Nursing home · Top rated by CMS
Garden Isle Healthcare and Rehabilitation Center
3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766 · Map
For profit - Corporation · Part of Ohana Pacific Management Co. (6 facilities) · 110 certified beds
Garden Isle Healthcare and Rehabilitation Center is a Medicare-certified nursing home in Lihue, Hawaii. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.90 hours per resident per day, below the Hawaii average of 4.71. Its most recent inspection on Feb 21, 2025 cited 11 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Garden Isle Healthcare and Rehabilitation Center compares
This facility vs. the Hawaii and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Hawaii avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.90 | 4.71 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.53 | 1.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.14 | 2.73 | 2.34 | below avg |
| Nursing staff turnover | 26.8% | 36.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 11.0 | 10.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 21, 2025 inspection was corrected by April 7, 2025
What inspectors found at Garden Isle Healthcare and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Provide or obtain dental services for each resident.
Quality of Life and Care Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Feb 21, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 21, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 23, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3-3420 Kuhio Highway, Suite 300
Lihue, HI 96766 - CMS certification #
- 125004
- Ownership
- For profit - Corporation
- Certified beds
- 110
- Avg residents/day
- 73.8
- Provider type
- Medicare and Medicaid
- First certified
- 1967-01-01
- Chain
- Ohana Pacific Management Co. (6 facilities)
- Setting
- Rural
Part of Ohana Pacific Management Co.
Ohana Pacific Management Co. operates 6 nursing facilities across the United States. View all Ohana Pacific Management Co. facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Garden Isle Healthcare and Rehabilitation Center using Google Maps.
Other public records
- Website says Respite stays
Full public records, with dates and sources
Care and services
From the community’s website
What Garden Isle Healthcare and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Our community is the premier destination for Assisted Living, Memory Care, Adult Day Program, and Respite in Honolulu, HI.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Wilcox Memorial Hospital, Lihue. 3.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars. Location approximate.
- Nearest Medicare nursing home
- Samuel Mahelona Memorial Hospital, Kapaa. 8.4 miles away, straight line.
- Nearest home health agency office
- Kokua Healthcare LLC, Lihue. 0.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Kuhio Medical Center. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 96766 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Liberty Dialysis Hawaii - Kauai Dialysis Facility, Lihue, 0.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 96766.
Kauai Hospice, office in Lihue, 1.1 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Ashok Kannan, DO, Kapaa. 7.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Lihue, HI, risk to homes is greater than 38% of communities in Hawaii and 88% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, coastal flooding relatively low, wildfire relatively moderate, tornado very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Garden Isle Healthcare and Rehabilitation Center a good nursing home?
CMS gives Garden Isle Healthcare and Rehabilitation Center an overall rating of 5 out of 5 stars, including 5/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Garden Isle Healthcare and Rehabilitation Center staffed?
Garden Isle Healthcare and Rehabilitation Center reports 3.90 total nurse hours per resident per day, compared with the Hawaii average of 4.71.
Has Garden Isle Healthcare and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 11 deficiencies.
How many beds does Garden Isle Healthcare and Rehabilitation Center have?
Garden Isle Healthcare and Rehabilitation Center is certified for 110 beds.