Overall, GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER in Lihue, HI has a 5-star rating, with strong staffing and quality scores and no fines in the last 24 months. Its health inspection rating is lower at 3 stars, and reported nurse staffing is slightly above the federal benchmark (4.15 vs. 4.1 hours per resident per day).
Last inspection: February 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1501.
Staffing detail
Registered nurses
1.58
Licensed practical nurses
0.14
Nurse aides
2.43
Weekend nursing
3.78
Hours per resident per day.
Total staff turnover: 24%
Registered nurse turnover: 15%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
8.7%Improving
Residents with a fall causing major injury
1.3%Worsening
Residents with pressure ulcers (bedsores)
4.3%Improving
Residents with a urinary tract infection
1.3%Improving
Residents who lost too much weight
3.7%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.2%Improving
Residents whose ability to walk got worse
14.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
7.3%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
13.2%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
97%Steady
Long-stay residents given the pneumonia vaccine
98.3%Worsening
Short-stay residents given the seasonal flu vaccine
58.9%Steady
Short-stay residents given the pneumonia vaccine
58.6%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2023 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited February 2025 — limited pattern, potential for harm.
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F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited July 2023 — limited pattern, potential for harm.
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F-Tag 740 — 42 CFR §483.40 — S/S: E
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited February 2025 — isolated incident, potential for harm.
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F-Tag 558 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 11 health deficiencies.
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INSPECTION
Health inspection found 9 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of OHANA PACIFIC MANAGEMENT CO. · 6 homes · 3.3 stars avg
Occupancy
72.9 residents on an average day (66% of 110 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 59 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.