2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Walker’s paradise is an unusual descriptor for a nursing home neighborhood, but Islands Skilled Nursing and Rehab earns it: Walk Score 96, McCully – Moiliili, 1.9 miles from Honolulu’s city center, with Kapi’olani Medical Center 0.18 miles away. The physical context here is genuinely distinct from the car-dependent suburban settings that define most post-acute care in the country.
The clinical profile is post-acute in character. Forty-two beds, 32 current residents, 74.2% occupancy, 88-day average stay. Admission is open to adults 18 and older.
Short-term rehab, transitional care, and respiratory care are offered alongside standard rehabilitation services. A doctor is on staff, and nursing coverage runs around the clock.
The staffing breakdown: registered nurses at 2 hours and 54 minutes per resident per day, nurse aides at 3 hours and 1 minute, LPNs at 4 minutes, totaling 3 hours and 10 minutes. The RN concentration is notable for a facility of this size.
Meals accommodate special and modified diets. An active resident council meets regularly. Mr. Leland Yagi is President/Administrator.
State inspections by Hawaii’s Department of Health, Office of Health Care Assurance, have surfaced recurring themes across medication management, infection prevention and control, care planning and documentation, staffing and staff credentials, and resident rights and protections. Families evaluating this facility should review those areas with care.
The facility accepts Medicare, Medicaid, and private pay. For families navigating post-acute placement in urban Honolulu, the combination of specialized respiratory and transitional care programs, a walkable location, and proximity to a major medical center makes this a facility worth examining closely, alongside its inspection record.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 32nd out of 33 homes in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 2h 54m per day | ▲ 77% State avg: 1h 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 4m per day | ▼ 83% State avg: 21m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 1m per day | ▲ 10% State avg: 2h 44m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 26m per day | ▲ 30% State avg: 4h 11m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ■ Avg State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 2h 19m per day | ▲ 88% State avg: 1h 14m per day · National avg: 29m per day |
Key information about the people who lead and staff this community.
In Hawaii, the Department of Health, Office of Health Care Assurance performs regular inspections and unannounced surveys to verify that healthcare facilities maintain high standards of resident care.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Hawaii state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | HI Average | vs. HI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 61 | 25 | This facility has 144% more total deficiencies than a typical Hawaii nursing home (61 vs. HI avg 25).↑ 144% worse |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 20.3 | 8.3 | This facility has 145% more deficiencies per year than a typical Hawaii nursing home (20.3 vs. HI avg 8.3).↑ 145% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Hawaii average 4.4
Last Health inspection on Apr 2025
Hawaii average 35.5
Hawaii average 8.23
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.
100% better than Hawaii averageHawaii average: 0.1
In line with Hawaii averageHawaii average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
99% more staff per resident than Hawaii average
0% compared with Hawaii average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 19 RN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 1 LPN Staff are full-time employees. No contractors work on this role.
1
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.1 hoursHelps with daily care and mobility.
All 30 CNA Staff are full-time employees. No contractors work on this role.
