The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
Nursing home report
Islands Skilled Nursing & Rehabilitation
Honolulu, HI · Medicare-certified · 42 beds
Needs attention
Special Focus candidateFor-profit
Data as of September 1, 2026
1 of 5 overall
Islands Skilled Nursing & Rehabilitation in Honolulu has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and special focus facility status (SFF candidate). Staffing is rated 3 stars, reported nurse staffing is 5.67 hours per resident per day versus the 4.1 federal benchmark, and the facility had $19,045 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
5.6675 hrs/resident/day
Quality measures
Last inspection: April 30, 2025Penalties, last 24 months: $19,045special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.6675.
Staffing detail
- Registered nurses
- 2.89
- Licensed practical nurses
- 0.04
- Nurse aides
- 2.74
- Weekend nursing
- 4.99
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 45%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.2%4.2%No change
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
8.4%9.8%Worsening
Residents with a urinary tract infection
9.7%6.1%Improving
Residents who lost too much weight
3.2%3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—13.6%—
Long-stay residents on antianxiety or sleep medication
9.7%12.1%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
6.6%10.5%Worsening
Residents with new or worsening incontinence
—9.1%—
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%87.9%Worsening
Short-stay residents given the pneumonia vaccine
—62.7%—
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited April 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to conduct and document a full facility assessment to ensure it had the resources needed for daily care and emergencies. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 838 — 42 CFR §483.70 — S/S: F
Recent history
- PENALTY
A federal fine of $12,500 was recorded.
- PENALTY
A federal fine of $6,545 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $89,206 was recorded.
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $108,251 in total fines.
- $12,500
Federal fine
May 1, 2026
- $6,545
Federal fine
May 1, 2026
- $89,206
Federal fine
May 16, 2024
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 36.4 residents on an average day (87% of 42 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 6 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.