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.
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 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.
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).
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/
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.