Islands Skilled Nursing & Rehabilitation

Nursing home in Honolulu, HI

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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Public-record details

Address: 1205 Alexander Street, Honolulu, HI 96826
Phone: (808) 773-8700
Listed under: For-profit
Medicare CCN: 125067
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 3 of 5
Quality measures rating: 3 of 5
Certified beds: 42
Average residents per day: 36
Ownership: For-profit, limited Liability company
Legal business name: Islands Skilled Nursing and Rehabilitation, LLC
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Apr 30, 2020
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 125067. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Apr 30, 2025. CMS lists 64 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 25, 2023 to Apr 30, 2025): 8 from complaint inspections, 1 at the “actual harm” level or higher. CMS lists this facility as a candidate for its Special Focus Facility program.

Inspection	Citation	Severity
Apr 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. Resident Rights	D Potential for more than minimal harm, isolated
Apr 30, 2025	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 30, 2025	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 30, 2025	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 30, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care	D Potential for more than minimal harm, isolated
Apr 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. Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 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… Pharmacy Service	D Potential for more than minimal harm, isolated
Apr 30, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	D Potential for more than minimal harm, isolated
Apr 30, 2025	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
Apr 30, 2025	Provide and implement an infection prevention and control program. Infection Control	D Potential for more than minimal harm, isolated
Apr 30, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights	E Potential for more than minimal harm, pattern
Apr 30, 2025	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 64. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $89,206 in the last three years.

May 16, 2024

Fine: $89,206

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 5.67 hours
Registered nurse (RN) time per resident per day: 2.89 hours
Nurse aide time per resident per day: 2.74 hours
Total nurse staffing on weekends: 4.99 hours
Nursing staff turnover (yearly): 40%
RN turnover (yearly): 45%
Administrators who left in the past year: 0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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