Total health inspections
5
Hawaii average 4.4
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Islands Skilled Nursing and Rehab
Nursing Home
Islands Skilled Nursing and Rehab
Nursing Home
Overview of Islands Skilled Nursing and Rehab
Islands Skilled Nursing and Rehabilitation Center boasts a warm and inviting atmosphere where residents can enjoy and experience a vibrant lifestyle. The nursing home aims to encourage, enhance, and empower the lives of each resident by promoting the ‘aloha spirit’– balance of heart and mind in offering care and warmth. Islands is the leading respiratory and post-acute community that continues to enrich the holistic wellness of its residents to the highest standard of excellence.
Islands offers a beautiful and cozy home that has cutting-edge technology that boosts up the recovery of an individual and keeps them safe. The short-term rehabilitative services proudly offer the exclusive Aegis program– a successful rehabilitation wellness program; its extensive training is supported by a well-trained staff.
Steve Nawahine, LNHA, CALA, serves as the CEO and Administrator of Islands Skilled Nursing and Rehab. He leads the community with a focus on quality care and operational excellence, ensuring residents receive compassionate and professional support in a welcoming environment.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
42
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
83.7%
Residents per day (avg)
31
Occupancy rate
83.7%
Residents per day (avg)
31
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
56% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
18% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
27% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Finances and operations
Proprietary home
Other
Home revenue
$13.6M
Profit
$318.5K
Proprietary home
Other
Home revenue
$13,582,401.00
Profit
$318,472.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$13.3M
Walk Score: 96 / 100
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
About this community
Additional licensing details
CMS Certification Number:
125067
Safety & Compliance
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Mr. Leland Yagi, President/Administrator
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Additional Policies & Features
Admission Criteria:
Admission to Islands Skilled Nursing and Rehab may be considered medically necessary when ALL of the following criteria are met: Skilled services are provided under the supervision of a physician and delivered by a qualified and licensed provider; Care plans specify individual realistic goals and discharge plans; Skilled services are medically necessary and cannot be provided in a lower level of care setting; Provided services are expected to result in measurable and significant improvement in the patient’s condition within a reasonable time frame; Patient is medically stable; One or more skilled therapies or skilled nursing services are given at least daily; At least 18 years of age or older.
Minimum Age:
18
Programs & Activities
Specific Programs
Transitional Care, Respiratory Care, Short Term Rehabilitation
Dining & Nutrition
Food Description
Nutritious, flavorful meals including special and modified diets.
Compare Nursing Homes around Honolulu
The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Maunalani Nursing and Rehabilitation Center
-23%
+18%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Honolulu (Kaimuki)
100
No
-
11
THE MAUNALANI FOUNDATION
87.7%
$18,779,897.00
$8,678,357.00
46.2%
92.10
4.1862
2
21
2
-23%
0%
+18%
Islands Skilled Nursing and Rehab
+20%
-25%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Honolulu (McCully - Moiliili)
42
No
-
96
PACIFIC HEALTHCARE VENTURES LLC
83.7%
$13,095,404.00
$6,671,426.00
50.9%
31.40
3.1624
1
64
1
+20%-25%+13%
Liliha Healthcare Center
-23%
-5%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Honolulu (Liliha - Kapalama)
92
No
-
81
-
84.3%
$12,214,454.00
$5,699,187.00
46.7%
81.60
3.9997
1
52
3
-23%-5%+14%
The Care Center of Honolulu
-21%
-10%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Honolulu (Liliha - Kapalama)
254
No
A+
71
DARLEY, SUZANNE
66.6%
$39,752,035.00
$14,018,863.00
35.3%
170.60
3.3062
1
47
1
-21%-10%
Hale Ho Aloha
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Honolulu (Nuuanu - Punchbowl)
-
No
A+
3
-
-
-
-
-
-
-
-
-
-
-
-
Maunalani Nursing and Rehabilitation Center
Type of care:
SNF
AL
Community:
Honolulu (Kaimuki)
Bed Count:
100
Pets Allowed:
No
Operator:
THE MAUNALANI FOUNDATION
CCN:
125013
Occupancy:
87.7%
Home Revenue:
$18,779,897.00
Payroll Costs:
$8,678,357.00
Payroll %:
46.2%
Avg Residents/Day:
92.10
Overall Rating:
Adj Nurse Hours:
4.1862
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
21
Severe Citations:
2
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
+18%
+18%
Islands Skilled Nursing and Rehab
Type of care:
SNF
AL
Community:
Honolulu (McCully - Moiliili)
Bed Count:
42
Pets Allowed:
No
Operator:
PACIFIC HEALTHCARE VENTURES LLC
CCN:
125067
Occupancy:
83.7%
Home Revenue:
$13,095,404.00
Payroll Costs:
$6,671,426.00
Payroll %:
50.9%
Avg Residents/Day:
31.40
Overall Rating:
Adj Nurse Hours:
3.1624
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
64
Severe Citations:
1
RN share vs State Avg:
+20%
+20%
Staffing vs State Avg:
-25%
-25%
Occupancy vs State Avg:
+13%
+13%
Liliha Healthcare Center
Type of care:
SNF
AL
Community:
Honolulu (Liliha - Kapalama)
Bed Count:
92
Pets Allowed:
No
CCN:
125041
Occupancy:
84.3%
Home Revenue:
$12,214,454.00
Payroll Costs:
