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A+
Excellent

Islands Skilled Nursing & Rehabilitation

1205 Alexander Street · Honolulu, HI 96826

8087738700 · For profit - Limited Liability company

42 beds32 residents101 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Islands Skilled Nursing & Rehabilitation receives an overall staffing grade of A+ (Excellent). With 6.4517 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 2.56 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 15.87% compared to weekdays. The facility has low agency staff usage (2.75% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (2.75%) — mostly permanent, familiar staff
Total Nurse HPRD
6.4517hrs/resident/day▲ 2.56
CMS benchmark: 3.48
RN HPRD
2.9989hrs/resident/day▲ 2.32
Recommended: 0.75
Weekend Drop-off
15.87%
6.7545 weekday → 5.6828 weekend
Agency Staff
2.75%
5.92% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.4528hrs/resident/day
Direct care aides
LPN HPRD
0hrs/resident/day
Licensed practical nurses
Consistency
0.7909std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Honolulu County Average+1.51 HPRD
4.94
06.45 HPRD
vs. Hawaii State Average+1.74 HPRD
4.71
06.45 HPRD
vs. National Average+2.56 HPRD
3.90
06.45 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Islands Skilled Nursing & Rehabilitation ★
Honolulu · This facility
—
A+
6.45172.9989★★☆☆☆
OAHU CARE FACILITY
HONOLULU
0 mi
A
4.6991.6701★★☆☆☆
HALE OLA KINO BY ARCADIA
HON
0.2 mi
A+
5.6161.38★★★★★
ARCADIA RETIREMENT RESIDENCE
HONOLULU
0.3 mi
A
4.83051.6518★★★★★
KALAKAUA GARDENS
HONOLULU
0.8 mi
A
4.7641.8077★★★☆☆
HALE NANI REHABILITATION AND NURSING CENTER
HONOLULU
1 mi
A
4.611.327★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
64
Total Deficiencies
$89,206
Fines Assessed
Apr 30, 2025Health
14 deficiencies cited
▼
Jul 18, 2024Health
6 deficiencies cited· Includes actual harm
▼
May 16, 2024Health
21 deficiencies cited
▼
Sep 6, 2023Health
2 deficiencies cited
▼
May 25, 2023Health
21 deficiencies cited
▼

Penalty History

May 16, 2024Fine
$89,206
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.