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.
| Cycle | Inspection date | This facility | Hawaii avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-30 | 14 | 10.7 | 9.5 | +3.3 worse |
| 2 | 2024-05-16 | 27 | 12.4 | 9.8 | +14.6 worse |
| 3 | 2023-05-25 | 23 | 12.4 | 9.3 | +10.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 2 |
| Environmental | 1 |
| Administration | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-04-30 · Health · corrected 2025-06-27
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2025-04-30 · Health · corrected 2025-06-27
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2024-05-16 · Health · corrected 2024-07-12
Potential for more than minimal harm
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-05-16 · Health · corrected 2024-07-12
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- FF0732Post nurse staffing information every day.2024-05-16 · Health · corrected 2024-07-08
Potential for more than minimal harm
- 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
- 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
- EF0759Ensure medication error rates are not 5 percent or greater.2024-05-16 · Health · corrected 2024-08-02
Potential for more than minimal harm
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-05-16 · Health · corrected 2024-07-25
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2023-05-25 · Health · corrected 2023-06-30
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-05-25 · Health · corrected 2023-06-30
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ACCORD HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-12-31 |
| ACCORD HOLDINGS, LLC | Organization | GENERAL PARTNERSHIP INTEREST | — | 2020-12-31 |
| ACCORD HOLDINGS, LLC | Organization | LIMITED PARTNERSHIP INTEREST | — | 2020-12-31 |
| MANUMALEUNA, EATHYN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-07-24 |
| YAZAWA, KIYOTAKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-09-01 |
| LACKNER, CHRISTOPHER | Individual | CORPORATE OFFICER | — | 2020-02-26 |
| PACIFIC HEALTHCARE VENTURES LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2020-02-26 |
| SMITH, NICOLE | Individual | CORPORATE OFFICER | — | 2020-02-26 |
Other facilities in Honolulu
| Name | Overall | Beds |
|---|---|---|
| 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.