Other senior care options in Hawaii:

Best Nursing Homes in Hawaii

Why trust this guide? Our editorial team analyzed 31 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
31 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.

24 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 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

Overview of Ann Pearl Rehab & Nursing

Spend your golden years with Ann Pearl Rehab & Nursing, an outstanding community surrounded by delightful local amenities on Waikalua Road, Kaneohe, HI, offering rehabilitation and skilled nursing. Dedicated to improving residents’ well-being, a kind and well-trained team provides the highest quality of care for their specific needs 24/7. As part of Ohana Pacific, this community consistently promotes a cozy and nurturing environment for residents to recover quickly and flourish.

Prioritizing residents’ holistic wellness, a full calendar of fun recreational activities and engaging programs is conducted. Mealtimes are also something to look forward to, with delightful and healthy dining options that cater to their dietary needs and preferences. The community’s welcoming setting and dedicated services make it an ideal place for those who looking for comprehensive care.

Contact Ann Pearl Rehab & Nursing

Overview of Hale Malamalama

Beautifully set near Kuli’ou Beach Park and Maunalua Bay Beach Park in Summer Street, Honolulu, HI, Hale Malamalama ICF is a blissful haven that offers iskilled nursing and hospice services. With its purposely designed and welcoming accommodations, the community strives to provide exceptional care around the clock for up to 41 residents to ensure comfort and safety. Founded in 1957, the community continuously promotes a warm and nurturing environment for residents to thrive and live up to their potential.

Prioritzing holistic wellness, fun recreational activities and engaging programs are conducted, highlighting their interests and capabilities. Freshly prepared meals are served to satisfy residents’ dietary needs and preferences. The community is Medicaid and Medicare approved, ensuring up-to-standard care without financial constraints. Residents are guaranteed to enjoy their best years with the community’s exceptional services and state-of-the-art amenities.

Contact Hale Malamalama

Overview of Life Care Center of Hilo

Age with dignity with at Life Care Center of Hilo, an exceptional community situated near Ahualani Park and Ainaola Park in Hilo, HI, that offers rehabilitation and skilled nursing. Residents receive the highest quality of care tailored to their unique needs from a compassionate and well-trained team available around the clock. Purposely designed and spacious accommodations are available in a warm and nurtuiring environment, ensuring residents feel at ease during their stay.

Residents are encouraged to live actively with a robust calendar of fun recreational activities and engaging programs, highlighting their interests and strengths. Delicious and well-balanced meals are served for residents to enjoy a satisfactory dining experience that cater to their dietary needs and preferences. The community is ideal for those seeking exceptional care to recover quickly and live up to their potential.

Contact Life Care Center of Hilo

Overview of Aloha Nursing and Rehab Center

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.

Contact Aloha Nursing and Rehab Center

Overview of Islands Skilled Nursing and Rehab

Walker’s paradise is an unusual descriptor for a nursing home neighborhood, but Islands Skilled Nursing and Rehab earns it: Walk Score 96, McCully – Moiliili, 1.9 miles from Honolulu’s city center, with Kapi’olani Medical Center 0.18 miles away. The physical context here is genuinely distinct from the car-dependent suburban settings that define most post-acute care in the country.

The clinical profile is post-acute in character. Forty-two beds, 32 current residents, 74.2% occupancy, 88-day average stay. Admission is open to adults 18 and older.

Short-term rehab, transitional care, and respiratory care are offered alongside standard rehabilitation services. A doctor is on staff, and nursing coverage runs around the clock.

The staffing breakdown: registered nurses at 2 hours and 54 minutes per resident per day, nurse aides at 3 hours and 1 minute, LPNs at 4 minutes, totaling 3 hours and 10 minutes. The RN concentration is notable for a facility of this size.

Meals accommodate special and modified diets. An active resident council meets regularly. Mr. Leland Yagi is President/Administrator.

State inspections by Hawaii’s Department of Health, Office of Health Care Assurance, have surfaced recurring themes across medication management, infection prevention and control, care planning and documentation, staffing and staff credentials, and resident rights and protections. Families evaluating this facility should review those areas with care.

The facility accepts Medicare, Medicaid, and private pay. For families navigating post-acute placement in urban Honolulu, the combination of specialized respiratory and transitional care programs, a walkable location, and proximity to a major medical center makes this a facility worth examining closely, alongside its inspection record.

Contact Islands Skilled Nursing and Rehab

Overview of The Care Center of Honolulu

The Care Center of Honolulu offers respiratory care, skilled nursing, and rehabilitation care; its atmosphere provides graceful living for short-term or long-term residents. The dedicated team of care staff assures residents of all kinds of living options that they receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery. The Care Center boasts its compassionate approach to an enhanced quality of life for all seniors. 
The Care Center offers a range of long-term and short-term rehabilitative services such as wound care, diagnostic radiology, dialysis, therapy (occupational, physical, speech), ventilator service– all being provided with 24-hour nursing. 

Contact The Care Center of Honolulu

Overview of Oahu Care Facility

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.

Contact Oahu Care Facility

Overview of Liliha Healthcare Center

Liliha Healthcare Center is a nursing home in Honolulu, HI, that offers long-term care and rehabilitation. The community’s supportive and welcoming environment creates the ideal setting where older adults can keep their peace of mind in retirement. With 24-hour care, nutritious meals, and therapy services, residents receive the utmost attention and care. Through a holistic approach to care, the community strives to help residents live to their potential.

Light exercises and social events ensure residents stay active and have fun. Residents can also rest and move around without worries, as spacious rooms and accessible communal areas are available. Kuakini Medical Center, bus stops, and parks also surround the area, ensuring accessibility and convenience. With its comprehensive services and top-notch amenities, this nursing home is an ideal choice for senior living in Hawaii.

Contact Liliha Healthcare Center

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 31 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.