Islands Skilled Nursing & Rehabilitation
1205 Alexander Street · Honolulu, HI · 96826 · 8087738700
42 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 5.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 2.90 | 0.55–0.75 |
| Weekend hours / resident-day | 5.43 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | 1 · $89,206 |
Inspection citations (64 in the current record)
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Potential for harm · E April 30, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · D April 30, 2025
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.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · D April 30, 2025
Ensure each resident receives an accurate assessment.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D April 30, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 27, 2025 · Pharmacy Service
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Potential for harm · D April 30, 2025
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.
Corrected June 27, 2025 · Pharmacy Service
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Potential for harm · D April 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 27, 2025 · Nutrition and Dietary
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Potential for harm · D April 30, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 27, 2025 · Resident Assessment and Care Planning
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Potential for harm · F April 30, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected June 27, 2025 · Administration
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Potential for harm · D April 30, 2025
Provide and implement an infection prevention and control program.
Corrected June 27, 2025 · Infection Control
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Potential for harm · F April 30, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 27, 2025 · Environmental
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Actual harm · G July 18, 2024 · found via 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.
Corrected September 13, 2024 · Nursing and Physician Services
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Potential for harm · D July 18, 2024 · found via 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.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · D July 18, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · D July 18, 2024 · found via complaint
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Corrected September 5, 2024 · Resident Rights
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Potential for harm · D July 18, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected September 5, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 18, 2024 · found via complaint
Provide or arrange emergency care by a doctor 24 hours a day.
Corrected September 5, 2024 · Nursing and Physician Services
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Potential for harm · D May 16, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 1, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Give the resident's representative the ability to exercise the resident's rights.
Corrected June 30, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 30, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected June 30, 2024 · Resident Rights
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Potential for harm · D May 16, 2024
Ensure each resident receives an accurate assessment.
Corrected July 12, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2024 | Fine | $89,206 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125067 · certified since April 30, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.