Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Garden Isle Healthcare And Rehabilitation Center during CMS and state inspections, most recent first.
The facility did not provide timely written notification to the LTCO when residents were transferred to acute care hospitals. Documentation showed that notifications were only sent after surveyors requested records, and the DON confirmed that the facility's policy did not include LTCO notification. This deficiency affected all sampled residents who were hospitalized.
A CNA was observed standing over a resident while assisting with feeding, despite facility policy and training requiring staff to assist residents at eye level to promote dignity. The DON confirmed that staff are educated on this expectation, and the facility's policy specifically prohibits standing over residents during meal assistance.
A resident with moderate hearing difficulty did not receive timely assistance with her hearing aids due to lack of staff training and documentation in her care plan. The resident experienced discomfort and frustration as untrained staff were unable to help, requiring intervention from a speech therapist and RN. This issue could impact all residents using hearing aids.
Several residents did not have comprehensive care plans addressing the use of specialized equipment such as tracheostomy care, bedrails, and concave mattresses. For example, a resident with a tracheostomy lacked a care plan for emergency interventions in case of dislodgement, and other residents using bedrails or concave mattresses did not have these interventions documented in their care plans. The DON confirmed these omissions during interviews and record reviews.
A resident with multiple complex medical conditions experienced a decline in mobility and ADL function after therapy services were discontinued, with family and staff interviews revealing inconsistent implementation and documentation of restorative care and range of motion exercises, resulting in the resident becoming largely bedbound and dependent on staff for transfers.
A resident with a tracheostomy did not have emergency interventions for unplanned extubation included in their care plan, and a new replacement tracheostomy tube was not kept at the bedside as required. The assigned RN initially could not locate the emergency tube in the room, and the DON confirmed both the care plan omission and the equipment's required location.
A resident who was dependent on staff for ADLs and mobility experienced ongoing pain that was not effectively identified or managed, despite clear verbal and non-verbal signs of discomfort during movement and therapy. Staff and family reported frequent pain, but pain assessments often recorded zero pain, and PRN pain medications were rarely administered, resulting in decreased participation in activities and therapy.
The facility did not complete required assessments or attempt alternative interventions before using bed rails for two residents, including one with complex medical needs. Consent forms were either incomplete or lacked necessary nursing documentation, and care plans for bed rail use were missing, as confirmed by the DON.
Licensed staff did not consistently document narcotic counts at each shift, with several entries missing required nurse signatures on the narcotic log. This failure to follow policy was confirmed by both nursing staff and management.
A nurse administered medications to a resident by crushing tablets and opening a delayed release capsule without a physician's order, mixing them with pudding for administration. The DON confirmed that such alterations require a physician order, and the facility's medication error rate during the survey was 7.14%, exceeding the acceptable threshold.
A resident with significant physical and intellectual disabilities, who is fully dependent on staff and NPO, was found with substantial plaque buildup on his teeth and had not received a dental visit in the past year. Staff interviews revealed uncertainty about appropriate oral care procedures, and documentation showed no recent dental consultations despite a prior assessment noting plaque accumulation.
The facility failed to ensure resident dignity and timely care for four residents. One resident's family member reported unmet needs for water and hygiene, while another resident's calls for attention were ignored. Two residents experienced long wait times for staff assistance, highlighting a pattern of delayed responses and inadequate care.
A resident was inaccurately coded on the discharge MDS as discharged to a short-term general hospital, while staff confirmed the resident was actually discharged home. A review of the EHR and an interview with MDSS revealed the discrepancy.
A resident with multiple disabilities and medical conditions was observed in a silent room with minimal sensory stimulation. The care plan's interventions for social contact and sensory stimulation were not consistently implemented, and the resident attended group activities infrequently and had minimal one-on-one room visits over the past six months. The Activities Manager acknowledged the deficiencies and agreed that the resident could benefit from more consistent engagement.
The facility failed to provide timely psychiatric assessment for a resident with multiple diagnoses and frequent falls, leading to numerous injuries and hospitalizations. Despite various interventions and care plan adjustments, the resident continued to experience falls, highlighting deficiencies in the facility's fall prevention and management program.
