F

Islands Skilled Nursing & Rehabilitation

1205 Alexander Street, Honolulu, HI 96826
Score: 33 / 100
⚠️ SFF Candidate

With a score of 33/100, Islands Skilled Nursing & Rehabilitation ranks in the bottom tier of Hawaii nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels at Islands Skilled Nursing & Rehabilitation exceed national averages, with 6.43 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 2.99 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 64 deficiencies at Islands Skilled Nursing & Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 6.43 3.8 Above Average
Registered Nurses (RN) 2.99 0.7 Above Average
Licensed Practical Nurses (LPN) 0.00 0.7 Below Average
Certified Nursing Assistants (CNA) 3.44 2.4 Above Average
Weekend Total Nursing 5.66 3.8 Above Average
Weekend RN Hours 2.27 0.7 Above Average

🔍 Inspection & Deficiency History

64
Total Deficiencies
Apr 29, 2025
Most Recent Inspection
🟠 64 Moderate
View recent deficiencies (5 shown)
  • Tag 0851 Severity F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Apr 29, 2025 · Administration Deficiencies
  • Tag 0921 Severity F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    Apr 29, 2025 · Environmental Deficiencies
  • Tag 0550 Severity E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Apr 29, 2025 · Resident Rights Deficiencies
  • Tag 0656 Severity E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Apr 29, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Apr 29, 2025 · Resident Rights Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 6.5% 4.5% Worse
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 4.2% 14.5% Better
Urinary tract infections 4.8% 2.5% Worse
ADL decline (daily activities) 4.8% 14.0% Better
Excessive weight loss 2.4% 7.5% Better
New/worsened incontinence 5.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $89,206

How This Grade Was Calculated

This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -8 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
42
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 29, 2025
Deficiencies (Cycle 1)
14