Federal inspection record · CMS data as of October 1, 2026
Garden Isle Healthcare And Rehabilitation Center
3-3420 Kuhio Highway, Suite 300, Lihue, HI · (808) 245-1802
- Certified beds
- 110
- Residents per day
- 70
- Ownership
- For-Profit
- Chain
- Ohana Pacific Management Co.
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Hawaii.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Hawaii homes
Garden Isle Healthcare And Rehabilitation Center carries 46 inspection points. That is fewer than 68% of Hawaii's 41 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Hawaii: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–48 pts
- 3★ 48–69 pts
- 2★ 69–86 pts
- 1★ over 86 pts
Bars show every rated home in Hawaii by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
37 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care13D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide or obtain dental services for each resident.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care or services that was trauma informed and/or culturally competent.
- D
Provide or obtain dental services for each resident.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Resident Rights9E
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- D
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 Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Pharmacy Service4D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental1D
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-02-21
11 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-02-23
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-02-10
17 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 14 min of nursing staff time a day, 1 h 34 min of it from a registered nurse.
This home
4 h 14 min
Hawaii average
5 h
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 11% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts worse | 1.6 | 1.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.5 pts worse | 3.3 | 0.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better | 97.8% | 96.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts worse | 90.5% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 2.6% | 2.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 0.0% | 1.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.2 pts worse | 6.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts better | 7.2% | 9.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.1 pts better | 7.3% | 12.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.2 pts worse | 22.3% | 18.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.6 pts worse | 17.5% | 16.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.3 pts better | 0.6% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 0.9% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.1 pts better | 17.0% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts better | 2.1% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.8 pts worse | 65.3% | 83.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts worse | 13.8% | 11.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.0% | 1.5% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.3 pts worse | 67.4% | 84.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better | 13.6% | 18.8% | 23.4% |
·
Who owns and runs it
21 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Hata, Randall | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Hata, Randall | Adp Of The SNF · Individual | 0% | 6 facilities |
| Ho, Bronson | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ho, Bronson | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kishaba, Richard | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Kishaba, Richard | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Kishaba, Richard | Adp Of The SNF · Individual | 0% | 9 facilities |
| Kishaba, Sandra | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Kop, Arnold | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Kop, Arnold | Adp Of The SNF · Individual | 0% | 7 facilities |
| Lo, Wesley | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Lo, Wesley | Adp Of The SNF · Individual | 0% | 7 facilities |
| Lore, Andrew | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Lore, Andrew | Adp Of The SNF · Individual | 0% | 8 facilities |
| Mcclennon, Pamela | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Mcclennon, Pamela | Adp Of The SNF · Individual | 0% | 8 facilities |
| Morikuni, Suanne | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Morikuni, Suanne | Adp Of The SNF · Individual | 0% | 8 facilities |
| Ohana Pacific Management Company Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Ohana Pacific Management Company Inc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Wilcox Memorial Hospital | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous1B
- B
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Smoke1D
- D
Install corridor and hallway doors that block smoke.
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Other homes nearby
-
Samuel Mahelona Memorial Hospital
Kapaa, HI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 6 h 12 min
- Fines
- $17,155
-
Hale Kupuna Heritage Home, LLC
Koloa, HI · Ohana Pacific Management Co.
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 49 min
- Fines
- $10,628
-
Kauai Veterans Memorial Hospital
Waimea, HI · Hawaii Health Systems Corporation
★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 4 h 50 min
- Fines
- $34,588