Nursing homes › Hawaii › Honolulu › Islands Skilled Nursing & Rehabilitation
1205 Alexander Street, Honolulu, HI 96826 · (808) 773-8700 · 42 certified beds
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Open your comparisonCMS overall star rating: this provider 1/5; median among 41 providers with a published value in the same state and provider category: 4/5.
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CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Limited Liability company.
Total nurse staffing: 5.67 (Hawaii median: 4.61). RN hours: 2.89. Weekend total: 4.99. Nursing staff turnover: 40%.
In the downloaded CMS dataset: 64 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-04-30 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Health | corrected 2025-06-27 |
| 2025-04-30 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Health | corrected 2025-06-27 |
| 2025-04-30 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Health | corrected 2025-06-27 |
| 2025-04-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2025-06-27 |
| 2025-04-30 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2025-06-27 |
| 2025-04-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-27 |
| 2024-07-18 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | G | complaint | corrected 2024-09-13 |
| 2024-07-18 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | complaint | corrected 2024-09-05 |
| 2024-07-18 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | complaint | corrected 2024-09-05 |
| 2024-07-18 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D | complaint | corrected 2024-09-05 |
| 2024-07-18 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-09-05 |
| 2024-07-18 | Provide or arrange emergency care by a doctor 24 hours a day. | D | complaint | corrected 2024-09-05 |
| 2024-05-16 | Post nurse staffing information every day. | F | Health | corrected 2024-07-08 |
| 2024-05-16 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F | Health | corrected 2024-06-30 |
| 2024-05-16 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2024-07-12 |
| 2024-05-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Health | corrected 2024-06-30 |
| 2024-05-16 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2024-07-12 |
| 2024-05-16 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Health | corrected 2024-06-25 |
| 2024-05-16 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | Health | corrected 2024-07-12 |
| 2024-05-16 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2024-08-02 |
| 2024-05-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-07-25 |
| 2024-05-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2024-07-01 |
| 2024-05-16 | Give the resident's representative the ability to exercise the resident's rights. | D | Health | corrected 2024-06-30 |
| 2024-05-16 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-06-30 |
| 2024-05-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2024-07-12 |
| 2024-05-16 | Respond appropriately to all alleged violations. | D | complaint | corrected 2024-07-12 |
| 2024-05-16 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2024-06-30 |
| 2024-05-16 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-07-12 |
| 2024-05-16 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-07-12 |
| 2024-05-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-07-12 |
| 2024-05-16 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-07-04 |
| 2024-05-16 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2024-07-12 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-16 | Fine | $89,206 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PACIFIC HEALTHCARE VENTURES LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 12/31/2020 |
| ACCORD HOLDINGS, LLC | 5% Or Greater Indirect Ownership Interest | Organization | 100% | since 12/31/2020 |
| LACKNER, CHRISTOPHER | Corporate Officer | Individual | NOT APPLICABLE | since 02/26/2020 |
| SMITH, NICOLE | Corporate Officer | Individual | NOT APPLICABLE | since 02/26/2020 |
| MANUMALEUNA, EATHYN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/24/2023 |
| YAZAWA, KIYOTAKA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2019 |
How to cite this page: CareRecords, “Islands Skilled Nursing & Rehabilitation — compliance, penalty and ownership record” (CCN 125067), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/islands-skilled-nursing-rehabilitation-honolulu-hi/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 125067. Corrections: data@carerecords.org.