Other senior care options in Hawaii:

Best Nursing Homes in Hawaii

Why trust this guide? Our editorial team analyzed 29 nursing homes in Hawaii using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in HI
Reviewed by
Last updated
Jun 2026
We analyzed
29 homes
Other senior care options in Hawaii:
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.
National Average: 3.0/ 5

Compare Nursing Homes around Hawaii

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

23 facilities compared · CMS & HI Dept. of Health data

Pearl City Nursing Home
NH
PC
Pearl City (Lehua Avenue)
122
Facility 122
HI AVG 43
Rank #8 / 87
35.7%
Facility 35.7%
HI AVG 74.2%
Rank #28 / 28
-52%
4.08
Facility 4.08
HI AVG 4.20
Rank #17 / 33
-12%-3%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
41
Facility 41
HI AVG 35.5
Rank #24 / 34
6.8
Facility 6.8
HI AVG 8.2
Rank #13 / 34
-114-
73
Facility 73
HI AVG 49
Rank #44 / 178
-
$17.3M
Facility $17.3M
HI AVG $20.8M
Rank #23 / 29
$7.0M
Facility $7.0M
HI AVG $7.1M
Rank #18 / 29
40.4%
Facility 40.4%
HI AVG 38.9%
Rank #3 / 29
125043
Arcadia Retirement Residence
NH
ADC
HC
IL
NC
Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
91
Facility 91
HI AVG 43
Rank #18 / 87
84.3%
Facility 84.3%
HI AVG 74.2%
Rank #10 / 28
+14%
5.08
Facility 5.08
HI AVG 4.20
Rank #7 / 33
+26%+21%
$12.9k
Facility $12.9k
HI AVG $43.4k
Rank #23 / 34
36
Facility 36
HI AVG 35.5
Rank #19 / 34
9.0
Facility 9.0
HI AVG 8.2
Rank #27 / 34
285A+
86
Facility 86
HI AVG 49
Rank #27 / 178
Kathleen Yokouchi
$14.6M
Facility $14.6M
HI AVG $20.8M
Rank #14 / 29
$7.5M
Facility $7.5M
HI AVG $7.1M
Rank #11 / 29
51.1%
Facility 51.1%
HI AVG 38.9%
Rank #11 / 29
125014
Kalākaua Gardens
NH
AL
IL
MC
RC
Honolulu (Ala Moana)
49
Facility 49
HI AVG 43
Rank #24 / 87
71.4%
Facility 71.4%
HI AVG 74.2%
Rank #20 / 28
-4%
0.37
Facility 0.37
HI AVG 4.20
Rank #33 / 33
-3%-91%
$55.7k
Facility $55.7k
HI AVG $43.4k
Rank #30 / 34
35
Facility 35
HI AVG 35.5
Rank #18 / 34
5.8
Facility 5.8
HI AVG 8.2
Rank #10 / 34
342-
98
Facility 98
HI AVG 49
Rank #3 / 178
1723 Kalakaua LLC
$21.3M
Facility $21.3M
HI AVG $20.8M
Rank #10 / 29
$9.5M
Facility $9.5M
HI AVG $7.1M
Rank #8 / 29
44.8%
Facility 44.8%
HI AVG 38.9%
Rank #16 / 29
125066
Good Samaritan Society – Pohai Nani
NH
AL
IL
RC
Kaneohe
44
Facility 44
HI AVG 43
Rank #27 / 87
79.5%
Facility 79.5%
HI AVG 74.2%
Rank #15 / 28
+7%
4.04
Facility 4.04
HI AVG 4.20
Rank #19 / 33
+73%-4%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
22
Facility 22
HI AVG 35.5
Rank #6 / 34
7.3
Facility 7.3
HI AVG 8.2
Rank #18 / 34
-34-
18
Facility 18
HI AVG 49
Rank #141 / 178
Beryl Muramatsu
$16.1M
Facility $16.1M
HI AVG $20.8M
Rank #12 / 29
$8.6M
Facility $8.6M
HI AVG $7.1M
Rank #12 / 29
53.4%
Facility 53.4%
HI AVG 38.9%
Rank #12 / 29
125033
Pālolo Chinese Home
NH
AL
HC
RC
Honolulu (Palolo)
18
Facility 18
HI AVG 43
Rank #44 / 87
79.6%
Facility 79.6%
HI AVG 74.2%
Rank #14 / 28
+7%
4.54
Facility 4.54
HI AVG 4.20
Rank #13 / 33
+47%+8%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
