Show Inspection Reports
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.
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Nursing Home
Islands Skilled Nursing and Rehab
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Home revenue
$13.6M
Profit
$318.5K
Privately-owned community
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.
Inspection History
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.
5 visits/inspections
2 visits/inspections triggered by complaints
3 routine inspections
Results
5 with issues
0 without issues
Latest inspection
Date:April 30, 2025
Type:Annual Inspection
61 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Health Inspection History
Inspections
Total health citations
64
Hawaii average 35.5
Citations per inspection
12.8
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.
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
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 30, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Apr 30, 2025
Corrected
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Apr 30, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Apr 30, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 30, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 30, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 30, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
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.
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
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Kaimuki)
100
87.7%
+18%
4.19
0%
2
21
2
92
-
11
The Maunalani Foundation
$18,8M
$8,7M
46.2%
125013
Islands Skilled Nursing and Rehab
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (McCully - Moiliili)
42
83.7%
+13%
3.16
-25%
1
64
1
31
-
96
Pacific Healthcare Ventures Llc
$13,1M
$6,7M
50.9%
125067
Liliha Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Liliha - Kapalama)
92
84.3%
+14%
4.00
-5%
1
52
3
82
-
81
-
$12,2M
$5,7M
46.7%
125041
The Care Center of Honolulu
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Liliha - Kapalama)
254
66.6%
-10%
3.31
-21%
1
47
1
171
A+
71
Darley, Suzanne
$39,8M
$14,0M
35.3%
125019
Hale Ho Aloha
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Nuuanu - Punchbowl)
-
-
-
-
-
0
0
0
-
A+
3
-
-
-
-
-
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 (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
94
Employees
92
Contractors
2
Staff to resident ratio
2.94:1
79% better than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
40
Average shift
8.2 hours
5% better than Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
29,815
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
0
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
0 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
0 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
27
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
1.8%
537 contractor hours this quarter
Clinical Nurse Specialist: 1
Occupational Therapy Aide: 1
Staff by category
| 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 |
27 Certified Nursing Assistant
% of Days
100%
26 Qualified Activities Professional
% of Days
100%
23 Registered Nurse
% of Days
100%
2 Clinical Nurse Specialist
% of Days
69%
1 Administrator
% of Days
70%
2 Speech Language Pathologist
% of Days
73%
3 Physical Therapy Aide
% of Days
62%
1 Qualified Social Worker
% of Days
67%
1 Dental Services Staff
% of Days
56%
2 Physical Therapy Assistant
% of Days
64%
2 Nurse Practitioner
% of Days
15%
3 Respiratory Therapy Technician
% of Days
34%
1 Occupational Therapy Aide
% of Days
26%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
32 residents
Residents by payment source
Medicare
3 residents (9.4%)
Medicaid
29 residents (90.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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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Financial Aid for Hawaii Seniors
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