30
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,003 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 30 | 0 | 30 | 9,518 | 92 | 100% | 7.8 |
| Qualified Activities Professional | 25 | 0 | 25 | 7,855 | 92 | 100% | 8.9 |
| Registered Nurse | 19 | 0 | 19 | 7,640 | 92 | 100% | 9.5 |
| Clinical Nurse Specialist | 2 | 1 | 3 | 1,024 | 63 | 68% | 8 |
| Administrator | 2 | 0 | 2 | 656 | 63 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Respiratory Therapy Technician | 1 | 2 | 3 | 262 | 65 | 71% | 3.9 |
| Speech Language Pathologist | 2 | 3 | 5 | 197 | 64 | 70% | 2.6 |
| Licensed Practical Nurse | 1 | 0 | 1 | 194 | 16 | 17% | 12.1 |
| Physical Therapy Aide | 3 | 1 | 4 | 175 | 52 | 57% | 3.2 |
| Qualified Social Worker | 2 | 2 | 4 | 116 | 47 | 51% | 2.4 |
| Physical Therapy Assistant | 5 | 1 | 6 | 73 | 25 | 27% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 41 | 30 | 33% | 1.4 |
| Dental Services Staff | 1 | 0 | 1 | 24 | 3 | 3% | 8 |
Includes penalties issued in 2024
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)
136% higher than Hawaii averageHawaii average: $38K
34% fewer fines than Hawaii averageHawaii average: 1.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 16, 2024 · $89K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
8.7%
50% better than Hawaii averageHawaii average: 17.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Hawaii averageHawaii average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
6.4%
75% worse than Hawaii averageHawaii average: 3.6%
Percent of long-stay residents with a urinary tract infection
4.0%
68% worse than Hawaii averageHawaii average: 2.4%
Percent of long-stay residents who lose too much weight
1.6%
66% better than Hawaii averageHawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
3.1%
110% worse than Hawaii averageHawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
7.2%
28% better than Hawaii averageHawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Hawaii averageHawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
18% better than Hawaii averageHawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Hawaii averageHawaii average: 1.2%
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.
56% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
32Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Islands Skilled Nursing and Rehab from 2020–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #16 / 29Payroll — State benchmarkedThis home is ranked 16th out of 29 homes in Hawaii. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #5 / 29Payroll % — State benchmarkedThis home is ranked 5th out of 29 homes in Hawaii. Shows payroll as a percentage of revenue versus the Hawaii average. Well-run Hawaii facilities typically land around 52–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
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.
1.9 miles from city center
Estimated distance in miles from Honolulu's city center to Islands Skilled Nursing and Rehab's address, calculated via Google Maps.
Add your location
The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
| 15 Craigside | NH ADC AL HC IL | Honolulu (Nuuanu - Punchbowl) | 45
Facility
45
HI AVG
43
Rank
#26 / 87 |
97.7%
Facility
97.7%
HI AVG
74.2%
Rank
#2 / 28 | +32% | 5.04
Facility
5.04
HI AVG
4.20
Rank
#8 / 33 | +1% | +20% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 34 | 5
Facility
5
HI AVG
35.5
Rank
#1 / 34 | 2.5
Facility
2.5
HI AVG
8.2
Rank
