Garden Isle Healthcare and Rehabilitation Center

Name: Garden Isle Healthcare and Rehabilitation Center
Address: 3-3420 KUHIO HIGHWAY, SUITE 300, Lihue, HI, 96766, US
Telephone: 8082451802

3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766 · Kauai County · 110 certified beds · avg 73 residents/day · certified since Jan 1, 1967

Part of chain: OHANA PACIFIC MANAGEMENT CO. (6 facilities, chain avg rating 3.3★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.13

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (37)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 21, 2025	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 21, 2025	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Feb 21, 2025	D · Potential for harm, one-off	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 21, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 21, 2025	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Feb 23, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Feb 23, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Feb 23, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 23, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 10, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 10, 2023	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 10, 2023	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 10, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 11).

Year	Citations	Worst severity that year
2023	17	F
2024	9	E
2025	11	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Hawaii avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.13	4.77	3.95	bottom 39% in Hawaii; top 35% in the U.S.
Registered Nurse hours	1.67	1.64	0.69	top 37% in Hawaii; top 3% in the U.S.
Weekend total nurse staffing	3.84	4.23	3.50	bottom 44% in Hawaii; top 28% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.41	1.33	0.48	top 27% in Hawaii; top 2% in the U.S.
Total nursing staff turnover (%)	31.5	36.4	45.8	top 48% in Hawaii; top 17% in the U.S.
RN turnover (%)	16.7	31.5	42.9	top 14% in Hawaii; top 9% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.09, RN 1.65, weekend 3.80. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kishaba, Richard	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/23/2003
Hata, Randall	Individual	Operational/Managerial Control	NOT APPLICABLE	12/23/2003
Hata, Randall	Individual	ADP of the SNF	NOT APPLICABLE	12/23/2003
Ho, Bronson	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2020
Ho, Bronson	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2020
Kishaba, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	12/23/2003
Kishaba, Richard	Individual	ADP of the SNF	NOT APPLICABLE	12/23/2003
Kishaba, Sandra	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	12/01/2025
Kop, Arnold	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Kop, Arnold	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Lo, Wesley	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Lo, Wesley	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2020
Lore, Andrew	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
Lore, Andrew	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
McClennon, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
McClennon, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2025
Morikuni, Suanne	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Morikuni, Suanne	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
Ohana Pacific Management Company INC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/23/2003
Ohana Pacific Management Company INC	Organization	ADP of the SNF	NOT APPLICABLE	12/10/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Samuel Mahelona Memorial Hospital	8.4 mi	Kapaa, HI	★★★★★	4/5
Hale Kupuna Heritage Home, LLC	8.5 mi	Koloa, HI	★★★★☆	3/5
Kauai Veterans Memorial Hospital	19.3 mi	Waimea, HI	★★☆☆☆	1/5	SFF
Kauai Care Center	19.3 mi	Waimea, HI	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Lihue →

Facility data as of CMS processing date 2026-08-01. CCN 125004.

The Care File

Visit checklist — Garden Isle Healthcare and Rehabilitation Center

3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766 · 8082451802

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 125004 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)