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Garden Isle Healthcare And Rehabilitation Center

3-3420 Kuhio Highway, Suite 300, Lihue, HI 967668082451802Ownership: For profit - CorporationCertified beds: 110Avg. daily residents: 73Chain: Ohana Pacific Management Co. (6 facilities)County: Kauai

The complete public record on Garden Isle Healthcare And Rehabilitation Center, a Medicare & Medicaid–certified nursing home in Lihue, Hawaii, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★★★★
CMS’s composite of the three ratings below. Hawaii average: 3.6 stars.
Health inspection
★★★★☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★★
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★★
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Garden Isle Healthcare And Rehabilitation Center holds a 5-star overall rating, in the top tier CMS assigns. Its health-inspection rating is lower than its overall rating — the overall score is being lifted by staffing or quality-measure ratings, which draw partly on facility-reported data. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.09 total nurse staff hours per resident per day
below the state average (4.97)
1.65 RN hours per resident per day
below the state average (1.75)
3.80 weekend nurse staff hours per resident per day
31.5% total nursing staff turnover
below the state average (36.4)
16.7% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

February 21, 2025 most recent standard health inspection
11 health deficiencies cited in the most recent inspection cycle
above the state average (9.8)
9 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

37 citations on record across recent inspections. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
February 21, 20250623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or…E · Potential for more than minimal harm
February 21, 20250550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D · Potential for more than minimal harm
February 21, 20250558Reasonably accommodate the needs and preferences of each resident.D · Potential for more than minimal harm
February 21, 20250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D · Potential for more than minimal harm
February 21, 20250676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D · Potential for more than minimal harm
February 21, 20250695Provide safe and appropriate respiratory care for a resident when needed.D · Potential for more than minimal harm
February 21, 20250697Provide safe, appropriate pain management for a resident who requires such services.D · Potential for more than minimal harm
February 21, 20250700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2)…D · Potential for more than minimal harm
February 21, 20250755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D · Potential for more than minimal harm
February 21, 20250759Ensure medication error rates are not 5 percent or greater.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.