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Why trust this guide?
Our editorial team analyzed 32 nursing homes in HI using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in HI
Avg Overall CMS Rating:3.4/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Hawaii. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average:3.2/ 5
Avg Staffing Rating:4.0/ 5The average Staffing Rating across all CMS-certified nursing homes in Hawaii. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average:3.4/ 5
Avg Health Insp. Rating:2.9/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Hawaii. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
Info below is compiled from CMS reports & the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This TableAL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Hawaii average is: 64.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
$12.2M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$7.4M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
61.1%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$8.1M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
$5.4M*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
67%*Fiscal year ending 12/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
The Good Samaritan Society in Pohai Nani is one of the trusted senior living communities in Hawaii. They provide a range of comprehensive care that focuses on assisted living levels of care which include independent living and nursing care services. Many families have trusted the quality service the community has continuously provided for many seniors over the years. As a Good Samaritan Society, seniors can expect a worry-free lifestyle during their stay and bask in the Hawaiian sun.
The Good Samaritan’s all-inclusive services and amenities include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the community room, dining room, or chapel; wellness programs, religious services, an emergency response system, housekeeping services, skilled nursing care, and rehabilitation therapies are also offered.
Overview of Maunalani Nursing and Rehabilitation Center
Maunalani Nursing and Rehabilitation Center provides an exemplary approach to skilled nursing; it has pioneered as the home for comprehensive rehabilitation and nursing. One of the longest continuum of care centers in Oahu, the long-term healthcare center gives attention to all levels of care, as well even the complex medical conditions. Maunlani Nursing Center boasts a comfortable and secure environment for a speedy recovery. The nursing home is rehabilitative and focuses on receiving results in the services they offer; services include 24-hour nursing available, physicians available, and therapists– all provided to ensure residents all receive their holistic wellness. Therapy services include speech, occupational, and physical that sustain and strengthen daily skills.
Pearl City Nursing Home is a unique and exceptional home in Hawaii that stands out with its own distinct character. This home is the perfect haven for individuals who have recently been discharged from the hospital and need a little extra assistance during their transition. One of the remarkable aspects of this home is the special unit designed specifically for residents requiring ventilator and tracheostomy care. For those facing breathing challenges, Pearl City Nursing Home provides a nurturing environment where maximum recovery with minimal mechanical support is achievable.
In addition to exceptional medical care, Pearl City Nursing Home offers a wide range of nursing home activities for social engagement. These activities not only promote social interaction but also nurture overall health and well-being. Moreover, their culinary delights are nothing short of amazing, as they cater to various dietary requirements. From special dietary needs to personal preferences, every aspect of a resident’s satisfaction and mental state is attentively considered. Discover a place where comfort, safety, and personalized attention converge to create an extraordinary living experience.
Conveniently located in the thriving neighborhood of Lanai City, HI, at 7th Street, Lanai Community Hospital is a distinguished community that offers long-term care and inpatient acute care. The community also features emergency medicine, ensuring residents’ urgent needs are well cared for. Residents can ease their worries with a compassionate and highly trained team helping with their needs.
Residents have quick access to their necessities and leisure with the community’s ideal location near delightful restaurants and recreation sites. The community ensures residents’ fast recovery with top-notch care and state-of-the-art amenities. Here, residents make the most of their golden years, accompanied by the community’s wide range of care.
Nestled in the heart of Honolulu, Hawaii, Oahu Care Facility has been dedicated to serving the needs of Hawaii’s families for nearly three decades. With deep roots in the community, Oahu Care Facility understands precisely what matters to Island families. Whether someone requires short-term assistance after hospital discharge or seeks long-term care with around-the-clock nursing attention, Oahu Care Facility provides care and support.
Understanding the stress and complexity that often accompanies such transitional moments for families, Oahu Care Facility strives to alleviate these burdens. They recognize that one of the most effective ways to make informed decisions is through firsthand experience. As such, they warmly invite families to visit their facility, fostering an environment of trust and reassurance during challenging times. At Oahu Care Facility, the commitment to quality care is unwavering, catering to the needs of individuals on various care journeys.
For the past three decades, Avalon Health Care in Honolulu has been showing an unwavering commitment to providing top-notch healthcare services. It has been a source of solace and comfort to patients and residents alike. With a wide array of programs that cater to different needs, including Long-Term Care, Skilled Nursing, Rehabilitation, Memory Care, Assisted Living, Senior Living, Independent Living, and Healthcare, Avalon Health Care has proven to be a reliable partner in health and wellness.
