyAmount / length
May 1, 2026Fine$12,500
May 1, 2026Fine$6,545
May 16, 2024Fine$89,206

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
ACCORD HOLDINGS, LLC
Organization
5% or greater indirect ownership interest100%12/31/2020
ACCORD HOLDINGS, LLC
Organization
adp of the snfNOT APPLICABLE02/19/2025
MANUMALEUNA, EATHYN
Individual
adp of the snfNOT APPLICABLE02/19/2025
YAZAWA, KIYOTAKA
Individual
adp of the snfNOT APPLICABLE09/01/2019
LACKNER, CHRISTOPHER
Individual
corporate officerNOT APPLICABLE02/26/2020
SMITH, NICOLE
Individual
corporate officerNOT APPLICABLE02/26/2020
PACIFIC HEALTHCARE VENTURES LLC
Organization
direct ownership interestNOT APPLICABLE12/31/2020
ACCORD HOLDINGS, LLC
Organization
general partnership interestNOT APPLICABLE12/31/2020
ACCORD HOLDINGS, LLC
Organization
limited partnership interestNOT APPLICABLE12/31/2020
MANUMALEUNA, EATHYN
Individual
operational/managerial controlNOT APPLICABLE07/24/2023
YAZAWA, KIYOTAKA
Individual
operational/managerial controlNOT APPLICABLE09/01/2019

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Frequently asked questions

What is Islands Skilled Nursing & Rehabilitation's rating?

Islands Skilled Nursing & Rehabilitation has 1 out of 5 stars on the CMS overall star rating. The average for Hawaii nursing homes is 3.7 stars.

How many inspection citations did Islands Skilled Nursing & Rehabilitation receive?

Its most recent standard health inspection found 14 citations, compared with a Hawaii average of 9.2. Every citation is listed on this page with its severity.

Does Islands Skilled Nursing & Rehabilitation accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Islands Skilled Nursing & Rehabilitation?

It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.

Where is Islands Skilled Nursing & Rehabilitation and how do I contact it?

Islands Skilled Nursing & Rehabilitation is at 1205 Alexander Street, Honolulu, HI 96826. Phone: (808) 773-8700.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.