A resident with a high risk for falls experienced multiple falls, some resulting in serious injuries, due to inadequate supervision. Despite a comprehensive care plan and various interventions, the facility failed to provide consistent 1:1 supervision, as confirmed by staff and a complainant.
The facility failed to identify triggers and use trauma-informed approaches for a resident with chronic PTSD, resulting in unmet needs and potential re-traumatization. The resident's comprehensive assessment and care plan lacked information on PTSD triggers, and appropriate trauma-informed assessments were not completed until requested by the State Agency.
The facility failed to provide or obtain routine dental services for a resident, leading to sore gums and difficulties eating due to an ill-fitting denture. The resident had not seen a dentist since admission, and the last oral exam was conducted by an LPN, which is outside their scope of practice.
The facility failed to maintain accurate medical records for two residents, as a physician response form for one resident was erroneously uploaded into another resident's EHR. The DON confirmed the misfiling and noted the responsible Health Information Coordinator was unavailable for an interview.
The facility failed to ensure proper hand hygiene and contact precautions. A nurse did not perform hand hygiene between glove changes during a dressing change for a resident with pressure ulcers. Additionally, a staff member delivering lunch trays did not wear PPE when entering a resident's room on contact precautions. The Infection Preventionist and DON confirmed the resident was on contact precautions and that all staff should wear gowns and gloves before entering.
Failure to Notify LTCO of Resident Transfers/Discharges
Penalty
Summary
The facility failed to provide timely written notification of transfer or discharge to the Office of the State Long-Term Care Ombudsman (LTCO) for four residents who were transferred to acute care hospitals. Review of the electronic health records (EHR) for these residents showed no documentation that written notification was sent to the LTCO at the time of their transfers. Instead, the notifications were only sent on a later date, after the records were requested by surveyors. The Director of Nursing (DON) confirmed during an interview that the notifications were not sent until after the surveyors' request and acknowledged that the facility's policy did not include the requirement to notify the LTCO. The residents involved were all admitted for long-term care placement and were transferred to acute care facilities for higher levels of care. In each case, there was no evidence in the EHR that the required written notification of discharge was provided to the LTCO at the time of transfer. This deficiency was identified for all four sampled residents who experienced hospitalization, indicating a systemic failure to follow notification procedures as required.
Failure to Maintain Resident Dignity During Meal Assistance
Penalty
Summary
During a lunch observation, a Certified Nurse Aide (CNA) was seen assisting a resident with eating while standing over the resident, despite an empty chair being available in the room. The resident was sitting up in bed at the time. When questioned, the CNA stated she could either stand or sit while feeding residents and confirmed she had received training on feeding techniques. Review of the resident's electronic health record indicated a three-pound weight loss over the past month, though there had been a gradual weight increase since admission. The Director of Nursing (DON) confirmed that CNAs are expected to assist residents with meals at eye level to maintain dignity, and that staff are educated on this policy upon hire and annually. The facility's policy on meal assistance specifically states that residents should be fed with attention to safety, comfort, and dignity, including not standing over residents while assisting them with meals. The observed practice did not align with facility policy or training expectations.
Failure to Assist Resident with Hearing Aid Use During Personal Care
Penalty
Summary
The facility failed to accommodate the needs of a resident who required assistance with her hearing aids during personal care. The resident, who was cognitively intact but had moderate hearing difficulty, reported that staff availability and lack of training among some staff members resulted in delays in receiving help with her hearing aids. During an observation, the resident indicated she had not yet received assistance that morning, and a staff member responding to her call light stated she was not trained to help with hearing aids and would need to get a nurse. Eventually, a speech therapist and a registered nurse assisted the resident. Review of the resident's care plan revealed no documentation of sensory problems or the use of hearing aids, despite her needs. The facility's policy indicated that CNAs were trained to assist with hearing aids and that such assistance should be provided in the morning upon rising. However, interviews and observations showed that not all staff were trained or able to provide this assistance, leading to discomfort and frustration for the resident. This deficiency has the potential to affect all residents who use hearing aids.