#1 / 34 | - | 45 | A+ |
50
Facility
50
HI AVG
49
Rank
#85 / 178 | Bree Komagome | $7.7M
Facility
$7.7M
HI AVG
$20.8M
Rank
#27 / 29 | $5.2M
Facility
$5.2M
HI AVG
$7.1M
Rank
#24 / 29 | 67.8%
Facility
67.8%
HI AVG
38.9%
Rank
#1 / 29 | 125063 | ||||
| Arcadia Retirement Residence | NH ADC HC IL NC | Honolulu (Makiki/Lower/ Punchbowl/Tantalus) | 91
Facility
91
HI AVG
43
Rank
#18 / 87 |
84.3%
Facility
84.3%
HI AVG
74.2%
Rank
#10 / 28 | +14% | 5.08
Facility
5.08
HI AVG
4.20
Rank
#7 / 33 | +26% | +21% | $12.9k
Facility
$12.9k
HI AVG
$43.4k
Rank
#23 / 34 | 36
Facility
36
HI AVG
35.5
Rank
#19 / 34 | 9.0
Facility
9.0
HI AVG
8.2
Rank
#27 / 34 | 2 | 85 | A+ |
86
Facility
86
HI AVG
49
Rank
#27 / 178 | Kathleen Yokouchi | $14.6M
Facility
$14.6M
HI AVG
$20.8M
Rank
#14 / 29 | $7.5M
Facility
$7.5M
HI AVG
$7.1M
Rank
#11 / 29 | 51.1%
Facility
51.1%
HI AVG
38.9%
Rank
#11 / 29 | 125014 | ||||
| Kalākaua Gardens | NH AL IL MC RC | Honolulu (Ala Moana) | 49
Facility
49
HI AVG
43
Rank
#24 / 87 |
71.4%
Facility
71.4%
HI AVG
74.2%
Rank
#20 / 28 | -4% | 0.37
Facility
0.37
HI AVG
4.20
Rank
#33 / 33 | -3% | -91% | $55.7k
Facility
$55.7k
HI AVG
$43.4k
Rank
#30 / 34 | 35
Facility
35
HI AVG
35.5
Rank
#18 / 34 | 5.8
Facility
5.8
HI AVG
8.2
Rank
#10 / 34 | 3 | 42 | - |
98
Facility
98
HI AVG
49
Rank
#3 / 178 | 1723 Kalakaua LLC | $21.3M
Facility
$21.3M
HI AVG
$20.8M
Rank
#10 / 29 | $9.5M
Facility
$9.5M
HI AVG
$7.1M
Rank
#8 / 29 | 44.8%
Facility
44.8%
HI AVG
38.9%
Rank
#16 / 29 | 125066 | ||||
| Avalon Care Center – Honolulu | NH | Honolulu (Kalihi Valley) | 108
Facility
108
HI AVG
43
Rank
#10 / 87 |
90.4%
Facility
90.4%
HI AVG
74.2%
Rank
#7 / 28 | +22% | 4.06
Facility
4.06
HI AVG
4.20
Rank
#17 / 33 | +24% | -3% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 34 | 53
Facility
53
HI AVG
35.5
Rank
#31 / 34 | 17.7
Facility
17.7
HI AVG
8.2
Rank
#34 / 34 | - | 96 | A+ |
47
Facility
47
HI AVG
49
Rank
#93 / 178 | Avalon Of Hawaii LLC | $22.2M
Facility
$22.2M
HI AVG
$20.8M
Rank
#7 / 29 | $10.7M
Facility
$10.7M
HI AVG
$7.1M
Rank
#6 / 29 | 48.4%
Facility
48.4%
HI AVG
38.9%
Rank
#23 / 29 | 125020 | ||||
| Islands Skilled Nursing and Rehab | NH | Honolulu (Mccully - Moiliili) | 42
Facility
42
HI AVG
43
Rank
#29 / 87 |
83.7%
Facility
83.7%
HI AVG
74.2%
Rank
#12 / 28 | +13% | 3.16
Facility
3.16
HI AVG
4.20
Rank
#32 / 33 | -12% | -25% | $89.2k
Facility
$89.2k
HI AVG
$43.4k
Rank
#33 / 34 | 64
Facility
64
HI AVG
35.5
Rank
#34 / 34 | 12.8
Facility
12.8
HI AVG
8.2
Rank
#32 / 34 | 1 | 34 | - |
96
Facility
96
HI AVG
49
Rank
#11 / 178 | Pacific Healthcare Ventures LLC | $13.0M
Facility
$13.0M
HI AVG
$20.8M
Rank
#22 / 29 | $8.1M
Facility
$8.1M
HI AVG
$7.1M
Rank
#16 / 29 | 61.9%
Facility
61.9%
HI AVG
38.9%
Rank
#5 / 29 | 125067 |
Islands Skilled Nursing and Rehab is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Islands Skilled Nursing and Rehab is in the McCully - Moiliili neighborhood of Honolulu.
Islands Skilled Nursing and Rehab has a walk score of 96. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
Islands Skilled Nursing and Rehab's occupancy is 83.7%.
Yes — there are 2 photos of Islands Skilled Nursing and Rehab in the photo gallery on this page.
Islands Skilled Nursing and Rehab is located at 1205 Alexander St, Honolulu, HI 96826.
(808) 773-8700 will put you in contact with the team at Islands Skilled Nursing and Rehab.
Yes — Islands Skilled Nursing and Rehab is a CMS-certified provider of Medicare and Medicaid.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
