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
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
Islands Skilled Nursing and Rehab is a Nursing Home in Hawaii
Islands Skilled Nursing and… is a Nursing Home in Hawaii
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.
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.
Additional licensing details
CMS Certification Number:
125067
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Mr. Leland Yagi, President/Administrator
Comparison Chart
The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.Compare Nursing Homes around Honolulu
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
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
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
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
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
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
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
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
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
-
No
A+
3
-
-
-
-
-
-
-
-
-
-
-
-
Places of interest near Islands Skilled Nursing and Rehab
1.9 miles from city center
1205 Alexander St, Honolulu, HI 96826
Calculate Travel Distance to Islands Skilled Nursing and Rehab
Add your location
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
Source: CMS Health Citations (May 2023 – Apr 2025)
5
Inspections
64
Total Citations
0
Critical (J-L)
1
Serious (G-I)
12.8
Citations/Inspection
Apr 2025
Last Inspection
Citation Severity Distribution
What do these levels mean?
Top Deficiency Categories
Resident Rights
15
23% of total
Quality of Life & Care
10
16% of total
Pharmacy Services
9
14% of total
Infection Control
5
8% of total
Administration
2
3% of total
Abuse, Neglect & Exploitation
2
3% of total
Citation Sources
Standard Inspections
56
Complaint Investigations
8
Infection Control
2
State Comparison (HI)
Citations
64
Hawaii average: 35.5
Critical Citations
0
Hawaii average: 0.1
Recent Citations (Last 3 Years)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Apr 30, 2025 | F | Administration | F0851 | Corrected |
| Apr 30, 2025 | F | Environmental | F0921 | Corrected |
| Apr 30, 2025 | D | Infection Control | F0880 | Corrected |
| Apr 30, 2025 | D | Nutrition | F0812 | Corrected |
| Apr 30, 2025 | D | Pharmacy | F0756 | Corrected |
| Apr 30, 2025 | D | Pharmacy | F0761 | Corrected |
| Apr 30, 2025 | D | Quality of Care | F0684 | Corrected |
| Apr 30, 2025 | D | Quality of Care | F0689 | Corrected |
| Apr 30, 2025 | D | Care Planning | F0641 | Corrected |
| Apr 30, 2025 | D | Care Planning | F0655 | Corrected |
| Apr 30, 2025 | E | Care Planning | F0656 | Corrected |
| Apr 30, 2025 | D | Care Planning | F0842 | Corrected |
| Apr 30, 2025 | E | Resident Rights | F0550 | Corrected |
| Apr 30, 2025 | D | Resident Rights | F0584 | Corrected |
| Jul 18, 2024 | D | Nursing Services | F0713 | Corrected |
| Jul 18, 2024 | G | Nursing Services | F0726 | Corrected |
| Jul 18, 2024 | D | Care Planning | F0657 | Corrected |
| Jul 18, 2024 | D | Resident Rights | F0622 | Corrected |
| Jul 18, 2024 | D | Resident Rights | F0623 | Corrected |
| Jul 18, 2024 | D | Resident Rights | F0626 | Corrected |
| May 16, 2024 | D | Abuse/Neglect | F0609 | Corrected |
| May 16, 2024 | D | Abuse/Neglect | F0610 | Corrected |
| May 16, 2024 | F | Administration | F0838 | Corrected |
| May 16, 2024 | E | Infection Control | F0880 | Corrected |
| May 16, 2024 | F | Nursing Services | F0732 | Corrected |
| May 16, 2024 | E | Pharmacy | F0756 | Corrected |
| May 16, 2024 | E | Pharmacy | F0758 | Corrected |
| May 16, 2024 | E | Pharmacy | F0759 | Corrected |
| May 16, 2024 | D | Pharmacy | F0761 | Corrected |
| May 16, 2024 | D | Quality of Care | F0677 | Corrected |
| May 16, 2024 | E | Quality of Care | F0684 | Corrected |
| May 16, 2024 | D | Quality of Care | F0695 | Corrected |
| May 16, 2024 | D | Care Planning | F0641 | Corrected |
| May 16, 2024 | D | Care Planning | F0655 | Corrected |
| May 16, 2024 | E | Care Planning | F0656 | Corrected |
| May 16, 2024 | E | Care Planning | F0657 | Corrected |
| May 16, 2024 | D | Care Planning | F0842 | Corrected |
| May 16, 2024 | D | Resident Rights | F0550 | Corrected |
| May 16, 2024 | D | Resident Rights | F0551 | Corrected |
| May 16, 2024 | D | Resident Rights | F0582 | Corrected |
| May 16, 2024 | D | Resident Rights | F0623 | Corrected |
| Sep 06, 2023 | D | Infection Control | F0883 | Corrected |
| Sep 06, 2023 | D | Infection Control | F0887 | Corrected |
| May 25, 2023 | E | Infection Control | F0880 | Corrected |
| May 25, 2023 | E | Nursing Services | F0725 | Corrected |
| May 25, 2023 | D | Nutrition | F0806 | Corrected |
| May 25, 2023 | E | Nutrition | F0812 | Corrected |
| May 25, 2023 | E | Pharmacy | F0756 | Corrected |
| May 25, 2023 | D | Pharmacy | F0758 | Corrected |
| May 25, 2023 | E | Pharmacy | F0761 | 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.