Failure to Develop and Implement Comprehensive Care Plans for Specialized Interventions
Penalty
Summary
The facility failed to develop and implement comprehensive, person-centered care plans for several residents, resulting in unmet care needs. For one resident with a tracheostomy, although the risk for complications was identified, there was no care plan addressing emergency interventions in the event of an unplanned extubation. The Director of Nursing (DON) confirmed that no interventions regarding emergency care for a dislodged tracheostomy were present in the care plan. Additionally, for another resident, the facility did not fully complete the consent form for bedrail use and failed to develop a care plan for the use of bedrails, as confirmed by the DON. Further deficiencies were observed in the care planning for residents using specialized equipment. One resident with hemiplegia and vascular dementia was observed using a concave mattress and side rails, but neither intervention was documented in the care plan, and the family was not informed about the use of the concave mattress. Another resident with dementia and a history of falls was using padded side rails as an enabler, but the care plan did not include interventions for their use. In each case, the DON acknowledged the absence of appropriate care plan documentation for these interventions.
Failure to Maintain Resident's ADL Function and Range of Motion
Penalty
Summary
The facility failed to provide necessary services to ensure a resident maintained their level of function and range of motion, resulting in a decline in the resident's ability to get out of bed. The resident, an elderly male with a history of stroke, Parkinson's disease, type 2 diabetes, Lewy body dementia, and communication deficits, was observed to be largely bedbound and dependent on staff for activities of daily living (ADLs) and mobility. Family reported that the resident had previously been able to walk with a walker but experienced a decline after therapy services were discontinued, and that he now requires a lift for transfers and remains mostly in bed. The family also expressed concerns about the lack of exercise and restorative care, noting increased stiffness and pain in the resident's legs. Review of the care plan indicated that passive range of motion (ROM) exercises and use of an ankle splint were ordered, with CNAs responsible for performing daily ROM as tolerated. However, interviews with staff revealed uncertainty about where the completion of these exercises was being documented, and it was unclear if the restorative program was being consistently implemented. Observations confirmed the resident's limited mobility and the presence of exercise instructions posted in the room, but there was no clear evidence of regular restorative care being provided or documented, contributing to the resident's functional decline.
Failure to Ensure Emergency Tracheostomy Interventions and Equipment at Bedside
Penalty
Summary
The facility failed to provide safe and appropriate respiratory care for a resident with a tracheostomy by not including emergency interventions for unplanned extubation in the resident's care plan. Although the resident's need for tracheostomy care and the requirement to have a new replacement tracheostomy tube at the bedside were identified, these life-saving emergency interventions were not documented in the care plan. Review of the electronic health record confirmed the absence of such interventions, and the Director of Nursing verified that the care plan did not address emergency care for a dislodged tracheostomy tube. During observation, the resident was seen in bed with a tracheostomy and was not in distress. When interviewed, the assigned RN was able to show all emergency equipment except for a new replacement tracheostomy tube, which was not present at the bedside as required but was instead found in the medication cart. The RN acknowledged that the tube should have been at the bedside and subsequently placed it there. The DON also confirmed that the emergency tracheostomy tube was supposed to be at the bedside and that holders were available for this purpose.
Failure to Identify and Manage Resident Pain
Penalty
Summary
The facility failed to identify, anticipate, and effectively manage pain for a resident who required pain management services. Despite the resident's care plan indicating a risk for pain and the need to monitor and record non-verbal signs of pain, documentation and interviews revealed that the resident frequently expressed pain during movement and activities, such as range of motion exercises and attempts to get out of bed. Staff interviews confirmed that the resident verbalized pain with movement and was reluctant to participate in activities or therapy due to discomfort and stiffness. However, the Minimum Data Set (MDS) assessment coded the resident as not having pain, and the Medication Administration Record (MAR) showed inconsistent administration of as-needed (PRN) pain medications, with scheduled pain assessments often documenting a pain level of zero despite staff and family observations to the contrary. The resident, an elderly male dependent on staff for activities of daily living and mobility, was prescribed Gabapentin for leg pain and had PRN orders for acetaminophen and acetaminophen with codeine. Review of the MAR indicated that PRN pain medications were rarely administered, and pain was not consistently documented or addressed, even though the resident exhibited clear signs of discomfort. The Director of Rehab confirmed that the resident's pain interfered with his ability to participate in therapy and wear a prescribed knee brace. The facility's pain management policy required evaluation for pain prior to, during, and after care or therapy, but this was not consistently implemented for the resident.
