diff --git a/.github/workflows/update-health-dashboard.yml b/.github/workflows/update-health-dashboard.yml
index 39dec9d803..b1bdcb9cb2 100644
--- a/.github/workflows/update-health-dashboard.yml
+++ b/.github/workflows/update-health-dashboard.yml
@@ -36,17 +36,31 @@ jobs:
 
             console.log(`Fetching health metrics for ${owner}/${repo}`);
 
-            // Fetch open issues
-            const { data: openIssues } = await github.rest.issues.listForRepo({
-              owner,
-              repo,
-              state: 'open',
-              per_page: 100
-            });
+            // Fetch ALL open issues with pagination
+            let allOpenIssues = [];
+            let page = 1;
+            let hasMore = true;
+            
+            while (hasMore) {
+              const { data: pageIssues } = await github.rest.issues.listForRepo({
+                owner,
+                repo,
+                state: 'open',
+                per_page: 100,
+                page: page
+              });
+              
+              allOpenIssues = allOpenIssues.concat(pageIssues);
+              hasMore = pageIssues.length === 100;
+              page++;
+            }
+            
+            console.log(`Fetched ${allOpenIssues.length} total open items (issues + PRs)`);
 
             // Filter out PRs (issues API includes PRs)
-            const issues = openIssues.filter(issue => !issue.pull_request);
+            const issues = allOpenIssues.filter(issue => !issue.pull_request);
             const totalOpenIssues = issues.length;
+            console.log(`Found ${totalOpenIssues} open issues (excluding PRs)`);
 
             // Count issues without labels (recent ones)
             const issuesWithoutLabels = issues.filter(issue => issue.labels.length === 0);