ElderGrade
A

90.9/100

Excellent

Garden Isle Healthcare And Rehabilitation Center

3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766

CMS 5/5 stars #2 of 5 in Kauai County (808) 245-1802
Certified beds
110
Occupancy
67%
Ownership
For-profit
Accepts
Medicare + Medicaid

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

28.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -1.1 for 20 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.13 total nurse hours per resident per day (national median 3.77)
  • 1.65 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 32% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.09 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.65 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.80 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 31.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 38 citations

Last standard health inspection: February 21, 2025 (1 year ago).

E Feb 21, 2025 F0623

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

No actual harm, potential for more than minimal harm

D Feb 21, 2025 F0550

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 21, 2025 F0558

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

No actual harm, potential for more than minimal harm

D Feb 21, 2025 F0656

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 21, 2025 F0676

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

No actual harm, potential for more than minimal harm

D Feb 21, 2025 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Feb 21, 2025 F0697

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

No actual harm, potential for more than minimal harm

D Feb 21, 2025 F0700

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Cor...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of OHANA PACIFIC MANAGEMENT CO., which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
KISHABA, RICHARD Individual INDIRECT OWNERSHIP INTEREST
OHANA PACIFIC MANAGEMENT COMPANY INC Organization OPERATIONAL/MANAGERIAL CONTROL
HATA, RANDALL Individual OPERATIONAL/MANAGERIAL CONTROL
HO, BRONSON Individual OPERATIONAL/MANAGERIAL CONTROL
KISHABA, RICHARD Individual OPERATIONAL/MANAGERIAL CONTROL
KOP, ARNOLD Individual OPERATIONAL/MANAGERIAL CONTROL
LO, WESLEY Individual OPERATIONAL/MANAGERIAL CONTROL
LORE, ANDREW Individual OPERATIONAL/MANAGERIAL CONTROL
MCCLENNON, PAMELA Individual OPERATIONAL/MANAGERIAL CONTROL
MORIKUNI, SUANNE Individual OPERATIONAL/MANAGERIAL CONTROL
KISHABA, SANDRA Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
OHANA PACIFIC MANAGEMENT COMPANY INC Organization ADP OF THE SNF

What families say

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Common questions about Garden Isle Healthcare And Rehabilitation Center

What is the ElderGrade for Garden Isle Healthcare And Rehabilitation Center? +

Garden Isle Healthcare And Rehabilitation Center holds an ElderGrade of A (90.9 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Garden Isle Healthcare And Rehabilitation Center? +

Residents receive an average of 4.09 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Garden Isle Healthcare And Rehabilitation Center been cited for harming residents? +

No. None of the 38 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Garden Isle Healthcare And Rehabilitation Center accept Medicaid? +

Yes, Garden Isle Healthcare And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.