45
Facility 45
HI AVG 35.5
Rank #28 / 34
5.6
Facility 5.6
HI AVG 8.2
Rank #9 / 34
198A+
10
Facility 10
HI AVG 49
Rank #156 / 178
Palolo Chinese Home
$15.6M
Facility $15.6M
HI AVG $20.8M
Rank #9 / 29
$10.3M
Facility $10.3M
HI AVG $7.1M
Rank #9 / 29
66.4%
Facility 66.4%
HI AVG 38.9%
Rank #20 / 29
125059
Hale Anuenue Restorative Care
NH
Hilo
120
Facility 120
HI AVG 43
Rank #9 / 87
68.7%
Facility 68.7%
HI AVG 74.2%
Rank #21 / 28
-7%
3.78
Facility 3.78
HI AVG 4.20
Rank #22 / 33
-27%-10%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
31
Facility 31
HI AVG 35.5
Rank #16 / 34
6.2
Facility 6.2
HI AVG 8.2
Rank #11 / 34
295-
7
Facility 7
HI AVG 49
Rank #166 / 178
Gail Kahookele
$13.7M
Facility $13.7M
HI AVG $20.8M
Rank #16 / 29
$7.3M
Facility $7.3M
HI AVG $7.1M
Rank #15 / 29
53.6%
Facility 53.6%
HI AVG 38.9%
Rank #14 / 29
125045
Yukio Okutsu State Veterans Home
NH
HC
RC
Hilo (Piʻihonua)
95
Facility 95
HI AVG 43
Rank #16 / 87
62.4%
Facility 62.4%
HI AVG 74.2%
Rank #23 / 28
-16%
4.67
Facility 4.67
HI AVG 4.20
Rank #11 / 33
-24%+11%
$13.0k
Facility $13.0k
HI AVG $43.4k
Rank #24 / 34
39
Facility 39
HI AVG 35.5
Rank #21 / 34
13.0
Facility 13.0
HI AVG 8.2
Rank #33 / 34
365-
9
Facility 9
HI AVG 49
Rank #158 / 178
East Hawaii State Veterans Home
$12.5M
Facility $12.5M
HI AVG $20.8M
Rank #20 / 29
$7.7M
Facility $7.7M
HI AVG $7.1M
Rank #17 / 29
61.4%
Facility 61.4%
HI AVG 38.9%
Rank #8 / 29
125058
Hale Malamalama
NH
HC
NC
Honolulu (Kuliouou - Kalani Iki)
40
Facility 40
HI AVG 43
Rank #30 / 87
93.5%
Facility 93.5%
HI AVG 74.2%
Rank #3 / 28
+26%
3.79
Facility 3.79
HI AVG 4.20
Rank #22 / 33
-34%-10%
$87.0k
Facility $87.0k
HI AVG $43.4k
Rank #32 / 34
43
Facility 43
HI AVG 35.5
Rank #26 / 34
10.8
Facility 10.8
HI AVG 8.2
Rank #30 / 34
335-
23
Facility 23
HI AVG 49
Rank #131 / 178
Ono Enterprise Ltd
-
Facility -
HI AVG $20.8M
Rank #29 / 29
-
Facility -
HI AVG $7.1M
Rank #29 / 29
-
Facility -
HI AVG 38.9%
Rank #2 / 29
125050
Life Care Center of Hilo
NH
NC
Hilo
252
Facility 252
HI AVG 43
Rank #1 / 87
81.7%
Facility 81.7%
HI AVG 74.2%
Rank #13 / 28
+10%
3.38
Facility 3.38
HI AVG 4.20
Rank #29 / 33
-16%-20%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
40
Facility 40
HI AVG 35.5
Rank #23 / 34
8.0
Facility 8.0
HI AVG 8.2
Rank #23 / 34
-224-
11
Facility 11
HI AVG 49
Rank #153 / 178
Lemapu Lemanua
$29.4M
Facility $29.4M
HI AVG $20.8M
Rank #4 / 29
$15.7M
Facility $15.7M
HI AVG $7.1M
Rank #3 / 29
53.5%
Facility 53.5%
HI AVG 38.9%
Rank #22 / 29
125040
Aloha Nursing and Rehab Center
NH
HC
PC
RC
Kaneohe
141
Facility 141
HI AVG 43
Rank #7 / 87
74.7%
Facility 74.7%
HI AVG 74.2%
Rank #18 / 28
+1%
4.36
Facility 4.36
HI AVG 4.20
Rank #15 / 33
+20%+4%
$36.3k
Facility $36.3k
HI AVG $43.4k
Rank #29 / 34
41
Facility 41
HI AVG 35.5
Rank #24 / 34
6.8
Facility 6.8
HI AVG 8.2
Rank #13 / 34
1102A+
58
Facility 58
HI AVG 49
Rank #68 / 178
Aloha Management Company Inc
$21.2M
Facility $21.2M
HI AVG $20.8M
Rank #8 / 29
$8.7M
Facility $8.7M
HI AVG $7.1M
