Federal inspection record · CMS data as of October 1, 2026
Islands Skilled Nursing & Rehabilitation
1205 Alexander Street, Honolulu, HI · (808) 773-8700
- Special Focus Facility
- Certified beds
- 42
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 30, 2020
1
How this home got 1 star
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
★★★★★no change
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
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Hawaii homes
Islands Skilled Nursing & Rehabilitation carries 110 inspection points. That is fewer than 5% 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
62 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.
Harm and immediate-jeopardy citations (1)
-
G
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.
Everything else, by area of care
Resident Rights15E
- E
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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- 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.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Give the resident's representative the ability to exercise the resident's rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
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.
Resident Assessment and Care Planning13E
- E
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
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 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
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care10E
- 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.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- E
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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
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.
Pharmacy Service9E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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
Ensure medication error rates are not 5 percent or greater.
- 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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- E
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
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.
Nutrition and Dietary3E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nursing and Physician Services3F
- D
Provide or arrange emergency care by a doctor 24 hours a day.
- F
Post nurse staffing information every day.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Administration2F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
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.
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.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-04-30
14 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-05-16
21 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2023-05-25
27 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 28 min of nursing staff time a day, 2 h 46 min of it from a registered nurse.
This home
5 h 28 min
Hawaii average
5 h
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 54% 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
Fines and payment denials
$108,251 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-01 | Fine | $6,545 |
| 2026-05-01 | Fine | $12,500 |
| 2024-05-16 | Fine | $89,206 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.4 pts worse | 93.9% | 96.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.9 pts worse | 85.7% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts better | 0.0% | 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 weight2.2 pts better | 3.1% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts worse | 16.8% | 9.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.2 pts better | 3.2% | 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 need for help with daily activities has increased0.5 pts worse | 17.4% | 16.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder9.5 pts worse | 10.4% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts worse | 3.8% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.3 pts better | 10.8% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.8 pts worse | 8.3% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine35.8 pts worse | 47.3% | 83.1% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.0% | 1.5% | 1.5% |
·
Who owns and runs it
11 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 |
|---|---|---|---|
| Accord Holdings, LLC | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Accord Holdings, LLC | General Partnership Interest · Organization | 0% | 1 facilities |
| Accord Holdings, LLC | Limited Partnership Interest · Organization | 0% | 1 facilities |
| Accord Holdings, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Lackner, Christopher | Corporate Officer · Individual | 0% | 1 facilities |
| Manumaleuna, Eathyn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Manumaleuna, Eathyn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Pacific Healthcare Ventures LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Smith, Nicole | Corporate Officer · Individual | 0% | 16 facilities |
| Yazawa, Kiyotaka | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Yazawa, Kiyotaka | Adp Of The SNF · Individual | 0% | 3 facilities |
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Fire safety
1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1E
- E
List the names and contact information of those in the facility.
·
Other homes nearby
-
Oahu Care Facility
Honolulu, HI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 54 min
- Fines
- $8,278
-
Hale Ola Kino By Arcadia
Hon, HI
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 26 min
- Fines
- $0
-
Arcadia Retirement Residence
Honolulu, HI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 25 min
- Fines
- $12,854