Islands Skilled Nursing & Rehabilitation

Honolulu, HI · 42 beds · For profit - Limited Liability company

25 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • 1 citation(s) where residents suffered actual harm
  • $89,206 in fines

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
14
1.4x state avg
Deficiencies
$89,206
Fines (3-yr)
★★☆☆☆
Staffing

Violation Timeline

April 29, 2025

20 deficiencyies
F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor 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.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Ensure each resident receives an accurate assessment.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F0756 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0812 Potential Harm Scope/Severity: D

Nutrition and Dietary Deficiencies

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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F0842 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F0851 Potential Harm Scope/Severity: F

Administration Deficiencies

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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

F0921 Potential Harm Scope/Severity: F

Environmental Deficiencies

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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

F0550 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Honor 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.

F0641 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Ensure each resident receives an accurate assessment.

F0655 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F0656 Potential Harm Scope/Severity: E

Resident Assessment and Care Planning Deficiencies

Show details

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F0684 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

See full violation history →

Staffing

1.40
RN hrs/res/day
0.00
LPN hrs/res/day
1.62
CNA hrs/res/day
2.66
Weekend hrs/res/day
N/A
Total nurse turnover
N/A
RN turnover

A nurse checks on each resident roughly every 7.9 hours on average.

Fines & Penalties

  • Fine May 15, 2024
    $89,206
Total $89,206

Ownership

For profit - Limited Liability company Independent (not part of a chain)
  • PACIFIC HEALTHCARE VENTURES LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 02/26/2020

    NO PERCENTAGE PROVIDED Organization
  • ACCORD HOLDINGS, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 12/31/2020

    100% Organization
  • ACCORD HOLDINGS, LLC

    GENERAL PARTNERSHIP INTEREST

    Since since 12/31/2020

    Organization
  • ACCORD HOLDINGS, LLC

    LIMITED PARTNERSHIP INTEREST

    Since since 12/31/2020

    Organization
  • MANUMALEUNA, EATHYN

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 07/24/2023

    Individual
  • YAZAWA, KIYOTAKA

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 09/01/2019

    Individual
  • LACKNER, CHRIS

    CORPORATE OFFICER

    Since since 02/26/2020

    Individual
  • SMITH, NICOLE

    CORPORATE OFFICER

    Since since 02/26/2020

    Individual

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