Islands Skilled Nursing & Rehabilitation
1205 Alexander Street, Honolulu, HI, 96826
Get the complete federal record on this facility — full background report, $249.
Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 42 · avg 34 residents/day
- Total nursing staff turnover
- 38.2% — near the Hawaii averageHawaii avg: 37.5% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 53.6% — higher than most Hawaii nursing homesHawaii avg: 34.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Hawaii averageHawaii avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $89,206 total
- Infection control citations
- 2
Medicare certification
- CMS Certification Number
- 125067
- Certified beds
- 42 beds · avg 34 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Islands Skilled Nursing And Rehabilitation, Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Parent entity
Accord Holdings, Llc
Disclosed owners (6 on record)
- Accord Holdings, LlcHolding
Adp of The Snf · since 2025
- Eathyn Manumaleuna
Adp of The Snf · since 2025
- Pacific Healthcare Ventures LlcHolding
Direct Ownership Interest · since 2020
- Christopher Lackner
Corporate Officer · since 2020
- Nicole r Smith
Corporate Officer · since 2020
- Kiyotaka a Yazawa
Operational/managerial Control · since 2019
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 64)
- F0921·Apr 30, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D0880·Apr 30, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- F0851·Apr 30, 2025
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D0842·Apr 30, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0812·Apr 30, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Apr 30, 2025
Pharmacy Service Deficiencies
Ensure 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.
- D0756·Apr 30, 2025
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D0689·Apr 30, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20241 fine · $89K
Most recent events
- May 16, 2024Fine · $89K
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: May 25, 2023. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Islands Skilled Nursing & Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.