Honolulu Senior AdvisorIslands Skilled Nursing & Rehabilitation is a 42-bed Medicare- and Medicaid-certified nursing home at 1205 Alexander Street in Honolulu, Oahu (CMS certification number 125067). CMS gives Islands Skilled Nursing & Rehabilitation an overall rating of 1 out of 5 stars, based on CMS Care Compare data as of October 1, 2026.
What star ratings does CMS give Islands Skilled Nursing & Rehabilitation in Honolulu?
CMS gives Islands Skilled Nursing & Rehabilitation an overall rating of 1 out of 5 stars; its health inspection rating is 1, staffing 3 and quality measures 3, each out of 5.
| Measure | Value |
|---|---|
| Overall rating (CMS) | 1 of 5 |
| Health inspection rating (CMS) | 1 of 5 |
| Staffing rating (CMS) | 3 of 5 |
| Quality measures rating (CMS) | 3 of 5 |
| Certified beds / average residents per day | 42 / 37.2 |
| Ownership type (CMS) | For profit - Limited Liability company |
| Operator chain (CMS) | Not part of a listed chain |
| First certified for Medicare/Medicaid | April 30, 2020 |
| Located inside a hospital (CMS) | No |
On an average day it cares for about 37 residents, roughly 89% of its certified beds (in line with the 88% median across Oahu's certified nursing homes).
How did Islands Skilled Nursing & Rehabilitation do on its latest inspections?
Inspectors from Hawaii's Office of Health Care Assurance, acting for CMS, last completed a standard health survey at Islands Skilled Nursing & Rehabilitation on April 30, 2025; CMS counts 14 health deficiencies in that cycle, 14 from the survey itself and 0 from complaint visits.
The prior rating cycle, with its standard survey on May 16, 2024, recorded 27 deficiencies. Infection-control inspections produced 0 citations. Across Oahu's certified nursing homes the median latest-cycle count is 9, so Islands Skilled Nursing & Rehabilitation sits above the local middle.
CMS reports 3 fines totaling $108,251 and 0 payment denials in its three-year penalty window.
How many nursing hours do residents get at Islands Skilled Nursing & Rehabilitation?
CMS's staffing data credits Islands Skilled Nursing & Rehabilitation with 5.47 nurse hours per resident day, higher than the Oahu median of 4.65; RN time is 2.76 hours per resident day, higher than the Oahu median of 1.69.
Weekend total nurse staffing runs 5.04 hours per resident per day. Total nursing-staff turnover is 43.1% (higher than the Oahu median of 32.8%), and registered-nurse turnover is 53.6%. 0 administrators have left in the CMS measurement period.
How does Islands Skilled Nursing & Rehabilitation compare with nearby nursing homes?
With 42 certified beds it is smaller than the Oahu median of 96 beds; the closest other certified nursing home is Oahu Care Facility in Honolulu, in the same ZIP code, rated 4 of 5 by CMS.
| Facility | Miles away | Certified beds | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Oahu Care Facility 1808 South Beretania Street, 96826 | 0.0 | 82 | 4 of 5 | November 18, 2025 | 9 |
| Hale Ola Kino by Arcadia 1314 Kalakaua Ave Second Floor, 96826 | 0.2 | 32 | 5 of 5 | June 26, 2026 | 1 |
| Arcadia Retirement Residence 1434 Punahou Street, 96822 | 0.3 | 91 | 4 of 5 | October 4, 2024 | 7 |
| Kalakaua Gardens 1723 Kalakaua Avenue, 96826 | 0.8 | 49 | 3 of 5 | February 20, 2026 | 11 |
| Hale Nani Rehabilitation and Nursing Center 1677 Pensacola Street, 96822 | 1.0 | 288 | Not rated by CMS | May 1, 2026 | 26 |
Where is Islands Skilled Nursing & Rehabilitation and what else is nearby?
Islands Skilled Nursing & Rehabilitation sits in the Makiki, Manoa, Moiliili & Waikiki part of Honolulu; the nearest hospital in CMS's hospital list is The Queen's Medical Center, about 1.6 miles away by straight line.
The next closest is Straub Clinic and Hospital at about 1.6 miles; distances use CMS coordinates and ZIP centroids, not drive times.
Within about 2.5 miles there are 23 licensed expanded adult residential care homes, the Hawaii setting where a resident at nursing-facility level of care can live in a small home with a registered nurse case manager. For long-term care that is often the alternative families weigh against a nursing home bed.
What should we ask on a tour of Islands Skilled Nursing & Rehabilitation?
Use the CMS numbers to steer the tour: ask to see the plan of correction for the 14 deficiencies cited on April 30, 2025, and what changed afterward.
- Nursing turnover of 43.1% is above the Oahu median; ask how many aides on each shift are agency or travel staff.
- Ask what the $108,251 in CMS fines were for and whether the issue has been resolved.
- At about 89% occupancy, ask which units have openings and why.
- CMS records a resident council here; ask when it meets and whether families can attend.
- If Med-QUEST will pay eventually, confirm Islands Skilled Nursing & Rehabilitation accepts QUEST Integration members for long-term stays and which health plans it contracts with.