$5,699,187.00
Payroll %:
46.7%
Avg Residents/Day:
81.60
Overall Rating:
Adj Nurse Hours:
3.9997
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
52
Severe Citations:
3
RN share vs State Avg:
-23%
-23%
Staffing vs State Avg:
-5%
-5%
Occupancy vs State Avg:
+14%
+14%
The Care Center of Honolulu
Type of care:
SNF
AL
Community:
Honolulu (Liliha - Kapalama)
Bed Count:
254
Pets Allowed:
No
Operator:
DARLEY, SUZANNE
CCN:
125019
Occupancy:
66.6%
Home Revenue:
$39,752,035.00
Payroll Costs:
$14,018,863.00
Payroll %:
35.3%
Avg Residents/Day:
170.60
Overall Rating:
Adj Nurse Hours:
3.3062
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
47
Severe Citations:
1
RN share vs State Avg:
0%
Staffing vs State Avg:
-21%
-21%
Occupancy vs State Avg:
-10%
-10%Places of interest near Islands Skilled Nursing and Rehab
1.9 miles from city center — 0.18 miles to nearest hospital (Kapiu02bbolani Medical Center for Women & Children)
1205 Alexander St, Honolulu, HI 96826
Calculate Travel Distance to Islands Skilled Nursing and Rehab
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
94
Total Staff
92
Employees
2
Contractors
29,815
Total Hours (Quarter)
40
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 23 | 8.8 | No |
| Licensed Practical Nurse | 0 | 0 | No |
| Certified Nursing Assistant | 27 | 8 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
50 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
4 staff
8hs shift avg
Therapy Services ⓘ
11 staff
6.2hs shift avg
Activities & Recreation ⓘ
26 staff
8.8hs shift avg
Social Services ⓘ
1 staff
7.2hs shift avg
Dietary Services ⓘ
0 staff
0hs shift avg
Other Services ⓘ
1 staff
8.5hs shift avg
Contractor Analysis
1.8%
of total hours from contractors
537 contractor hours this quarter
Clinical Nurse Specialist: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 27 | 0 | 27 | 10,968 | 91 | 100% | 8 |
| Qualified Activities Professional | 26 | 0 | 26 | 8,202 | 91 | 100% | 8.8 |
| Registered Nurse | 23 | 0 | 23 | 6,797 | 91 | 100% | 8.8 |
| Clinical Nurse Specialist | 1 | 1 | 2 | 872 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 511 | 66 | 73% | 7.6 |
| Physical Therapy Aide | 3 | 0 | 3 | 481 | 56 | 62% | 8 |
| Qualified Social Worker | 1 | 0 | 1 | 437 | 61 | 67% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 434 | 51 | 56% | 8.5 |
| Physical Therapy Assistant | 2 | 0 | 2 | 390 | 58 | 64% | 6.7 |
| Nurse Practitioner | 2 | 0 | 2 | 112 | 14 | 15% | 8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 66 | 31 | 34% | 2.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 33 | 24 | 26% | 1.4 |
Health Inspection History
Inspections
Total health citations
64
Citations per inspection
12.8
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
56 of 64 citations resulted from standard inspections; and 8 of 64 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Hawaii averageHawaii average: 0.1
Serious Health citations
1
1
In line with Hawaii averageHawaii average: 1
0 critical citations
1 serious citation
63 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Apr 30, 2025
Corrected
Environmental moderate citation
Apr 30, 2025
Corrected
Infection Control moderate citation
Apr 30, 2025
Corrected
Nutrition moderate citation
Apr 30, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit LLC
Resident Census by Payment Source
32
Total Residents
Medicare
3
(9.4%)
ⓘ
Medicaid
29
(90.6%)
ⓘ
Specialized Care Beds
42
Total Specialty Beds
100%
of Bed Capacity
42
Ventilator Beds ⓘ
100%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.2
59% better than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
4.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
4.4
78% better than Hawaii averageHawaii average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
50% better than Hawaii averageHawaii average: 17.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
0.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
0.0%
100% better than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
75% worse than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.0%
Percent of long-stay residents with a urinary tract infection
4.0%
68% worse than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.6%
Percent of long-stay residents who lose too much weight
1.6%
66% better than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.1%
Percent of long-stay residents who have depressive symptoms
3.1%
110% worse than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
7.2%
Percent of long-stay residents who received an antipsychotic medication
7.2%
28% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
18% better than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Hawaii averageHawaii average: 1.2%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
63.0%
Rate of successful return to home or community from a skilled nursing facility.
63.0%
25% better than Hawaii averageHawaii average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$89K
136% higher than Hawaii averageHawaii average: $38K
Number of fines
1
34% fewer fines than Hawaii averageHawaii average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$89K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024
$89K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Islands Skilled Nursing and Rehab based on CMS SNF Cost Reports.
Occupancy Rate
83.7%
↑ 8.6pp vs 2022
Net Income
$318,472
↑ ~$222K vs 2022
Total Payroll
$8,067,125
↑ ~$2.0M vs 2022
Profit Margin
2.4%
↑ 1.6pp vs 2022
Loading trend charts...
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