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Islands Skilled Nursing & Rehabilitation in Honolulu, Hawaii provides comprehensive medical care and recovery services for patients transitioning through acute illness or injury. Our skilled nursing team delivers personalized rehabilitation designed to restore independence and support each resident's path to wellness.
Capacity
42 residents
Location
Honolulu, HI
Status
Listed in a public registry
1205 Alexander Street, Honolulu, Hawaii 96826
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on April 30, 2025, state inspectors cited 14 health deficiencies (the Hawaii average is 9.2).
Nurses and nurse aides spend 5 hours 40 minutes with each resident a day, above the Hawaii average of 4 hours 58 minutes.
Medicare fined Islands Skilled Nursing & Rehabilitation 3 times in the last three years, $108,251 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 5 hours 40 minutesAbove the Hawaii average |
| Registered nurse time per resident, per day | 2 hours 54 minutesAbove the Hawaii average |
| Nursing staff who left in the past year | 40%Above the Hawaii average |
41 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
April 30, 2025 · Standard inspection · 14 citations
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Provide and implement an infection prevention and control program.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure each resident receives an accurate assessment.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
July 18, 2024 · Complaint investigation · 6 citations
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.
Provide or arrange emergency care by a doctor 24 hours a day.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Post nurse staffing information every day.
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.
Ensure medication error rates are not 5 percent or greater.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide and implement an infection prevention and control program.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Give the resident's representative the ability to exercise the resident's rights.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Respond appropriately to all alleged violations.
Ensure each resident receives an accurate assessment.
Provide safe and appropriate respiratory care for a resident when needed.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
3 fines totaling $108,251 in the last three years.
1205 Alexander StreetHonolulu, HI 96826
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State inspectors visited on April 30, 2025 and cited 14 health deficiencies. The Hawaii average is 9.2.
Nurses and aides spend 5 hours 40 minutes with each resident per day, including 2 hours 54 minutes from registered nurses. 40% of nursing staff left over the past year.
Yes. Medicare fined Islands Skilled Nursing & Rehabilitation 3 times in the last three years, totaling $108,251.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.