Starfile

Starfile / Hawaii

Islands Skilled Nursing & Rehabilitation

1205 Alexander Street, Honolulu, HI 96826 · CCN 125067

SFF Candidate

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
42
Avg residents/day
32.0
Phone
8087738700

Inspection history vs Hawaii & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityHawaii avgNational avgvs state
12025-04-301410.79.5+3.3 worse
22024-05-162712.49.8+14.6 worse
32023-05-252312.49.3+10.6 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care2
Resident assessment and care planning4
Resident rights2
Nutrition and dietary1
Pharmacy service2
Environmental1
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)6.43
RN staffing (reported)2.99
Total nurse staffing (adjusted)3.02

Fines & penalties

Total fines
$89,206
Number of fines
1
Number of penalties
1
Payment denials
0

Inspection citations (64)1 actual harm

  1. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  2. DF0584Honor 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.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  3. DF0641Ensure each resident receives an accurate assessment.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  4. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  5. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  8. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  9. DF0761Ensure 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.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  10. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  11. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  12. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  13. DF0880Provide and implement an infection prevention and control program.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  14. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-30 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  15. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  16. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  17. DF0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  18. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  19. DF0713Provide or arrange emergency care by a doctor 24 hours a day.2024-07-18 · Health · corrected 2024-09-05

    Potential for more than minimal harm

  20. GF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-07-18 · Health · corrected 2024-09-13

    Actual harm

  21. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-16 · Health · corrected 2024-07-01

    Potential for more than minimal harm

  22. DF0551Give the resident's representative the ability to exercise the resident's rights.2024-05-16 · Health · corrected 2024-06-30

    Potential for more than minimal harm

  23. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-05-16 · Health · corrected 2024-06-30

    Potential for more than minimal harm

  24. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  25. DF0610Respond appropriately to all alleged violations.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  26. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-05-16 · Health · corrected 2024-06-30

    Potential for more than minimal harm

  27. DF0641Ensure each resident receives an accurate assessment.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  28. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  29. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  30. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-16 · Health · corrected 2024-06-30

    Potential for more than minimal harm

  31. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  32. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  33. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-05-16 · Health · corrected 2024-07-04

    Potential for more than minimal harm

  34. FF0732Post nurse staffing information every day.2024-05-16 · Health · corrected 2024-07-08

    Potential for more than minimal harm

  35. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-05-16 · Health · corrected 2024-06-25

    Potential for more than minimal harm

  36. EF0758Implement 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.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  37. EF0759Ensure medication error rates are not 5 percent or greater.2024-05-16 · Health · corrected 2024-08-02

    Potential for more than minimal harm

  38. DF0761Ensure 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.2024-05-16 · Health · corrected 2024-07-12

    Potential for more than minimal harm

  39. FF0838Conduct 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.2024-05-16 · Health · corrected 2024-06-30

    Potential for more than minimal harm

  40. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-16 · Health · corrected 2024-08-02

    Potential for more than minimal harm

  41. EF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-07-25

    Potential for more than minimal harm

  42. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-09-06 · Health · corrected 2023-09-25

    Potential for more than minimal harm

  43. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-09-06 · Health · corrected 2023-09-25

    Potential for more than minimal harm

  44. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  45. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-05-25 · Health · corrected 2023-06-09

    Potential for more than minimal harm

  46. EF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2023-05-25 · Health · corrected 2023-07-01

    Potential for more than minimal harm

  47. DF0584Honor 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.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  48. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  49. EF0625Notify 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.2023-05-25 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  50. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-25 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  51. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-05-25 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  52. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  53. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-25 · Health · corrected 2023-06-22

    Potential for more than minimal harm

  54. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-25 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  55. DF0692Provide enough food/fluids to maintain a resident's health.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  56. DF0693Ensure 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.2023-05-25 · Health · corrected 2023-06-28

    Potential for more than minimal harm

  57. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-05-25 · Health · corrected 2023-06-29

    Potential for more than minimal harm

  58. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

  59. DF0758Implement 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.2023-05-25 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  60. EF0761Ensure 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.2023-05-25 · Health · corrected 2023-07-05

    Potential for more than minimal harm

  61. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-05-25 · Health · corrected 2023-06-19

    Potential for more than minimal harm

  62. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-25 · Health · corrected 2023-06-19

    Potential for more than minimal harm

  63. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-25 · Health · corrected 2023-06-18

    Potential for more than minimal harm

  64. EF0880Provide and implement an infection prevention and control program.2023-05-25 · Health · corrected 2023-06-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
ACCORD HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2020-12-31
ACCORD HOLDINGS, LLCOrganizationGENERAL PARTNERSHIP INTEREST2020-12-31
ACCORD HOLDINGS, LLCOrganizationLIMITED PARTNERSHIP INTEREST2020-12-31
MANUMALEUNA, EATHYNIndividualOPERATIONAL/MANAGERIAL CONTROL2023-07-24
YAZAWA, KIYOTAKAIndividualOPERATIONAL/MANAGERIAL CONTROL2019-09-01
LACKNER, CHRISTOPHERIndividualCORPORATE OFFICER2020-02-26
PACIFIC HEALTHCARE VENTURES LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2020-02-26
SMITH, NICOLEIndividualCORPORATE OFFICER2020-02-26

Other facilities in Honolulu

NameOverallBeds
Maluhia★★★★★158
Hi'olani Care Center at Kahala Nui★★★★★20

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.