Explore Open Rooms
1 Contact details
2 What type of senior care service are you looking for?
3 What budget do you have in mind for senior care?
4 How soon do you need to find care?
5 Additional details

Thank you for your interest!

Our team will be in touch shortly to help with next steps.

Best Nursing Homes in Hawaii

Reviewed by Dr. Jordan Weiss
Updated Mar 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.

Explore home photos

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

Watch this Video to see Hawaii's Top-rated Senior Communities
Other Senior care options:

Compare Nursing Homes around Hawaii

22 facilities compared · CMS & HI Dept. of Health data · Updated Apr 2026

Click column headers to sort
Pearl City Nursing Home
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.

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).

Pearl City
244
35.7%
-52%
4.08
-5%
-3%
0
41
6.8
0
115
-
73
-
$17.8M
$5.4M
30.6%
125043
Private / Shared Rooms
Harry and Jeanette Weinberg Care Center
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.

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
246
74.8%
+1%
4.04
+34%
-4%
0
22
7.3
0
33
-
22
Muramatsu, Beryl
$17.8M
$8.2M
45.8%
125033
Private Rooms
Home Instead Senior 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.

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.

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).

Honolulu (Ala Moana)
-
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
98
-
-
-
-
-
-
Pālolo Chinese Home
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.

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).

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)
130
79.6%
+7%
4.54
+19%
+8%
0
45
5.6
1
90
A+
10
Palolo Chinese Home
$19.0M
$8.6M
45.3%
125059
Private / Semi-Private Rooms
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
68.7%
-7%
3.78
-22%
-10%
0
31
6.2
2
92
-
7
Kahookele, Gail
$17.5M
$5.7M
32.6%
125045
Private / Semi-Private Rooms
Olaloa Retirement Community – Mililani
-
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

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).

Mililani (Mililani Mauka - Launani Valley)
-
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
44
-
-
-
-
-
-
Yukio Okutsu State Veterans Home
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.

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).

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
95
62.4%
-16%
4.67
-13%
+11%
1
39
13.0
3
64
-
9
East Hawaii State Veterans Home
$12.4M
$5.9M
47.1%
125058
Private / Semi-Private Rooms
Ann Pearl Rehab & Nursing
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.

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
104
55.9%
-25%
3.58
+4%
-15%
1
43
8.6
2
49
-
48
Canon-Fratis, Rebecca
$11.3M
$3.9M
34.3%
125048
-
Hale Malamalama
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.

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).

Honolulu (Kuliouou - Kalani Iki)
40
93.5%
+26%
3.79
-24%
-10%
2
43
10.8
3
39
-
23
Ono Enterprise Ltd
-
-
-
125050
Private / Shared Rooms
Life Care Center of Hilo
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.

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
252
81.7%
+10%
3.38
-15%
-20%
0
40
8.0
0
222
-
11
Lemanua, Lemapu
$41.3M
$12.1M
29.3%
125040
Private / Semi-Private Rooms
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
74.7%
+1%
4.36
+38%
+4%
1
41
6.8
1
103
A+
58
Aloha Management Company Inc
$26.1M
$6.7M
25.8%
125038
Private / Semi-Private Rooms
Oahu Care Facility
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.

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).

Honolulu (Mccully - Moiliili)
82
84.7%
+14%
4.62
-7%
+10%
1
39
7.8
1
77
-
93
Pacific Skilled Healthcare Llc
$10.3M
$3.3M
31.9%
125042
-
Hale Makua Health Services
-
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.

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).

Kahului
254
91.7%
+24%
4.78
-
-
-
-29%
+14%
4
63
7.0
7
201
-
27
Chun, Grant
$59.0M
$16.7M
28.3%
125007
Private / Semi-Private
Wilson Senior Living
-
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).

Kailua
-
-
-
-
-
-
-
-
-
0
0
0.0
0
-
A+
50
-
-
-
-
-
Private Rooms
Esamya Koh Care Home LLC
-
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.

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).

Waipahu
5
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
49
Teresita Koh
-
-
-
-
Private / Shared Rooms
Rows per page:
Nursing Home Explorer
Compare Communities
No communities selected

Beds shows the number of beds currently filled in each community agianst the total number of beds. Higher occupied beds usually indicates strong demand and reputation, while lower occupancy may suggest more availability for new residents.

