Islands Skilled Nursing and Rehab

Islands Skilled Nursing and Rehab is a Nursing Home in Hawaii

Islands Skilled Nursing and… is a Nursing Home in Hawaii

Islands Skilled Nursing and Rehab

1205 Alexander St, Honolulu, HI 96826 View Map

Islands Skilled Nursing and Rehab is a Nursing Home in Hawaii

Islands Skilled Nursing and… is a Nursing Home in Hawaii

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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.

Managed by Steve Nawahine

CEO, Administrator

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.16/day Hawaii avg: 4.20/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
2/5
Hawaii avg: 3.4/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Hawaii avg: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
2/5
Hawaii avg: 4.0/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
3/5
Hawaii avg: 4.2/5

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.

Lower demand than the Hawaii average
Occupancy rate 83.7%
Residents per day (avg) 31
Occupancy rate
83.7%
Residents per day (avg)
31

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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 Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$6.7M
49.1% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.6M
Total costs $13.3M
Walk Score
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

Amenities & Lifestyle

Programs & Activities

Specific Programs
Transitional Care, Respiratory Care, Short Term Rehabilitation

Dining & Nutrition

Food Description
Nutritious, flavorful meals including special and modified diets.
Contact Islands Skilled Nursing and Rehab

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
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
5/5
4.1862
5/5
3/5
4/5
2
21
2
-23%
0%
+18%
Islands Skilled Nursing and Rehab
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
2/5
3.1624
2/5
2/5
3/5
1
64
1
+20%
-25%
+13%
Liliha Healthcare Center
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
1/5
3.9997
1/5
3/5
4/5
1
52
3
-23%
-5%
+14%
The Care Center of Honolulu
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
1/5
3.3062
1/5
3/5
4/5
1
47
1
0%
-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
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Places of interest near Islands Skilled Nursing and Rehab

Address 1.9 miles from city center — 0.18 miles to nearest hospital (Kapiu02bbolani Medical Center for Women & Children)

Address 1205 Alexander St, Honolulu, HI 96826

Calculate Travel Distance to Islands Skilled Nursing and Rehab

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Address

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 Nurse238.8 No
Licensed Practical Nurse00 No
Certified Nursing Assistant278 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 Assistant2702710,96891100%8
Qualified Activities Professional260268,20291100%8.8
Registered Nurse230236,79791100%8.8
Clinical Nurse Specialist1128726369%8
Administrator1015126470%8
Speech Language Pathologist2025116673%7.6
Physical Therapy Aide3034815662%8
Qualified Social Worker1014376167%7.2
Dental Services Staff1014345156%8.5
Physical Therapy Assistant2023905864%6.7
Nurse Practitioner2021121415%8
Respiratory Therapy Technician303663134%2.1
Occupational Therapy Aide011332426%1.4

Health Inspection History

Total Health inspections 5
14% above Hawaii average
Hawaii average: 4.4

Last Health inspection on Apr 2025

Total Health citations 64
80% above Hawaii average
Hawaii average: 35.5

12.8 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 56 citations
Complaint investigations 8 citations
Breakdown of citations
Critical Health citations 0
100% below Hawaii average
Hawaii average: 0.1
Serious Health citations 1
Near Hawaii average
Hawaii average: 1.0
Moderate Health citations 63

Minor Health citations 0
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

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.

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 4.2
59% better than Hawaii average
Hawaii average: 10.2
Functional decline score 4.4
78% better than Hawaii average
Hawaii average: 20.0
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 8.7%
50% below Hawaii average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 0.0%
100% below Hawaii average.
Safety & clinical stability

Falls with Major Injury 0.0%
100% below Hawaii average.

High Risk Residents with Pressure Ulcers 6.4%
75% above Hawaii average.

Urinary Tract Infection 4.0%
68% above Hawaii average.
Emotional & behavioral wellbeing

Depressive Symptoms 3.1%
110% above Hawaii average.

Antipsychotic Use 7.2%
28% below Hawaii average.
Preventive care

Pneumococcal Vaccine 100.0%
4% above Hawaii average.

Influenza Vaccine 100.0%
5% above Hawaii average.
Nutrition & physical health

Lost Too Much Weight 1.6%
66% below Hawaii average.
Short-stay resident measures
Pneumococcal Vaccine 98.2%

18% better than Hawaii average
Antipsychotic medication increase 0.0%

100% better than Hawaii average

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
This home paid 136% more in fines than the state average.
Hawaii average: $38K
Number of Fines 1
This home received 34% fewer fines than the state average.
Hawaii average: 1.5
Payment Denials 0
This home had 100% fewer payment denials than the state average.
Hawaii average: 0.1
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty May 16, 2024
$89K

Last updated: Jan 2026

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Financial Aid for Hawaii Seniors

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QUEST Integration

Hawaii Medicaid QUEST Integration

Age 65+ or disabled, Hawaii resident, Medicaid-eligible, long-term care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High cost of living adjustments.

Kupuna Care

Hawaii Kupuna Care

Age 60+, Hawaii resident, unable to perform 2+ ADLs.

No strict limit; prioritizes low-income.

Not applicable.

Limited funding; island-specific delivery.

Program of All-Inclusive Care for the Elderly (PACE)

Hawaii Medicaid PACE

Age 55+, Hawaii resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to Oahu (e.g., Maluhia in Honolulu); few providers.

Medicare Savings Program (MSP)

Hawaii Medicare Savings Program

Age 65+ or disabled, Hawaii resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Senior Community Service Employment Program (SCSEP)

Hawaii SCSEP (Federally Funded, State-Administered)

Age 55+, unemployed, low-income, Hawaii resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

~800 slots; prioritizes veterans, rural residents.

National Family Caregiver Support Program (NFCSP) Respite

Hawaii NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

Four county AAAs; prioritizes low-income.

VA Aid and Attendance (A&A) and Housebound Benefits

Hawaii VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/surviving spouse, Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (2025 net worth limit).

Applies statewide; high demand due to veteran population.

Senior Companion Program (SCP)

Hawaii Senior Companion Program

Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.

Volunteers: ~$24,980/year (200% FPL); recipients: no limit.

Not specified for volunteers; need-based for recipients.

Statewide; managed by DHS Social Services.

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