Failure to Assess and Document Bed Rail Use Prior to Implementation
Penalty
Summary
The facility failed to ensure that proper assessments and alternative interventions were attempted prior to the use of bed rails for two residents. For one resident with multiple complex diagnoses, including cerebral palsy, tracheostomy status, intellectual disabilities, and functional quadriplegia, bed rails were observed in use without documentation of a nursing assessment or rationale for their use, and no evidence that alternative interventions had been tried. Although a consent form was signed by the resident's representative, there was no record of ongoing quarterly assessments for the continued use of bed rails. For another resident, bed rails were in use and a consent form was signed by the resident, but the form was incomplete, lacking a nursing assessment, rationale, and documentation of alternative interventions attempted. Additionally, there was no care plan addressing the use of bed rails for this resident, and the DON confirmed these omissions. These failures resulted in the use of bed rails without the required assessments, documentation, or care planning.
Failure to Document Narcotic Counts Each Shift
Penalty
Summary
The facility failed to ensure that controlled drugs were properly accounted for at each shift by requiring licensed staff to document a count each shift. During an observation of a medication pass, a review of the narcotics log and count revealed missing nurses' signatures on the narcotic log form. Specifically, four out of forty-eight entries on the narcotic log for a one-week period were missing nurses' signatures. When questioned, a registered nurse confirmed that the narcotic count sheet had blanks and acknowledged that it is supposed to be signed at the time of the count by the nurses. Further interview with the Resident Care Manager confirmed that nurses are required to sign the narcotic log when performing the narcotic count, and that nurses are trained on this procedure. Review of the facility's policy on controlled medication storage stated that a physical inventory of all controlled substances must be conducted by two licensed nurses or approved individuals at each shift change and documented on the controlled substances count report. The observed failure to consistently document the narcotic count as required by policy led to the deficiency.
Medication Administration Without Proper Physician Orders
Penalty
Summary
During a medication pass observation, a registered nurse prepared and administered medications to a resident by crushing acetaminophen tablets and opening an omeprazole delayed release capsule, mixing each with pudding, and feeding them to the resident at bedside. The nurse stated that the resident was unable to swallow pills and believed it was acceptable to alter the medications in this manner. However, a review of the resident's electronic health record revealed there were no physician orders permitting the medications to be crushed or the delayed release capsule to be opened and administered with pudding. The Director of Nursing confirmed that nurses are required to obtain physician orders before altering medications in this way. The facility's medication error rate during the survey was calculated at 7.14%, with two errors identified out of 28 observed medication administrations.
Failure to Provide Routine Dental Services for Dependent Resident
Penalty
Summary
A resident with multiple complex medical conditions, including cerebral palsy, tracheostomy status, intellectual disabilities, and functional quadriplegia, was observed to have a thick orange-colored buildup on his front teeth while in bed. The resident is dependent on staff for all care and is NPO (nothing by mouth). Review of the electronic health record revealed no documentation of a dental visit or consultation within the past year, despite the resident's need for routine dental care. The last documented dental assessment, completed by a nurse several months prior, noted plaque buildup, but no follow-up dental visit was arranged. Interviews with staff indicated uncertainty regarding the provision of oral care for the resident, particularly concerning the use of toothpaste due to his NPO status. The CNA reported using a dry brush or wipes for oral care, and the RN stated that dental visits are arranged only if needed, with no evidence of a recent appointment. The DON confirmed that the resident had not seen a dentist in the past year and cited challenges related to the resident's physical condition and wheelchair use as barriers to accessing dental services.
Failure to Ensure Resident Dignity and Timely Care
Penalty
Summary
The facility failed to ensure the resident's right to a dignified existence and treat each resident with respect and dignity for four residents. Resident 60, who has severe cognitive impairment and is dependent on staff for toileting, was observed to have unmet needs for water and hygiene. The resident's family member reported having to frequently request water and ice from the nursing station, where staff were often unavailable. Additionally, the family member expressed frustration over the resident not being changed all morning, resulting in a soiled brief. These observations indicate a lack of timely and adequate care for Resident 60, compromising their dignity and well-being. Another incident involved Resident 35, who was observed calling out for attention multiple times without immediate response from nearby staff. The Activities Manager acknowledged that staff should have responded promptly. Furthermore, Residents 30 and 67 reported long wait times for staff to respond to call lights, with one instance of waiting over an hour for assistance. Both residents are dependent on staff for various activities of daily living. These findings highlight a pattern of delayed responses and inadequate attention to residents' needs, undermining their dignity and respect.
