Islands Skilled Nursing & Rehabilitation – Honolulu, HI

CMS Verified | 2026-03-01

Islands Skilled Nursing & Rehabilitation

1205 Alexander Street, Honolulu, HI 96826
(808) 773-8700
42 beds
All Honolulu facilities
2.0*
Overall
2.0*
Health Inspection
4.0*
Quality Care
2.0*
Staffing
83.88
Score /100
#2091
National Rank

#2091
of 14703 facilities
National
85.8% position
#18
of 42 in HI
State Rank
#12
of 26 in Honolulu
County Rank
#8
of 18 in Honolulu
City Rank
#2
of 4 in ZIP 96826
ZIP Rank






About Islands Skilled Nursing & RehabilitationIslands Skilled Nursing & Rehabilitation is located at 1205 Alexander Street, Honolulu, HI, reachable at (808) 773-8700. This For profit – Limited Liability company facility operates 42.0 certified beds and serves an average of 32 residents per day. Medicare and Medicaid services have been provided since 2020-04-30. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Islands Skilled Nursing & Rehabilitation

Address

1205 Alexander Street, Honolulu, HI 96826

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 42 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 41 fine(s) over 5 years
5-Year Trend
Declining over 5 years
83.88
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#2091 of 14703 nationally – #18 of 42 in Hawaii

Who Is This Facility Best For?

Islands Skilled Nursing & Rehabilitation may be considered for families with limited options in Honolulu, HI, but its lower CMS ratings suggest careful due diligence is warranted. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightIslands Skilled Nursing & Rehabilitation currently provides 6 hours 26 minutes of total nurse staffing per resident per day, including 2 hours 59 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN staffing hours have fluctuated between 173 and 179 min/day over the past five years, indicating some instability in skilled nurse coverage.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing6 hours 26 minutes
Nurse Aide Hours3 hours 26 minutes
Licensed Practical Nurse (LPN) Hours0 minutes
Registered Nurse (RN) Hours2 hours 59 minutes
Physical Therapist Hours5 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours5 hours 40 minutes
Weekend Registered Nurse (RN) Hours2 hours 16 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $89,206. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 1
Total Fines Amount $89206.0
Payment Denials 0
Total Penalties 1
Abuse Flag on Record N
Total Weighted Health Survey Score 112.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#2,091
of 14,703
National
Top 14%
#18
of 42
HI State
Top 43% in HI
#12
of 26
️ Honolulu County
#12 of 26
#8
of 18
️ Honolulu
#8 of 18
#2
of 4
ZIP 96826
#2 of 4

Nationally, Islands Skilled Nursing & Rehabilitation ranks 2091st out of 14,703 facilities (composite score: 83.9/100), placing it in the top 25% nationwide. Within HI, it ranks 18th out of 42 nursing homes. In Honolulu, it ranks 8th out of 18 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 4. For 2026 staffing: total nurse hours rank #245 nationally and RN hours rank #94 nationally (#2 in HI).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank HI State Rank Note
2022 6.74 #199 / 14,703 #4 / 42 Top 5%
2023 6.46 #231 / 14,703 #4 / 42 Top 5%
2024 7.69 #109 / 14,703 #3 / 42 Top 5%
2025 5.84 #457 / 14,703 #5 / 42 Top 5%
2026 6.43 #245 / 14,703 #2 / 42 Top 5%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank HI State Rank Note
2022 2.88 #102 / 14,703 #4 / 42 Top 5%
2023 2.61 #117 / 14,703 #3 / 42 Top 5%
2024 3.55 #66 / 14,703 #2 / 42 Top 5%
2025 2.63 #120 / 14,703 #4 / 42 Top 5%
2026 2.99 #94 / 14,703 #2 / 42 Top 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Islands Skilled Nursing & Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2020-04-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (808) 773-8700 or your local Medicaid office to verify current eligibility.

Islands Skilled Nursing & Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 83.9/100, placing it #2091 of 14703 facilities nationally and #18 of 42 in Hawaii. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Islands Skilled Nursing & Rehabilitation receives a reported average of 6 hours 26 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 2 hours 59 minutes; Licensed Practical Nurse (LPN) — 0 minutes; Nurse Aide — 3 hours 26 minutes. On weekends, total nurse staffing is 5 hours 40 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $89,206. 7 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $89,206, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 112.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Islands Skilled Nursing & Rehabilitation ranks 2091st out of 14,703 facilities (composite score: 83.9/100), placing it in the top 25% nationwide. Within HI, it ranks 18th out of 42 nursing homes. In Honolulu, it ranks 8th out of 18 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 4. For 2026 staffing: total nurse hours rank #245 nationally and RN hours rank #94 nationally (#2 in HI). Our composite quality score of 83.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Honolulu, visit: https://nursinghomesnearme.org/hawaii/honolulu/

Contact and Location

ADR
Address

1205 Alexander Street, Honolulu, HI 96826
Get directions on Google Maps

TEL
LLC
Legal Name

ISLANDS SKILLED NURSING AND REHABILITATION, LLC

MAP
Browse by Location

All Hawaii ·
Honolulu County ·
Honolulu ·
ZIP 96826

Facility Details

Number of Certified Beds 42
Average Residents / Day 32 (76% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Honolulu County, HI
City Honolulu, HI
ZIP Code 96826
Approved Since April 30, 2020
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 125067
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org