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Garden Isle Healthcare and Rehabilitation Center
3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766 (opens Google Maps) · Kauai County · (808) 245-1802· 110 certified beds · avg 73 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: OHANA PACIFIC MANAGEMENT CO. (6 facilities, chain avg rating 3.3★)
4/5
Health inspection rating (on-site)
inspected Feb 21, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.13
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 37 inspection findings. Open the full record below to read every finding.
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. F-0623
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. F-0550
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. F-0558
View all 37 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 21, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0623 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0676 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Feb 21, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Feb 23, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0689 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0699 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Feb 23, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Feb 10, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Feb 10, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0623 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0585 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0622 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0655 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Feb 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 11).
All citationsSerious citations (G–L)
2023
All citations: 17
Serious citations (G–L): 0
2024
All citations: 9
Serious citations (G–L): 0
2025
All citations: 11
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 17 | 0 | F |
| 2024 | 9 | 0 | E |
| 2025 | 11 | 0 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityHawaii averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.13
Hawaii average: 4.77
U.S. average: 3.95
Registered Nurse hours
This facility: 1.67
Hawaii average: 1.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.84
Hawaii average: 4.23
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.09 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Garden Isle Healthcare and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Ohana Pacific Management Co. — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Hale Kupuna Heritage Home, LLC — Koloa, HI · overall 4/5
- Legacy Hilo Rehabilitation & Nursing Center — Hilo, HI · overall 1/5
- Pu'uwai 'o Makaha — Waianae, HI · overall 4/5
- The Ching Villas — Honolulu, HI · overall 4/5
- Ann Pearl Nursing Facility — Kaneohe, HI · overall 2/5SFF
Listed by state, then facility name — not a ranking.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Hawaii midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 32% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 21 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
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 |
Facility data as of CMS processing date 2026-08-01. CCN 125004.