Inaccurate Resident Discharge Assessment
Penalty
Summary
The facility failed to ensure the resident assessment accurately reflected the resident's status for one of three sampled for closed records. A resident was coded on the discharge Minimum Data Set (MDS) as discharged to a short-term general hospital, but staff confirmed the resident was actually discharged home. A review of the resident's Electronic Health Record (EHR) and an interview with Minimum Data Support Staff (MDSS) revealed that the discharge MDS did not accurately reflect the resident's discharge status, as the resident was discharged home, not to a hospital.
Failure to Provide Resident-Centered Activities Program
Penalty
Summary
The facility failed to ensure an ongoing resident-centered activities program that met the needs of a resident with cerebral palsy, aphasia, intellectual disabilities, and functional quadriplegia. The resident, who also has a tracheostomy and gastrostomy, was observed lying in bed in a silent room with minimal sensory stimulation. The resident's television was off and positioned in a way that obstructed its view when the privacy curtain was closed. The care plan for the resident included interventions for social contact and sensory stimulation, but these were not consistently implemented. The resident was not observed out of his room during the survey period, and there were no family photos at his bedside despite having family members. The activity logs revealed that the resident attended group activities infrequently and had minimal one-on-one room visits over the past six months. The Activities Manager acknowledged the lack of consistent social and sensory stimulation for the resident and agreed that the resident could benefit from music therapy and visual stimulation. The manager also noted that the resident's TV should be moved closer and turned on more frequently but could not identify specific TV shows or music that the resident enjoyed. This lack of consistent engagement placed the resident at risk of a decline in psychosocial well-being and comfort.
Failure to Provide Timely Psychiatric Assessment for Resident with Frequent Falls
Penalty
Summary
The facility did not provide timely psychiatric assessment for one resident, identified as R46, who had an increasing number of falls, including a recent fracture that required surgery and hospitalization. R46 was admitted with multiple diagnoses, including stroke, adjustment disorder, atrial fibrillation, atherosclerotic heart disease, high blood pressure, anxiety, restlessness, agitation, and frequent falls. Despite being identified as high risk for falls using the John Hopkins Fall Risk Assessment Tool, the resident continued to experience numerous falls throughout their stay. The comprehensive care plan included various interventions such as 1:1 supervision when restless, residing in a room near the nurse's station, and the use of a low bed and fall mat. However, these measures did not prevent the falls, and the resident continued to fall frequently, both witnessed and unwitnessed, leading to further injuries and hospitalizations. The facility's policy on fall prevention and management emphasized the need for a dynamic treatment plan, interdisciplinary team involvement, and regular reassessments, but these measures were not effectively implemented for R46. The Director of Nursing acknowledged the lack of psychiatric services on Kauai and the efforts to coordinate care with services on Oahu. Despite these efforts, the facility failed to provide timely psychiatric assessments, which could have potentially mitigated the resident's fall risk.
Inadequate Supervision for High-Risk Resident
Penalty
Summary
The facility did not provide adequate supervision for one resident, identified as R46, who was at high risk for falls. R46 had a history of multiple falls, some of which resulted in serious injuries requiring hospitalization and surgery. Despite being identified as high risk for falls through the John Hopkins Fall Risk Assessment Tool and having a comprehensive care plan in place, R46 continued to experience numerous falls, both witnessed and unwitnessed, over several months. The care plan included various interventions such as 1:1 supervision as needed, residing near the nurse's station, use of a low bed and fall mat, and sensor alarms, but these measures were insufficient to prevent the falls. Interviews with staff and the complainant revealed concerns about inadequate staffing levels to provide the necessary supervision for R46, with staff indicating that 1:1 supervision was not consistently provided throughout the shift. The facility's policy on Fall Prevention and Management emphasized the importance of a dynamic treatment plan, interdisciplinary team involvement, and regular reassessments. However, the implementation of these policies was inadequate in R46's case. The resident's frequent falls, despite the interventions listed in the care plan, indicate a failure to provide the necessary supervision and safety measures. The complainant also reported being told to help watch the resident or hire someone to do so, highlighting the facility's inability to ensure adequate supervision. Staff interviews corroborated the complainant's concerns, with some staff members expressing that there were not enough personnel to provide 1:1 supervision as required.
