Hawaii › Honolulu County › Honolulu
Islands Skilled Nursing & Rehabilitation
1205 Alexander Street, Honolulu, HI 96826
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 42 beds, Islands Skilled Nursing & Rehabilitation serves Honolulu in Honolulu County, Hawaii and has taken Medicare and Medicaid residents since 2020.
CMS gives it 1 of 5 stars overall, below the Hawaii median of 4; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 64 health deficiencies across the three most recent survey cycles (14, 21, 29 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 152.4 per 100 beds, more than the state median of 39.8.
CMS lists 1 penalty in the period covered: fines totalling $89K.
Reported nurse staffing is 5.7 hours per resident per day (2.9 RN), close to the Hawaii median of 4.6; nursing staff turnover is 40.0%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Honolulu Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 64 | 37 | 34 | 28.7 |
| Citations per 100 beds | 152.4 | 42.5 | 39.8 | 26.8 |
| Total nurse hours per resident day | 5.7 | 4.6 | 4.6 | 3.9 |
| RN hours per resident day | 2.9 | 1.7 | 1.6 | 0.7 |
| Nursing staff turnover | 40.0% | 34.6% | 32.2% | 45.8% |
| Fines listed | $89,206 | $8,278 | $8,018 | — |
County and state figures are medians across facilities (27 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2025, 16 May 2024.
Severity mix: G ×1 D ×39 E ×20 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0584 | 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. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0761 | 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. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 27 Jun 2025 |
| 30 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Jun 2025 |
| 18 Jul 2024 | F0726 | 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. | G | Complaint investigation | 13 Sep 2024 |
| 18 Jul 2024 | F0622 | 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. | D | Complaint investigation | 5 Sep 2024 |
| 18 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint investigation | 5 Sep 2024 |
| 18 Jul 2024 | F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | Complaint investigation | 5 Sep 2024 |
| 18 Jul 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 5 Sep 2024 |
| 18 Jul 2024 | F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | D | Complaint investigation | 5 Sep 2024 |
| 16 May 2024 | F0732 | Post nurse staffing information every day. | F | Standard survey | 8 Jul 2024 |
| 16 May 2024 | F0838 | 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. | F | Standard survey | 30 Jun 2024 |
| 16 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 12 Jul 2024 |
| 16 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 30 Jun 2024 |
| 16 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 12 Jul 2024 |
| 16 May 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 25 Jun 2024 |
| 16 May 2024 | F0758 | 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. | E | Standard survey | 12 Jul 2024 |
| 16 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 2 Aug 2024 |
| 16 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Jul 2024 |
| 16 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 1 Jul 2024 |
| 16 May 2024 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | D | Standard survey | 30 Jun 2024 |
| 16 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 30 Jun 2024 |
| 16 May 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Jul 2024 |
| 16 May 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 12 Jul 2024 |
| 16 May 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 30 Jun 2024 |
| 16 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Jul 2024 |
| 16 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 12 Jul 2024 |
| 16 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Jul 2024 |
| 16 May 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Jul 2024 |
| 16 May 2024 | F0761 | 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. | D | Standard survey | 12 Jul 2024 |
| 16 May 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 2 Aug 2024 |
| 6 Sep 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Infection control inspection | 25 Sep 2023 |
| 6 Sep 2023 | F0887 | 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. | D | Infection control inspection | 25 Sep 2023 |
| 25 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 30 Jun 2023 |
| 25 May 2023 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 1 Jul 2023 |
| 25 May 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 30 Jun 2023 |
| 25 May 2023 | F0625 | 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. | E | Standard survey | 7 Jul 2023 |
| 25 May 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 30 Jun 2023 |
| 25 May 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 29 Jun 2023 |
| 25 May 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 30 Jun 2023 |
| 25 May 2023 | F0761 | 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. | E | Standard survey | 5 Jul 2023 |
| 25 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Jun 2023 |
| 25 May 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 18 Jun 2023 |
| 25 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2023 |
| 25 May 2023 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 9 Jun 2023 |
| 25 May 2023 | F0584 | 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. | D | Standard survey | 30 Jun 2023 |
| 25 May 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 Jul 2023 |
| 25 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Jun 2023 |
| 25 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Jun 2023 |
| 25 May 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Jun 2023 |
| 25 May 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 30 Jun 2023 |
| 25 May 2023 | F0693 | 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. | D | Standard survey | 28 Jun 2023 |
| 25 May 2023 | F0758 | 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. | D | Standard survey | 5 Jul 2023 |
| 25 May 2023 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 19 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 May 2024 | Fine | $89,206 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 40.0%, RNs 44.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Hawaii median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 10.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.3% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 1.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.4% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.3% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Islands Skilled Nursing And Rehabilitation, Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Pacific Healthcare Ventures LLC | Direct ownership interest | NOT APPLICABLE | 12/31/2020 |
| Accord Holdings, LLC | 5% or greater indirect ownership interest | 100% | 12/31/2020 |
| Accord Holdings, LLC | General partnership interest | NOT APPLICABLE | 12/31/2020 |
| Accord Holdings, LLC | Limited partnership interest | NOT APPLICABLE | 12/31/2020 |
| Accord Holdings, LLC | Adp of the snf | NOT APPLICABLE | 02/19/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Honolulu County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| 15 Craigside | Honolulu | 45 | 5 | 5 | 5 | 5 | 11.1 | — | 23 Jun 2025 |
| Hale Ola Kino By Arcadia | Hon | 32 | 5 | 4 | 5 | 24 | 75.0 | — | 21 Feb 2025 |
| Harry and Jeanette Weinberg Care Center | Kaneohe | 44 | 5 | 5 | 5 | 19 | 43.2 | — | 30 Jan 2025 |
| Hi'Olani Care Center At Kahala Nui | Honolulu | 20 | 5 | 3 | 5 | 24 | 120.0 | — | 27 Jun 2024 |
| Kulana Malama | Ewa Beach | 33 | 5 | 4 | 4 | 25 | 75.8 | $14K | 26 Sep 2025 |
| Leahi Hospital | Honolulu | 155 | 5 | 4 | 5 | 18 | 11.6 | — | 25 Jul 2025 |
| Maluhia | Honolulu | 158 | 5 | 5 | 5 | 20 | 12.7 | $8K | 10 Jul 2025 |
| Maunalani Nursing and Rehabilitation Center | Honolulu | 100 | 5 | 4 | 4 | 23 | 23.0 | $32K | 10 Jun 2026 |
All 27 facilities in Honolulu County
Questions and answers
How many deficiencies has Islands Skilled Nursing & Rehabilitation been cited for?
64 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Islands Skilled Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $89K in the period covered.
How does staffing at Islands Skilled Nursing & Rehabilitation compare?
Reported total nurse staffing is 5.7 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Islands Skilled Nursing & Rehabilitation?
Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Pacific Healthcare Ventures LLC and Accord Holdings, LLC. Individual owners and managers are not listed on this site.
When was Islands Skilled Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2025; the most recent standard health survey was 30 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.