Their services are exceptional, ranging from skilled nursing and assisted living to hospice/home health, therapy services, physicians/medical providers, and care coordination services. This comprehensive approach to healthcare ensures that patients and residents receive the best possible care and assistance with daily living. In Hawaii’s serene and calming environment, Avalon Health Care’s compassionate and dedicated team of healthcare professionals have made it their life’s work to provide excellent care while preserving the dignity and independence of their patients and residents.
Burrowed at the heart of downtown Honolulu, 15 Craigside enchants with a picturesque view of the mountains and valleys near Craigside Place, Honolulu, HI providing independent living. The community features well-lit and spacious floor plans including studio and one-bedroom apartments with den and private lanais. With the seniors’ welfare in mind, 15 Craigside strives to deliver care and assistance tailored to their unique needs and preferences.
The community fosters a friendly and vibrant environment, providing seniors with activities and programs for learning and enjoyment. Satisfying its residents’ dietary needs and preferences, the community serves delicious and healthy meals three times a day. Amenities include a fitness center, an indoor pool, a spacious lobby, a library, a chapel, a resident store, and a beautiful solarium.
Overview of Hi’olani Assisted Living Center at Kahala Nui
Enjoy a better quality of life with Hi’olani Assisted Living Center at Kahala Nui, an outstanding community surrounded by delightful local amenities in Malia Street, Honolulu, HI, that offers assisted living, memory care, and nursing care. With a respectful and highly skilled team available around the clock, residents receive the highest quality of care tailored to their needs. The community also handles housekeeping and maintenance, ensuring residents can enjoy a worry-free lifestyle.
Residents can meet new friends and gain meaningful experiences with plenty of fun recreational activities and exciting trips. Dietitian-approved dining options are served to satisfy residents’ dietary needs and preferences. The community also provides medication administration, mobility assistance, and scheduled transportation for residents’ comfort and convenience. Residents are guaranteed to spend their golden years comfortably with the community’s dedicated care and inviting setting.
Experience exceptional care from Aloha Nursing and Rehab Center, an astounding community in Kaneohe, HI, offering rehabilitation and skilled nursing care. The community also features different levels of care, including respite and hospice care, to ensure residents can age gracefully in place. Residents here are well cared for with a compassionate and highly trained team, attending to their needs 24/7.
Aside from their healthcare needs, residents’ happiness and wellness are taken into consideration, conducting therapeutic recreation and stimulating programs. Healthy meals are important for residents’ well-being, so delightful and nutritious dining options are served to satisfy their dietary needs and preferences. The community is ideal for those seeking a wide range of care for their unique needs, especially with its dedicated services and nurturing setting.
Arcadia, a cherished haven for Honolulu’s seniors since 1967, is a hidden gem nestled in the heart of Makiki. Spread across three picturesque acres, this vibrant retirement community provides a safe and comfortable sanctuary for the elderly. Its prime location offers easy access to the bustling Downtown district, the sun-soaked Waikiki Beach, and the thriving Ala Moana Center via public transport or car. Additionally, several houses of worship are within walking distance, providing spiritual solace to residents. Upon entering Arcadia, you’ll be enchanted by its elegance and tranquility. The state-of-the-art facilities cater to all needs, including a well-equipped fitness center, indoor pool, and exquisite restaurant-style dining room, and a spacious lobby. For those seeking solitude and relaxation, the computer and garden areas are the perfect retreats. Residents can shop for basic essentials at the resident store, and ample parking and private group transportation to selected events are available for their convenience. With 24-hour security and linen service, residents can rest assured knowing they’re in good hands. At Arcadia, the cost of living is a mere concern, which is why they offer a one-time entrance fee followed by a monthly service charge that covers all amenities and services. Residents can bask in the joys of life and create beautiful memories that will last a lifetime at Arcadia, the place they can call home.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
How we're paid:If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Frequently Asked Questions about Nursing Homes in Hawaii
What's the difference between assisted living and a nursing home in Hawaii?
Assisted living in Hawaii is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.
Does Hawaii Medicaid cover nursing home care?
Yes — Hawaii Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.
What is nursing home care?
Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.
How many nursing homes are listed on this page?
This page features 32 nursing homes in Hawaii. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right nursing home in Hawaii?
Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Hawaii, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.
What should I look for when visiting nursing homes in Hawaii?
Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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