Islands Skilled Nursing & Rehabilitation: Staffing, Turnover, and Inspection Record
Islands Skilled Nursing & Rehabilitation is a 42-bed for-profit nursing home in Honolulu, Hawaii. In the CMS August 2026 release it reported 2.74 nurse aide hours per resident per day, 5% below the Hawaii average of 2.88, and 40.0% nursing staff turnover (Hawaii average 36.4%).
Islands Skilled Nursing & Rehabilitation
1205 Alexander StreetHonolulu, HI 96826
Honolulu County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Islands Skilled Nursing & Rehabilitation, nurse aides logged 2.74 hours per resident per day, 5% below the Hawaii average. With about 36 residents a day, that works out to roughly 100 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Hawaii avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.74 | 2.88 | 2.32 |
| Licensed practical nurses | 0.04 | 0.34 | 0.86 |
| Registered nurses | 2.89 | 1.75 | 0.69 |
| All nursing staff | 5.67 | 4.97 | 3.86 |
| All nursing staff, weekends | 4.99 | 4.41 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
40.0% of nursing staff at Islands Skilled Nursing & Rehabilitation left over the year CMS measured, against a Hawaii average of 36.4% and a US average of 45.8%. Registered nurse turnover was 44.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 30, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Hawaii average 10.0). CMS lists 1 fine totaling $89,206 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 16, 2024 | Fine | $89,206 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Islands Skilled Nursing & Rehabilitation holds 1 of 5 overall; the Hawaii average is 3.6.
About Islands Skilled Nursing & Rehabilitation
- Ownership: For profit - Limited Liability company
- Legal name: Islands Skilled Nursing and Rehabilitation, LLC
- Medicare and Medicaid certified since: Apr 30, 2020
- Councils: resident council
- Area: urban
Nursing homes near Islands Skilled Nursing & Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Oahu Care Facility Honolulu | 0.0 | 82 | 3.53 | 5.09 | 47.8% | 5 | $8,278 |
| Hale Ola Kino by Arcadia Hon | 0.2 | 32 | 3.41 | 5.51 | 13.2% | 5 | None |
| Arcadia Retirement Residence Honolulu | 0.3 | 91 | 2.89 | 4.61 | 24.7% | 4 | $12,854 |
| Kalakaua Gardens Honolulu | 0.8 | 49 | 3.38 | 5.78 | 100.0% | 2 | $55,692 |
| Hale Nani Rehabilitation and Nursing Center Honolulu · Special Focus Facility | 1.0 | 288 | 2.32 | 3.69 | 32.4% | — | $27,885 |
| 15 Craigside Honolulu | 2.2 | 45 | 2.62 | 4.53 | 13.0% | 5 | None |
| The Care Center of Honolulu Honolulu | 2.2 | 182 | 2.71 | 4.64 | 38.9% | 2 | $8,018 |
| The Ching Villas Honolulu | 2.5 | 163 | 3.24 | 6.46 | 36.3% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.