Islands Skilled Nursing & Rehabilitation
1205 Alexander Street, Honolulu, HI 96826 · (808) 773-8700
For profit - Limited Liability company · 42 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Islands Skilled Nursing & Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in April 2025, found 14 citations (the Hawaii average is 9.5). It was fined 3 times in the last three years, $108,251 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 30, 2025 found 14 citations. What an inspection citation means
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.April 30, 2025 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.April 30, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 30, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.April 30, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.April 30, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.April 30, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedApril 30, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 30, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 30, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.April 30, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 30, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 30, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 30, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.April 30, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 8 citations.
- 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.July 18, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.July 18, 2024 · F0623 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.July 18, 2024 · F0626 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 18, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide or arrange emergency care by a doctor 24 hours a day.July 18, 2024 · F0713 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.July 18, 2024 · F0726 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 16, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 16, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $6,545May 1, 2026
- Fine of $12,500May 1, 2026
- Fine of $89,206May 16, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Hawaii average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 5.67 | 4.97 | 3.86 |
| Registered nurses (RN) | 2.89 | 1.75 | 0.69 |
| Licensed practical nurses (LPN) | 0.04 | 0.34 | 0.86 |
| Nurse aides | 2.74 | 2.88 | 2.32 |
| Total nursing staff turnover | 40% | 36.4% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 42 |
| Average residents per day | 36.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- 15 Craigside Honolulu · ★★★★★ 5 out of 5 stars
- Hale Ola Kino by Arcadia Honolulu · ★★★★★ 5 out of 5 stars
- Leahi Hospital Honolulu · ★★★★★ 5 out of 5 stars
- Maluhia Honolulu · ★★★★★ 5 out of 5 stars
- Maunalani Nursing and Rehabilitation Center Honolulu · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Islands Skilled Nursing & Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.