Best Nursing Homes in Hawaii

Updated Feb 2026

We analyzed 178 homes in Hawaii

Sources: CMS Centers for Medicare and Medicaid Services, and Hawaii Department of Health, Office of Aging and Long Term Care.

Government Data for Nursing Homes in Hawaii: Salaries, Revenues, Occupancy Rates, Ownership.

Explore home photos

Video Tour: Top-rated Nursing Homes facilities in Hawaii.

Watch this Video to see Hawaii's Top-rated Senior Communities

East Honolulu Hilo Honolulu Kahului Kailua Kaneohe Mililani Town Pearl City Waipahu

Compare Nursing Homes around Hawaii

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

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

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Pearl City Nursing Home		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Pearl City (Lehua Avenue)	244 Facility 244 HI AVG 115 Rank #5 / 34	35.7% Facility 35.7% HI AVG 74.2% Rank #26 / 27	-52%	4.08 Facility 4.08 HI AVG 4.20 Rank #17 / 32				-5%	-3%	$0 Facility $0 HI AVG $43.4k Rank #1 / 33	41 Facility 41 HI AVG 35.5 Rank #23 / 33	6.8 Facility 6.8 HI AVG 8.2 Rank #13 / 33	- Facility - HI AVG 1.2	115	-	73 Facility 73 HI AVG 47 Rank #8 / 34	-	$11.9M Facility $11.9M HI AVG $20.8M Rank #22 / 28	$7.3M Facility $7.3M HI AVG $7.1M Rank #17 / 28	61.3% Facility 61.3% HI AVG 38.9% Rank #3 / 28	125043
Pālolo Chinese Home		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Honolulu (Palolo)	18 Facility 18 HI AVG 115 Rank #31 / 34	79.6% Facility 79.6% HI AVG 74.2% Rank #13 / 27	+7%	4.54 Facility 4.54 HI AVG 4.20 Rank #13 / 32				+19%	+8%	$0 Facility $0 HI AVG $43.4k Rank #1 / 33	45 Facility 45 HI AVG 35.5 Rank #27 / 33	5.6 Facility 5.6 HI AVG 8.2 Rank #9 / 33	1 Facility 1 HI AVG 1.2	90	A+	10 Facility 10 HI AVG 47 Rank #30 / 34	Palolo Chinese Home	$24.9M Facility $24.9M HI AVG $20.8M Rank #9 / 28	$10.3M Facility $10.3M HI AVG $7.1M Rank #9 / 28	41.6% Facility 41.6% HI AVG 38.9% Rank #19 / 28	125059
Hale Anuenue Restorative Care		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Hilo	120 Facility 120 HI AVG 115 Rank #9 / 34	68.7% Facility 68.7% HI AVG 74.2% Rank #18 / 27	-7%	3.78 Facility 3.78 HI AVG 4.20 Rank #21 / 32				-22%	-10%	$0 Facility $0 HI AVG $43.4k Rank #1 / 33	31 Facility 31 HI AVG 35.5 Rank #15 / 33	6.2 Facility 6.2 HI AVG 8.2 Rank #11 / 33	2 Facility 2 HI AVG 1.2	92	-	7 Facility 7 HI AVG 47 Rank #32 / 34	Gail Kahookele	$17.5M Facility $17.5M HI AVG $20.8M Rank #15 / 28	$8.2M Facility $8.2M HI AVG $7.1M Rank #14 / 28	46.5% Facility 46.5% HI AVG 38.9% Rank #13 / 28	125045
Yukio Okutsu State Veterans Home		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.	Hilo (Piʻihonua)	95 Facility 95 HI AVG 115 Rank #15 / 34	62.4% Facility 62.4% HI AVG 74.2% Rank #20 / 27	-16%	4.67 Facility 4.67 HI AVG 4.20 Rank #11 / 32				-13%	+11%	$13.0k Facility $13.0k HI AVG $43.4k Rank #19 / 33	39 Facility 39 HI AVG 35.5 Rank #20 / 33	13.0 Facility 13.0 HI AVG 8.2 Rank #32 / 33	3 Facility 3 HI AVG 1.2	64	-	9 Facility 9 HI AVG 47 Rank #31 / 34	East Hawaii State Veterans Home	$13.8M Facility $13.8M HI AVG $20.8M Rank #19 / 28	$7.7M Facility $7.7M HI AVG $7.1M Rank #16 / 28	55.5% Facility 55.5% HI AVG 38.9% Rank #8 / 28	125058