Failure to Provide Trauma-Informed Care
Penalty
Summary
The facility failed to identify triggers that may cause re-traumatization and consistently use trauma-informed approaches when caring for a resident with chronic PTSD. The resident, a male with a history of PTSD from Vietnam, was admitted for long-term care with multiple diagnoses including Parkinson's disease, depression, anxiety, dementia, and insomnia. Despite the resident's history of PTSD and specific needs, the comprehensive admission assessment and care plan did not include information on potential triggers or strategies to reduce re-traumatization. Additionally, the facility did not review the resident's pre-admission PTSD history or address his unique sleeping habits that help him feel secure. The facility's Trauma Informed Care policy required a Trauma Informed Observation progress note and the development of a care plan based on identified trauma events and triggers. However, the facility did not complete the appropriate trauma-informed assessment for the resident until after the State Agency's request. The resident confirmed that he had not received counseling for his PTSD since admission and expressed a desire to continue his counseling at the Vet Center. The Social Services Associate acknowledged that the resident's pre-admission history should have been reviewed and included in the trauma-informed care assessment, and that the assessment should have been conducted with the resident's wife present due to his dementia and forgetfulness.
Failure to Provide Routine Dental Services
Penalty
Summary
The facility failed to provide or obtain routine dental services for a resident, leading to unmet dental needs. The resident, a male with no natural teeth, complained of sore gums and an ill-fitting denture. He reported not having seen a dentist since his admission and described difficulties eating due to the lack of a suitable diet. The resident's electronic health record showed no dental consultations, and the last oral exam was conducted by an LPN, which is outside the scope of their practice according to the facility's policy. The facility's Dental Services policy mandates providing or obtaining routine and emergency dental services, including annual oral cavity inspections, dental cleanings, and denture fittings. However, the resident had not received these services, highlighting a failure to adhere to the policy. This deficiency has the potential to affect all residents in the facility, as it indicates a systemic issue in providing necessary dental care.
Inaccurate Medical Record Maintenance
Penalty
Summary
The facility failed to maintain an accurate medical record for two residents. During a record review, it was found that a document for one resident was erroneously uploaded into another resident's Electronic Health Record (EHR). Specifically, a physician response form for one resident, which addressed questionable orders for Acetaminophen, was incorrectly filed in another resident's EHR. The Director of Nursing (DON) confirmed the misfiling and noted that the Health Information Coordinator responsible for the error was not available for an interview at the time.
Failure to Follow Hand Hygiene and Contact Precautions
Penalty
Summary
The facility failed to ensure that staff followed proper hand hygiene and contact precautions practices. During a dressing change for a resident with multiple pressure ulcers, a registered nurse did not perform hand hygiene between glove changes. The nurse removed dirty gloves, picked up clean gloves, and started to put them on without using hand sanitizer until prompted by the surveyor. The nurse and another staff member later confirmed that hand hygiene was not performed as required by the facility's policy, which mandates hand hygiene before donning and after doffing gloves and personal protective equipment (PPE). Additionally, a staff member delivering lunch trays did not wear the required PPE when entering a resident's room who was on contact precautions. The staff member was unaware of the reason for the contact precautions and did not check with the nurse before entering. The resident's electronic health record documented a wound on the back, but there was no order for contact precautions in the physician's orders. The Infection Preventionist and Director of Nursing confirmed that the resident was on contact precautions and that all staff should be wearing gowns and gloves before entering the room, including when delivering meal trays.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 30 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lihue
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Samuel Mahelona Memorial Hospital | 8.4 mi | ★★★★★ | 8 | 0 |
| Hale Kupuna Heritage Home, Llc | 8.5 mi | ★★★★★ | 13 | 0 |
| Kauai Veterans Memorial Hospital | 19.3 mi | ★★★★★ | 8 | 0 |
| Kauai Care Center | 19.3 mi | ★★★★★ | 1 | 0 |
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