Active
Resident Council
ⓘ
Quality Measures
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
High-Risk Clinical Events
4.2
Score
59% better than avg
Hawaii avg: 10.2
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Functional Decline
4.4
Score
78% better than avg
Hawaii avg: 20.0
Composite score based on ADL decline, walking ability decline, and incontinence
Long-Stay Resident Measures
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Need for Help with Daily Activities Increased
8.7%
Lost Too Much Weight
1.6%
Urinary Tract Infection
4.0%
Depressive Symptoms
3.1%
Falls with Major Injury
0.0%
Pneumococcal Vaccine
100.0%
Antipsychotic Use
7.2%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
6.4%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
0.0%
Short-Stay Resident Measures
Measures for residents who stay 100 days or less (typically rehabilitation patients).
Pneumococcal Vaccine
98.2%
18% better than avg
Hawaii: 83.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
0.0%
100% better than avg
Hawaii: 1.2%
Penalties & 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
$89K
Hawaii avg: $38K
136% worse than avg
Number of Fines
1
Hawaii avg: 1.5
Compared to Hawaii Average
Facility: $89K |
Hawaii Avg: $38K
Penalty History
Showing all 1 penalties (May 2024 - May 2024)
May 16, 2024
Civil Money Penalty
$89K
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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Claim What’s Yours: Financial Aid for Hawaii Seniors
Program
State Program Name
Eligibility
Benefits
QUEST Integration
Hawaii Medicaid QUEST Integration
- General: Age 65+ or disabled, Hawaii resident, Medicaid-eligible, long-term care need.
- Income Limits (2025): ~$2,829/month (300% FBR, individual).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- HI Specifics: High cost of living adjustments.
- Services: In-home care (6-8 hours/day), nursing home, respite (240 hours/year), medical services.
Kupuna Care
Hawaii Kupuna Care
- General: Age 60+, Hawaii resident, unable to perform 2+ ADLs.
- Income Limits: No strict limit; prioritizes low-income.
- Asset Limits: Not applicable.
- HI Specifics: Limited funding; island-specific delivery.
- Services: In-home care (3-5 hours/week), adult day care (~$70/day), transportation (~5 trips/month).
Program of All-Inclusive Care for the Elderly (PACE)
Hawaii Medicaid PACE
- General: Age 55+, Hawaii resident, nursing home-level care need, safe with PACE support.
- Income Limits (2025): ~$2,829/month (300% FBR).
- Asset Limits: $2,000 (individual), $3,000 (couple).
- HI Specifics: Limited to Oahu (e.g., Maluhia in Honolulu); few providers.
- Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Medicare Savings Program (MSP)
Hawaii Medicare Savings Program
- General: Age 65+ or disabled, Hawaii resident, Medicare Part A/B.
- Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
- Asset Limits: $9,430 (individual), $14,130 (couple).
- HI Specifics: Three tiers; no waitlist.
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Senior Community Service Employment Program (SCSEP)
Hawaii SCSEP (Federally Funded, State-Administered)
Official government program page
- General: Age 55+, unemployed, low-income, Hawaii resident.
- Income Limits (2025): ~$1,983/month (125% FPL).
- Asset Limits: Not specified; income-focused.
- HI Specifics: ~800 slots; prioritizes veterans, rural residents.
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
National Family Caregiver Support Program (NFCSP) Respite
Hawaii NFCSP Respite Care
- General: Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).
- Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
- Asset Limits: Not assessed; need-based.
