Nursing home
Islands Skilled Nursing & Rehabilitation
1205 Alexander Street, Honolulu, HI 96826 · Map
For profit - Limited Liability company · 42 certified beds
Islands Skilled Nursing & Rehabilitation is a Medicare-certified nursing home in Honolulu, Hawaii. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 6.43 hours per resident per day, above the Hawaii average of 4.71. Its most recent inspection on Apr 30, 2025 cited 14 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 1 fine totaling $89,206In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Islands Skilled Nursing & Rehabilitation 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) | 6.43 | 4.71 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 2.99 | 1.63 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.44 | 2.73 | 2.34 | above avg |
| Nursing staff turnover | —% | 36.5% | 46.4% | — |
| Deficiencies cited, last inspection | 14.0 | 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 April 30, 2025 inspection was corrected by June 27, 2025
Penalties in CMS records: 1 fine totaling $89,206, 1 total penalty.
What inspectors found at Islands Skilled Nursing & Rehabilitation
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
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Apr 30, 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 · Apr 30, 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 · Apr 30, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 30, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 30, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Apr 30, 2025 · 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
- 1205 Alexander Street
Honolulu, HI 96826 - CMS certification #
- 125067
- Ownership
- For profit - Limited Liability company
- Certified beds
- 42
- Avg residents/day
- 32.0
- Provider type
- Medicare and Medicaid
- First certified
- 2020-04-30
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Islands Skilled Nursing & Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Care and services
From the community’s website
What Islands Skilled Nursing & Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Apartment types named: companion suite.
Our shared suites offer amenities such as electronic beds with integrated scales and adjustable positions, a flat screen television equipped with the standard Spectrum cable package.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Straub Clinic And Hospital, Honolulu. 1.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Oahu Care Facility, Honolulu. 0.0 miles away, straight line.
- Nearest home health agency office
- Mastercare Homecare & Healthcare, Honolulu. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Outpatient Pharmacy. 0.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 96826 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Beretania Dialysis, Honolulu, 0.1 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Kapahulu Dialysis Center, Honolulu, 1.5 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Usrc Honolulu Dialysis Center, Honolulu, 2.3 miles away, straight line (has a shift starting after 5 pm; CMS rating 4 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 96826.
Islands Hospice, office in Honolulu, 2.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Bristol Hospice - Hawaii, LLC, office in Honolulu, 2.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
St Francis Hospice, office in Honolulu, 2.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Hawaii Permanente Medical Group Inc, Honolulu. 1.0 mile away, straight line. 2 geriatric medicine doctors 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)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, tornado very low, earthquake relatively high. 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 | Not shown: no FEMA wildfire rating of moderate or higher here |
| 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 Islands Skilled Nursing & Rehabilitation a good nursing home?
CMS gives Islands Skilled Nursing & Rehabilitation an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Islands Skilled Nursing & Rehabilitation staffed?
Islands Skilled Nursing & Rehabilitation reports 6.43 total nurse hours per resident per day, compared with the Hawaii average of 4.71.
Has Islands Skilled Nursing & Rehabilitation had inspection problems?
Its most recent CMS inspection cited 14 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Islands Skilled Nursing & Rehabilitation have?
Islands Skilled Nursing & Rehabilitation is certified for 42 beds.