Rank #14 / 29
41.2%
Facility 41.2%
HI AVG 38.9%
Rank #24 / 29
125038
The Care Center of Honolulu
NH
Honolulu (Liliha - Kapalama)
182
Facility 182
HI AVG 43
Rank #3 / 87
66.6%
Facility 66.6%
HI AVG 74.2%
Rank #22 / 28
-10%
3.31
Facility 3.31
HI AVG 4.20
Rank #30 / 33
-13%-21%
$8.0k
Facility $8.0k
HI AVG $43.4k
Rank #20 / 34
47
Facility 47
HI AVG 35.5
Rank #29 / 34
9.4
Facility 9.4
HI AVG 8.2
Rank #28 / 34
1170A+
71
Facility 71
HI AVG 49
Rank #46 / 178
Suzanne Darley
$38.4M
Facility $38.4M
HI AVG $20.8M
Rank #6 / 29
$18.2M
Facility $18.2M
HI AVG $7.1M
Rank #2 / 29
47.6%
Facility 47.6%
HI AVG 38.9%
Rank #15 / 29
125019
Hale Makua Health Services-
NH
ADC
AL
HC
NC
RC
Kahului (Kaulana Street)
252
Facility 252
HI AVG 43
Rank #1 / 87
91.7%
Facility 91.7%
HI AVG 74.2%
Rank #6 / 28
+24%
4.78
Facility 4.78
HI AVG 4.20
Rank #9 / 33
----7%+14%
$170.2k
Facility $170.2k
HI AVG $43.4k
Rank #34 / 34
63
Facility 63
HI AVG 35.5
Rank #33 / 34
7.0
Facility 7.0
HI AVG 8.2
Rank #16 / 34
7209-
27
Facility 27
HI AVG 49
Rank #125 / 178
Grant Chun
$47.3M
Facility $47.3M
HI AVG $20.8M
Rank #1 / 29
$20.7M
Facility $20.7M
HI AVG $7.1M
Rank #1 / 29
43.8%
Facility 43.8%
HI AVG 38.9%
Rank #25 / 29
125007
Legacy Hilo Rehabilitation & Nursing Center
NH
ADC
MC
NC
Hilo (Kaumana)
100
Facility 100
HI AVG 43
Rank #13 / 87
77.8%
Facility 77.8%
HI AVG 74.2%
Rank #16 / 28
+5%
3.29
Facility 3.29
HI AVG 4.20
Rank #30 / 33
-24%-22%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
27
Facility 27
HI AVG 35.5
Rank #15 / 34
6.8
Facility 6.8
HI AVG 8.2
Rank #13 / 34
-80A+
7
Facility 7
HI AVG 49
Rank #166 / 178
Jennifer Pearce
$13.3M
Facility $13.3M
HI AVG $20.8M
Rank #15 / 29
$6.1M
Facility $6.1M
HI AVG $7.1M
Rank #23 / 29
46.1%
Facility 46.1%
HI AVG 38.9%
Rank #25 / 29
125065
15 Craigside
NH
ADC
AL
HC
IL
Honolulu (Nuuanu - Punchbowl)
45
Facility 45
HI AVG 43
Rank #26 / 87
97.7%
Facility 97.7%
HI AVG 74.2%
Rank #2 / 28
+32%
5.04
Facility 5.04
HI AVG 4.20
Rank #8 / 33
+1%+20%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
5
Facility 5
HI AVG 35.5
Rank #1 / 34
2.5
Facility 2.5
HI AVG 8.2
Rank #1 / 34
-45A+
50
Facility 50
HI AVG 49
Rank #85 / 178
Bree Komagome
$7.7M
Facility $7.7M
HI AVG $20.8M
Rank #27 / 29
$5.2M
Facility $5.2M
HI AVG $7.1M
Rank #24 / 29
67.8%
Facility 67.8%
HI AVG 38.9%
Rank #1 / 29
125063
Avalon Care Center – Honolulu
NH
Honolulu (Kalihi Valley)
108
Facility 108
HI AVG 43
Rank #10 / 87
90.4%
Facility 90.4%
HI AVG 74.2%
Rank #7 / 28
+22%
4.06
Facility 4.06
HI AVG 4.20
Rank #17 / 33
+24%-3%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
53
Facility 53
HI AVG 35.5
Rank #31 / 34
17.7
Facility 17.7
HI AVG 8.2
Rank #34 / 34
-96A+
47
Facility 47
HI AVG 49
Rank #93 / 178
Avalon Of Hawaii LLC
$22.2M
Facility $22.2M
HI AVG $20.8M
Rank #7 / 29
$10.7M
Facility $10.7M
HI AVG $7.1M
Rank #6 / 29
48.4%
Facility 48.4%
HI AVG 38.9%
Rank #23 / 29
125020
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Nursing Home Explorer
Overview of Pearl City Nursing Home