Ann Pearl Rehab & Nursing		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Kaneohe	104 Facility 104 HI AVG 115 Rank #12 / 34	55.9% Facility 55.9% HI AVG 74.2% Rank #21 / 27	-25%	3.58 Facility 3.58 HI AVG 4.20 Rank #23 / 32				+4%	-15%	$15.6k Facility $15.6k HI AVG $43.4k Rank #23 / 33	43 Facility 43 HI AVG 35.5 Rank #25 / 33	8.6 Facility 8.6 HI AVG 8.2 Rank #25 / 33	2 Facility 2 HI AVG 1.2	49	-	48 Facility 48 HI AVG 47 Rank #16 / 34	Rebecca Canon-Fratis	$11.4M Facility $11.4M HI AVG $20.8M Rank #23 / 28	$4.6M Facility $4.6M HI AVG $7.1M Rank #26 / 28	40.8% Facility 40.8% HI AVG 38.9% Rank #20 / 28	125048
Hale Malamalama		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.	Honolulu (Kuliouou - Kalani Iki)	40 Facility 40 HI AVG 115 Rank #28 / 34	93.5% Facility 93.5% HI AVG 74.2% Rank #2 / 27	+26%	3.79 Facility 3.79 HI AVG 4.20 Rank #21 / 32				-24%	-10%	$87.0k Facility $87.0k HI AVG $43.4k Rank #30 / 33	43 Facility 43 HI AVG 35.5 Rank #25 / 33	10.8 Facility 10.8 HI AVG 8.2 Rank #29 / 33	3 Facility 3 HI AVG 1.2	39	-	23 Facility 23 HI AVG 47 Rank #26 / 34	Ono Enterprise Ltd	$4.0M Facility $4.0M HI AVG $20.8M Rank #28 / 28	$2.6M Facility $2.6M HI AVG $7.1M Rank #28 / 28	65.5% Facility 65.5% HI AVG 38.9% Rank #2 / 28	125050
Life Care Center of Hilo		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Hilo	252 Facility 252 HI AVG 115 Rank #3 / 34	81.7% Facility 81.7% HI AVG 74.2% Rank #12 / 27	+10%	3.38 Facility 3.38 HI AVG 4.20 Rank #28 / 32				-15%	-20%	$0 Facility $0 HI AVG $43.4k Rank #1 / 33	40 Facility 40 HI AVG 35.5 Rank #22 / 33	8.0 Facility 8.0 HI AVG 8.2 Rank #22 / 33	- Facility - HI AVG 1.2	222	-	11 Facility 11 HI AVG 47 Rank #28 / 34	Lemapu Lemanua	$42.9M Facility $42.9M HI AVG $20.8M Rank #4 / 28	$16.2M Facility $16.2M HI AVG $7.1M Rank #3 / 28	37.8% Facility 37.8% HI AVG 38.9% Rank #21 / 28	125040
Aloha Nursing and Rehab Center		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Kaneohe	130 Facility 130 HI AVG 115 Rank #8 / 34	74.7% Facility 74.7% HI AVG 74.2% Rank #15 / 27	+1%	4.36 Facility 4.36 HI AVG 4.20 Rank #15 / 32				+38%	+4%	$36.3k Facility $36.3k HI AVG $43.4k Rank #27 / 33	41 Facility 41 HI AVG 35.5 Rank #23 / 33	6.8 Facility 6.8 HI AVG 8.2 Rank #13 / 33	1 Facility 1 HI AVG 1.2	103	A+	58 Facility 58 HI AVG 47 Rank #13 / 34	Aloha Management Company Inc	$26.2M Facility $26.2M HI AVG $20.8M Rank #8 / 28	$8.7M Facility $8.7M HI AVG $7.1M Rank #13 / 28	33.3% Facility 33.3% HI AVG 38.9% Rank #23 / 28	125038