- HI Specifics: Four county AAAs; prioritizes low-income.
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($80/day), counseling.
VA Aid and Attendance (A&A) and Housebound Benefits
Hawaii VA Aid and Attendance/Housebound
- General: Age 65+ or disabled veteran/surviving spouse, Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.
- Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits: ~$155,356 (2025 net worth limit).
- HI Specifics: Applies statewide; high demand due to veteran population.
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Senior Companion Program (SCP)
Hawaii Senior Companion Program
Official government program page
- General: Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.
- Income Limits (2025): Volunteers: ~$24,980/year (200% FPL); recipients: no limit.
- Asset Limits: Not specified for volunteers; need-based for recipients.
- HI Specifics: Statewide; managed by DHS Social Services.
- Services: Volunteers paid ~$4/hour for companionship (~20 hours/week); recipients get free support (~4-6 hours/week).
Claim What’s Yours Financial Aid for Hawaii Seniors
Hawaii Medicaid QUEST Integration
QUEST Integration
Requirements:
General:Age 65+ or disabled, Hawaii resident, Medicaid-eligible, long-term care need.
Income Limits (2025):~$2,829/month (300% FBR, individual).- Asset Limits:$2,000 (individual), $3,000 (couple).
HI Specifics:High cost of living adjustments.
Benefits without Contact:
- Services: In-home care (6-8 hours/day), nursing home, respite (240 hours/year), medical services.
Hawaii Kupuna Care
Kupuna Care
Requirements:
- General:Age 60+, Hawaii resident, unable to perform 2+ ADLs.
- Income Limits:No strict limit; prioritizes low-income.
- Asset Limits:Not applicable.
- HI Specifics:Limited funding; island-specific delivery.
Benefits without Contact:
- Services: In-home care (3-5 hours/week), adult day care (~$70/day), transportation (~5 trips/month).
Hawaii Medicaid PACE
Program of All-Inclusive Care for the Elderly (PACE)
Requirements:
- General:Age 55+, Hawaii resident, nursing home-level care need, safe with PACE support.
- Income Limits (2025):~$2,829/month (300% FBR).
- Asset Limits:$2,000 (individual), $3,000 (couple).
- HI Specifics:Limited to Oahu (e.g., Maluhia in Honolulu); few providers.
Benefits without Contact:
- Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Hawaii Medicare Savings Program
Medicare Savings Program (MSP)
Requirements:
- General:Age 65+ or disabled, Hawaii resident, Medicare Part A/B.
- Income Limits (2025):~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
- Asset Limits:$9,430 (individual), $14,130 (couple).
- HI Specifics:Three tiers; no waitlist.
Benefits without Contact:
- Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Hawaii SCSEP (Federally Funded, State-Administered)
Senior Community Service Employment Program (SCSEP)
Requirements:
- General:Age 55+, unemployed, low-income, Hawaii resident.
- Income Limits (2025):~$1,983/month (125% FPL).
- Asset Limits:Not specified; income-focused.
- HI Specifics:~800 slots; prioritizes veterans, rural residents.
Benefits without Contact:
- Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Hawaii NFCSP Respite Care
National Family Caregiver Support Program (NFCSP) Respite
Requirements:
- General:Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).
- Income Limits (2025):Prioritizes ~$24,980/year (individual); no strict cap.
- Asset Limits:Not assessed; need-based.
- HI Specifics:Four county AAAs; prioritizes low-income.
Benefits without Contact:
- Services: Respite (4-6 hours/week or 5 days/year), adult day care ($80/day), counseling.
Hawaii VA Aid and Attendance/Housebound
VA Aid and Attendance (A&A) and Housebound Benefits
Requirements:
- General:Age 65+ or disabled veteran/surviving spouse, Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.
- Income Limits (2025):Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
- Asset Limits:~$155,356 (2025 net worth limit).
- HI Specifics:Applies statewide; high demand due to veteran population.
Benefits without Contact:
- Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Hawaii Senior Companion Program
Senior Companion Program (SCP)
Requirements:
- General:Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.
- Income Limits (2025):Volunteers: ~$24,980/year (200% FPL); recipients: no limit.
- Asset Limits:Not specified for volunteers; need-based for recipients.
- HI Specifics:Statewide; managed by DHS Social Services.
Benefits without Contact:
- Services: Volunteers paid ~$4/hour for companionship (~20 hours/week); recipients get free support (~4-6 hours/week).
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