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.

Contact Pearl City Nursing Home

Overview of Harry and Jeanette Weinberg Care Center

Nestled in Kaneohe, Hawaii, the Harry and Jeanette Weinberg Care Center offers exceptional nursing care with a touch of Aloha. This charming facility boasts spacious private apartments and multiple-resident rooms, all equipped with bathrooms and showers. The clean and therapeutic environment prioritizes resident comfort and well-being. The Weinberg Care Center stands out for its unwavering commitment to quality care.

They champion justice and dignity for older adults, with a team of experienced staff providing compassionate and personalized attention. This dedication is reflected in their exceptional 5-star overall rating, a testament to their commitment to resident satisfaction. They also specialize in short-term rehabilitation for those needing extra support, ensuring a smooth transition back to independence. This non-profit facility accepts Medicare and Medicaid, making exceptional care accessible and affordable.

Contact Harry and Jeanette Weinberg Care Center

Overview of Care Homes by Hale Makua

Serenely tucked between Kahului Community Center Park and Kahului Park at Kaulana Street, Kahului, HI, Care Homes by Hale Makua is an outstanding community that offers assisted living. Residents experience exceptional care with a responsible and highly skilled team attending to their personal needs 24/7. The community also handles housekeeping and laundry, so residents can enjoy hassle-free living.

Residents spend their days as they please with a well-thought-out calendar of recreational activities and group events, highlighting their interests and capabilities. Delicious and well-balanced meals, alongside delightful snacks, are served to satisfy residents’ dietary needs and preferences. The community also provides medication management and arrangements for medical and dental appointments for residents’ convenience and safety. Residents do not have to worry about their special needs amidst the community’s well-maintained amenities and beautiful setting.

Contact Care Homes By Hale Makua

Overview of Kahala Nui

Experience an island-like living with Kahala Nui located at Malia Street, Honolulu, HI. A one-of-a-kind senior living community offering independent living, assisted living, memory support, and comprehensive nursing. With its in-campus Hi’olani Care Center, the community ensures seniors’ needs are heard and well-taken care of. Providing aesthetic and warm floor plans including one-bedroom, two-bedroom, and three-bedroom units, residents enjoy relaxing and safe accommodation.

The community focuses on the wellness of the seniors, utilizing a holistic view in conducting activities and programs related to arts, dance, entertainment, education, and fitness. As a person-centered life plan community, Kahala Nui fosters a family-like environment centered on its core belief ‘ohana. Residents enjoy island-style cuisine and casual dining with flexible meal plans three times daily. Sitting on an aesthetically landscaped land, the community includes a variety of fabulous amenities including a jacuzzi, a pool, a fitness center, Hatsunes garden, and spacious common areas for the seniors’ leisure and wellness.