Oahu Care Facility		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.	Honolulu (Mccully - Moiliili)	82 Facility 82 HI AVG 115 Rank #18 / 34	84.7% Facility 84.7% HI AVG 74.2% Rank #8 / 27	+14%	4.62 Facility 4.62 HI AVG 4.20 Rank #12 / 32				-7%	+10%	$8.3k Facility $8.3k HI AVG $43.4k Rank #15 / 33	39 Facility 39 HI AVG 35.5 Rank #20 / 33	7.8 Facility 7.8 HI AVG 8.2 Rank #21 / 33	1 Facility 1 HI AVG 1.2	77	-	93 Facility 93 HI AVG 47 Rank #4 / 34	Pacific Skilled Healthcare LLC	$9.2M Facility $9.2M HI AVG $20.8M Rank #24 / 28	$5.6M Facility $5.6M HI AVG $7.1M Rank #24 / 28	60.4% Facility 60.4% HI AVG 38.9% Rank #4 / 28	125042
Hale Makua Health Services	-	NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.	Kahului (Kaulana Street)	254 Facility 254 HI AVG 115 Rank #1 / 34	91.7% Facility 91.7% HI AVG 74.2% Rank #5 / 27	+24%	4.78 Facility 4.78 HI AVG 4.20 Rank #9 / 32	-	-	-	-29%	+14%	$179.6k Facility $179.6k HI AVG $43.4k Rank #33 / 33	63 Facility 63 HI AVG 35.5 Rank #32 / 33	7.0 Facility 7.0 HI AVG 8.2 Rank #16 / 33	7 Facility 7 HI AVG 1.2	201	-	27 Facility 27 HI AVG 47 Rank #24 / 34	Grant Chun	$62.4M Facility $62.4M HI AVG $20.8M Rank #1 / 28	$20.7M Facility $20.7M HI AVG $7.1M Rank #1 / 28	33.2% Facility 33.2% HI AVG 38.9% Rank #24 / 28	125007
Lanai Community Hospital		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Lanai City (7Th Street)	10 Facility 10 HI AVG 115 Rank #32 / 34	- Facility - HI AVG 74.2%	-	- Facility - HI AVG 4.20		-		-	-	$0 Facility $0 HI AVG $43.4k Rank #1 / 33	21 Facility 21 HI AVG 35.5 Rank #4 / 33	7.0 Facility 7.0 HI AVG 8.2 Rank #16 / 33	- Facility - HI AVG 1.2	10	-	58 Facility 58 HI AVG 47 Rank #13 / 34	-	- Facility - HI AVG $20.8M	- Facility - HI AVG $7.1M	- Facility - HI AVG 38.9%	125023
Kula Hospital		NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).	Kula (Keokea Place)	105 Facility 105 HI AVG 115 Rank #11 / 34	- Facility - HI AVG 74.2%	-	5.73 Facility 5.73 HI AVG 4.20 Rank #1 / 32				+10%	+36%	$0 Facility $0 HI AVG $43.4k Rank #1 / 33	32 Facility 32 HI AVG 35.5 Rank #16 / 33	6.4 Facility 6.4 HI AVG 8.2 Rank #12 / 33	1 Facility 1 HI AVG 1.2	92	-	25 Facility 25 HI AVG 47 Rank #25 / 34	-	- Facility - HI AVG $20.8M	- Facility - HI AVG $7.1M	- Facility - HI AVG 38.9%	125003

Nursing Home Explorer

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

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

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

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

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

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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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 15 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.

Best Nursing Homes in Hawaii

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Hale Makua Health Services

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Wilson Senior Living

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Esamya Koh Care Home LLC

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Lanai Community Hospital

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Kula Hospital

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