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Islands Skilled Nursing & Rehabilitation, Honolulu, HI: 1 star rating, fined $108,251 across 3 fines

Islands Skilled Nursing & Rehabilitation in Honolulu, HI is owned by Pacific Healthcare Ventures LLC, is rated 1 of 5 stars by Medicare, and was fined $108,251 across 3 fines in the three years to October 1, 2026. CMS lists 41 health citations from inspections in that time, the latest survey on April 30, 2025, and 1 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Hawaii
Address
1205 Alexander Street, Honolulu, HI 96826
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5
Certified beds
42
Residents per day
37 on average
Ownership type
For profit, limited liability company
Legal business name
Islands Skilled Nursing and Rehabilitation, LLC
Special focus
Special focus candidate
Fines
$108,251 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
41, of which 1 with actual harm or immediate jeopardy
Latest survey
April 30, 2025
CMS Certification Number
125067
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 1, 2026Fine$12,500Not listeddata.cms.gov
May 1, 2026Fine$6,545Not listeddata.cms.gov
May 16, 2024Fine$89,206Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
April 30, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
April 30, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 27, 2025data.cms.gov
July 18, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.G: isolated, actual harmCorrectedSeptember 13, 2024data.cms.gov
July 18, 2024F713Provide or arrange emergency care by a doctor 24 hours a day.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 18, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 18, 2024F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
July 18, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 5, 2024data.cms.gov
May 16, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 25, 2024data.cms.gov
May 16, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
May 16, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 16, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 2, 2024data.cms.gov
May 16, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 25, 2024data.cms.gov
May 16, 2024F732Post nurse staffing information every day.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 8, 2024data.cms.gov
May 16, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 4, 2024data.cms.gov
May 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 16, 2024F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 12, 2024data.cms.gov
May 16, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 16, 2024F551Give the resident's representative the ability to exercise the resident's rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 30, 2024data.cms.gov
May 16, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 1, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 6 individual or personal trusts (2 managers, 2 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Pacific Healthcare Ventures LLCDirect ownerNot listedDecember 31, 2020data.cms.gov
Accord Holdings, LLCIndirect owner100%December 31, 2020data.cms.gov
Accord Holdings, LLCGeneral partnerNot listedDecember 31, 2020data.cms.gov
Accord Holdings, LLCLimited partnerNot listedDecember 31, 2020data.cms.gov
Accord Holdings, LLCAdditional disclosable partyNot listedFebruary 19, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.