No data selected

Age with dignity with Lou’s Quality Home Healthcare Services, a trusted community in Wailawa Street, Mililani, HI, offering home care. Older adults receive top-tier care for their unique needs from a compassionate and well-trained team whenever necessary and preferred. This homecare agency is licensed and insured, ensuring older adults enjoy up-to-standard quality of care in the comforts of their homes.

For the right care and assistance, the community conducts free assessments for older adults’ convenience and safety. The community provides hourly care with a minimum of 2 hours, alongside 24-hour and live-in care, ensuring older adults are well cared for. Focusing on long-term care, the community has a wide range of care options and a highly qualified team for residents to enjoy exceptional care without leaving their comfort zone.

Overview of Lou’s Quality Home Healthcare Services

Age with dignity with Lou’s Quality Home Healthcare Services, a trusted community in Wailawa Street, Mililani, HI, offering home care. Older adults receive top-tier care for their unique needs from a compassionate and well-trained team whenever necessary and preferred. This homecare agency is licensed and insured, ensuring older adults enjoy up-to-standard quality of care in the comforts of their homes.

For the right care and assistance, the community conducts free assessments for older adults’ convenience and safety. The community provides hourly care with a minimum of 2 hours, alongside 24-hour and live-in care, ensuring older adults are well cared for. Focusing on long-term care, the community has a wide range of care options and a highly qualified team for residents to enjoy exceptional care without leaving their comfort zone.

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Contact Lou’s Quality Home Healthcare Services

Experience exceptional in-home care with Malama Maikai. Their dedicated team of professionals is always ready to serve seniors, around the clock, 24/7. Not only that, they also offer respite care, providing much-needed relief to both seniors and their families. Established in 2021, Malama Maikai has quickly become one of Hawaii’s premier providers of in-home care. They take a client-centered approach, tailoring their services to meet individual needs and preferences. 

With flexible scheduling, their team is available 24/7, ready to cater to the unique requirements of seniors. When you choose Malama Maikai, you’re choosing a home where quality care knows no boundaries. Discover a place where seniors are valued, respected, and cherished. Trust in their exceptional team to provide the care and support your loved ones deserve. Experience the difference between Malama Maikai’s comprehensive in-home care services.

Overview of Mālama Maika‘i Health and Wellness Alliance

Experience exceptional in-home care with Malama Maikai. Their dedicated team of professionals is always ready to serve seniors, around the clock, 24/7. Not only that, they also offer respite care, providing much-needed relief to both seniors and their families. Established in 2021, Malama Maikai has quickly become one of Hawaii’s premier providers of in-home care. They take a client-centered approach, tailoring their services to meet individual needs and preferences. 

With flexible scheduling, their team is available 24/7, ready to cater to the unique requirements of seniors. When you choose Malama Maikai, you’re choosing a home where quality care knows no boundaries. Discover a place where seniors are valued, respected, and cherished. Trust in their exceptional team to provide the care and support your loved ones deserve. Experience the difference between Malama Maikai’s comprehensive in-home care services.

Phone: /A

Contact Mālama Maika‘i Health and Wellness Alliance

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How Assisted Living Magazine Evaluates & Scores Nursing Homes

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence.
Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest share of every nursing home’s score — 45% of the total weighting — comes from clinical and regulatory indicators, including:

  • Overall, staffing, and inspection ratings
  • Long-stay and short-stay quality measures
  • Nurse-to-resident and staff-to-resident ratios
  • Health deficiencies and regulatory history
  • Accreditations and positive local news reporting

These factors directly reflect resident safety, care quality, and compliance.

Operational Stability & Resident Support

Another 35% of the score comes from operational and stability signals, such as:

  • Nurse hours per patient per day
  • Occupancy levels and cleanliness citations
  • Administrative stability and ownership quality
  • Readmission rates and registered-nurse turnover
Balancing Additional Factors

The remaining 20% of the score includes contextual elements such as:

  • Year built or renovated
  • Penalties, fines, and preventable readmissions
  • Revenue per bed
  • Administrator tenure

These factors help round out the overall picture but carry less weight because our methodology prioritizes clinical outcomes and regulatory consistency above all else.
The result is a clear, data-driven ranking system that elevates nursing homes delivering exceptional care and long-term resident safety.

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today