Contact Kahala Nui

Overview of Arcadia Retirement Residence

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.

Contact Arcadia Retirement Residence

Overview of Kalākaua Gardens

Kalākaua Gardens, located in Honolulu, HI, is a senior living community primarily offering independent living, assisted living, memory care, and skilled nursing services. Their independent living option provides residents with studio-style and one bedroom accommodations featuring emergency alert systems, and personalized climate control. All utilities are also already covered except for telephone, and in room wifi and cable services are also available.

This senior living community’s amenities provides residents with so many things to enjoy; from their chef-prepared meals in a restaurant style dining room, to their housekeeping services, and scheduled transportation. Additionally, the residents may also participate in fitness classes as well as social and cultural outings, providing opportunities to create new relationships in their retirement years, as well as memories to look back on.

Contact Kalākaua Gardens

Overview of Good Samaritan Society – Pohai Nani

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.

Contact Good Samaritan Society – Pohai Nani

Hale Anuenue Restorative Care

Kaumana Springs Wilderness, 1333 Waianuenue Ave, Hilo, HI 96720
Overview of Hale Anuenue Restorative Care

Experience a better quality of life with Hale Anuenue Restorative Care, an putstanding community surrounded by delightful local amenities in Waianuenue Avenue, HIlo, HI, that offers skilled nursing and rehabilitation. Dedicated to improving residents’ well-being, a kind and highly qualified team provides exceptional care around the clock to optimize comfort and safety. As a member of Life Care Centers of America, the community promotes a cozy and nurturing environment so residents can thrive and live up to their potential.

Aside from their healthcare needs, the community strives to satisfy residents’ leisure and wellness with engaging recreational activities and enriching programs. Residents enjoy fine dining experience with delightful and healthy meals that satisfy their dietary needs and preferences. With its beautifully maintained grounds and purposely crafted amenities, residents make the most of their best years without worries.

Contact Hale Anuenue Restorative Care

Overview of Pālolo Chinese Home

Eighteen beds, more than 120 years in operation. Pālolo Chinese Home is one of the smaller nursing homes in Honolulu, and one of the oldest. Located at 2459 10th Ave in the Pālolo neighborhood, the single-story facility sits about 3.4 miles from the city center in a car-dependent area (Walk Score 10). The intimate scale is the defining physical fact here.

Care options span nursing home, assisted living, hospice, and respite care. The average resident stay runs 82 days, which puts this facility squarely in the transitional and short-term care range rather than long-haul residential placement. Private and semi-private rooms are the available configurations.

Staffing runs around the clock, with total nursing care at 4 hours and 32 minutes per resident per day. Registered nurses account for 1 hour and 23 minutes of that figure. Rehabilitation services and short-term rehab are available on-site, consistent with the facility’s short average stay.

The service model reaches well beyond the building. Alongside residential care, Pālolo Chinese Home operates Senior Day Care, In-Home Services, Home Cleaning, Chore Services, Meals to Go, and an Older Adult Home Modification Program. Overnight Respite Care is available for families who need a temporary bridge. The facility accepts Medicare, Medicaid, and private pay.

Pālolo Chinese Home is a small, deeply rooted institution that has oriented itself toward community-based care as much as residential placement. Families working through a short-term recovery or exploring in-home support alongside nursing care will find more options here than the bed count alone suggests.

Contact Pālolo Chinese Home

Overview of Yukio Okutsu State Veterans Home

Conveniently located near Hilo Benioff Medical Center and Wailuku River State Park in Hilo, HI, Yukio Okutsu State Veterans Home is a distinct community that offers veterans care. Featuring different levels of care, including skilled nursing, respite, and hospice care, the community strives to meet Veterans’ unique needs. Here, residents also enjoy a maintenance-free lifestyle with a kind and highly skilled team helping with their daily living activities and household chores 24/7.

Activities are carefully curated according to residents’ interests and strengths to maximize enjoyment and wellness. With delicious and well-balanced dining options, residents can rest assured of having the finest dining experience that satisfy their dietary needs and preferences. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. Veterans ease their worries and receive the utmost care they deserve amidst the community’s friendly setting and welcoming spaces.

Contact Yukio Okutsu State Veterans Home

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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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 29 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.