Garden Isle Healthcare and Rehabilitation Center
3-3420 KUHIO HIGHWAY, SUITE 300, Lihue, HI 96766
Lihue, Hawaii · CMS verdict
Garden Isle Healthcare and Rehabilitation Center holds a 5 of 5 CMS overall star rating - above the Hawaii state average of 3.6, reflecting above-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Garden Isle Healthcare and Rehabilitation Center in Lihue, Hawaii holds a CMS overall rating of 5 of 5 stars and a PlainElderCare Quality & Compliance Index of 70 of 100 (grade C). The 110-bed facility operates where a semi-private nursing-home room in Hawaii runs a median of $15,473 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (upper star tercile)
This facility's 5/5 CMS overall rating sits in the upper U.S. star tercile (>4/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 5 of 5 stars. How this is calculated.
How the 70 is built
Each segment is a dimension's weighted points toward the score, summing to 70.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Garden Isle Healthcare and Rehabilitation Center's upper-tercile CMS stars
Quality ratings
On Care Compare (data as of April 2026), Garden Isle Healthcare and Rehabilitation Center carries an overall CMS quality rating of 5 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (3/5), staffing (5/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Lihue, Hawaii, this facility operates 110 certified beds with an average daily census of roughly 74 residents - an occupancy rate of about 67%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 67% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (38 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Garden Isle Healthcare and Rehabilitation Center's upper-tercile stars compare to Hawaii
CMS five-star sub-ratings (0–5) for this facility against the Hawaii facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Hawaii state average. Higher is better on all four CMS measures.
Facility details
| Attribute | Value |
|---|---|
| Beds | 110 |
| Residents | 74 |
| Ownership | For profit - Corporation |
| County | Kauai |
| Penalties | 0 |
| Deficiencies | 38 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Garden Isle Healthcare and Rehabilitation Center? ▾
CMS rates Garden Isle Healthcare and Rehabilitation Center at 5 out of 5 stars overall. The three sub-ratings behind that number: health inspection 3/5, staffing 5/5, quality measures 5/5.
How much does a nursing home cost per month in Hawaii? ▾
In Hawaii, a semi-private nursing home room runs a median $15,473/month ($185,679/year) per the CareScout 2025 survey; private rooms average $16,395/month.
What services does Garden Isle Healthcare and Rehabilitation Center offer? ▾
Garden Isle Healthcare and Rehabilitation Center operates as a skilled nursing facility (110 beds with approximately 74 current residents) under for profit - corporation ownership. CMS inspections have recorded 38 deficiencies and 0 penalties there.
Does Garden Isle Healthcare and Rehabilitation Center have any deficiencies or penalties? ▾
Garden Isle Healthcare and Rehabilitation Center has multiple deficiencies (38 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Hawaii? ▾
In Hawaii, alternatives include assisted living ($12,096/mo), home health aides ($7,817/mo), and adult day care ($2,551/mo).
Keep reading
Also see the Hawaii elder-care overview and highest-rated states. Provider ID: 125004.
Read our methodology - how this data is sourced, computed, and verified.