Why this was flagged
Medicare paid far more per patient than peers
In 2024 this provider was paid $38,759 per patient, against a typical $21,547 for the same kind of provider in HI. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.
Source CMS Skilled Nursing Facility Enrollments · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · 02c2f9
Owners and managing parties of record
EATHYN MANUMALEUNA
OPERATIONAL/MANAGERIAL CONTROL · I · 100% ownership · since Jul 24, 2023
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ACCORD HOLDINGS, LLC
LIMITED PARTNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2020
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ACCORD HOLDINGS, LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2020
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ACCORD HOLDINGS, LLC
GENERAL PARTNERSHIP INTEREST · O · 100% ownership · since Dec 31, 2020
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
PACIFIC HEALTHCARE VENTURES LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 0% ownership · since Feb 26, 2020
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
NICOLE R SMITH
CORPORATE OFFICER · I · 0% ownership · since Feb 26, 2020
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
CHRISTOPHER LACKNER
CORPORATE OFFICER · I · 0% ownership · since Feb 26, 2020
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
PACIFIC HEALTHCARE VENTURES LLC
DIRECT OWNERSHIP INTEREST · O · since Dec 31, 2020
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
ACCORD HOLDINGS, LLC
ADP OF THE SNF · O · since Feb 19, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KIYOTAKA A YAZAWA
OPERATIONAL/MANAGERIAL CONTROL · I · since Sep 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
KIYOTAKA A YAZAWA
ADP OF THE SNF · I · since Sep 1, 2019
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
EATHYN MANUMALEUNA
ADP OF THE SNF · I · since Feb 19, 2025
Source CMS Skilled Nursing Facility All Owners · record as of 17 Aug 2026 · pulled 18 Sept 2026 · version 2026-09-18 · b84729
Source timeline
Every flag on this provider is built from one or more published government files. Below is each file that contributed, the weekly pulls we have of it, and the actual records read from it.
- Medicare paid far more per patient than peers
Weekly refreshes
- 18 Sept 2026 (in use)14,410 records14,410 added · 0 changed · 0 removedpublisher data as of 17 Aug 2026
Records read from this file
- ISLANDS SKILLED NURSING AND REHABILITATION, LLCNPI 1427619428 · certification 125067 · 1205 ALEXANDER ST, HONOLULU, HI
CMS Skilled Nursing Facility All Owners
Weekly refreshes
- 18 Sept 2026 (in use)295,083 recordspublisher data as of 17 Aug 2026
Records read from this file
- EATHYN MANUMALEUNAOPERATIONAL/MANAGERIAL CONTROL · 100% share · since 2023-07-24
- ACCORD HOLDINGS, LLCLIMITED PARTNERSHIP INTEREST · 100% share · since 2020-12-31
- ACCORD HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST · 100% share · since 2020-12-31
- ACCORD HOLDINGS, LLCGENERAL PARTNERSHIP INTEREST · 100% share · since 2020-12-31
- PACIFIC HEALTHCARE VENTURES LLC5% OR GREATER DIRECT OWNERSHIP INTEREST · 0% share · since 2020-02-26
- NICOLE R SMITHCORPORATE OFFICER · 0% share · since 2020-02-26
- CHRISTOPHER LACKNERCORPORATE OFFICER · 0% share · since 2020-02-26
- PACIFIC HEALTHCARE VENTURES LLCDIRECT OWNERSHIP INTEREST · since 2020-12-31
cms_snf_payments
No completed weekly pull is recorded for this file yet.
Records read from this file
- Islands Skilled Nursing & Rehabilitation — 2024$775,184 paid · 20 patients
Where every detail came from
Each value below is traced to the published file it was read from, the day we downloaded it, and the weekly version it belongs to. Open the link to check the original record yourself.
| Detail | Value | Published file | Record as of | Pulled | Version |
|---|---|---|---|---|---|
| Legal name | ISLANDS SKILLED NURSING AND REHABILITATION, LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| NPI | 1427619428 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Medicare certification number | 125067 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| CMS associate ID | 5991134280 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Provider type | PART A PROVIDER - SKILLED NURSING FACILITY | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Organisation type | LLC | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| Street address | 1205 ALEXANDER ST | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| City | HONOLULU | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| State | HI | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
| ZIP | 968261229 | CMS Skilled Nursing Facility Enrollments | Aug 17, 2026 | Sep 18, 2026 | 2026-09-18 · 02c2f9 |
What changed
How this provider's public record has moved between weekly refreshes. See the whole week.
Nothing has changed for this provider since we started comparing weekly refreshes.
Public research history
Nobody has worked this lead yet. Notes published by investigators stay here even after a claim expires.
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