All states › Hawaii › Lihue › Garden Isle Healthcare and Rehabilitation Center
3-3420 Kuhio Highway, Suite 300 Lihue, HI 96766 · Kauai County
CMS certification number 125004 · See this home on Medicare Care Compare
Is Garden Isle Healthcare and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Garden Isle Healthcare and Rehabilitation Center as of October 2026.
CMS rates it 5 out of 5 stars overall, above the Hawaii average of 3.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.23 hours per resident per day at Garden Isle Healthcare and Rehabilitation Center, below the Hawaii median of 4.62 (US median: 3.72). About 1.56 of those hours are from registered nurses. On weekends it falls to 3.94 hours, 7% below its all-week average. 34.6% of nursing staff left within a year (Hawaii median 32.8%).
About this nursing home
Paying for care at Garden Isle Healthcare and Rehabilitation Center: Medicare and Medicaid
Garden Isle Healthcare and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Hawaii's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 21, 2025 and found 11 deficiencies. In total, inspectors issued 37 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 37 citations at Garden Isle Healthcare and Rehabilitation Center across 3 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 37 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (13) and resident rights (9). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, February 10, 2023). 2 citations were under CMS's abuse, neglect and exploitation rules.
February 21, 2025 · 11 citations
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate pain management for a resident who requires such services.
DTry 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) Correctly install and maintain the bed rail.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DProvide or obtain dental services for each resident.
February 23, 2024 · 9 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide or obtain dental services for each resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide and implement an infection prevention and control program.
February 10, 2023 · 17 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure 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.
DProvide and implement an infection prevention and control program.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Questions to ask on a tour of Garden Isle Healthcare and Rehabilitation Center
- CMS cited the home under its abuse and neglect rules on February 10, 2023. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 5/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 5/5 |
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Location
Hospitals near Garden Isle Healthcare and Rehabilitation Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.5 mi
Wilcox Memorial Hospital LihueEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 36m for patients treated and sent home
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8.4 mi
Samuel Mahelona Memorial Hospital KapaaEmergency roomMedian ER visit 1h 1m for patients treated and sent home
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19.3 mi
Kauai Veterans Memorial Hospital WaimeaEmergency roomMedian ER visit 1h 19m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Ohana Pacific Management Co. nursing homes in Hawaii
- Pu'uwai 'o Makaha · Waianae · 5 stars
- The Ching Villas · Honolulu · 4 stars
- Ann Pearl Nursing Facility · Kaneohe · 3 stars
- Hale Kupuna Heritage Home · Koloa · 3 stars
- Legacy Hilo Rehabilitation & Nursing Center · Hilo · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Ohana Pacific Management Co. nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.