Other senior care options in Hawaii:

Page 3 of Best Nursing Homes in Hawaii

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
Reviewed by
Last updated
Jun 2026
We analyzed
32 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

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.

Good Samaritan Society – Pohai Nani
NH
AL
IL
RC
SNF
Kaneohe
44
Facility 44
HI AVG 43
Rank #26 / 84
79.5%
Facility 79.5%
HI AVG 84.1
Rank #18 / 23
-5%
4.04
Facility 4.04
HI AVG 4.20
Rank #15 / 25
+73%-4%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
22
Facility 22
HI AVG 35.5
Rank #4 / 26
7.3
Facility 7.3
HI AVG 8.2
Rank #12 / 26
-35-
18
Facility 18
HI AVG 50
Rank #140 / 174
Beryl Muramatsu
$16.1MFiscal year ending 12/2023
Facility $16.1MFiscal year ending 12/2023
HI AVG $17.9M
Rank #8 / 20
$8.6MFiscal year ending 12/2023
Facility $8.6MFiscal year ending 12/2023
HI AVG $10.1M
Rank #11 / 20
53.4%Fiscal year ending 12/2023
Facility 53.4%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #11 / 20
125033
Maunalani Nursing and Rehabilitation Center
NH
PC
SNF
Honolulu (Kaimuki)
100
Facility 100
HI AVG 43
Rank #13 / 84
90.0%
Facility 90.0%
HI AVG 84.1
Rank #7 / 23
+7%
4.19
Facility 4.19
HI AVG 4.20
Rank #12 / 25
-71%0%
$32.1k
Facility $32.1k
HI AVG $43.4k
Rank #21 / 26
21
Facility 21
HI AVG 35.5
Rank #2 / 26
4.2
Facility 4.2
HI AVG 8.2
Rank #2 / 26
290-
11
Facility 11
HI AVG 50
Rank #152 / 174
The Maunalani Foundation
$18.6MFiscal year ending 06/2024
Facility $18.6MFiscal year ending 06/2024
HI AVG $17.9M
Rank #7 / 20
$10.4MFiscal year ending 06/2024
Facility $10.4MFiscal year ending 06/2024
HI AVG $10.1M
Rank #7 / 20
56%Fiscal year ending 06/2024
Facility 56%Fiscal year ending 06/2024
HI AVG 64.3%
Rank #8 / 20
125013
Arcadia Retirement Residence
NH
ADC
HC
IL
SNF
Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
91
Facility 91
HI AVG 43
Rank #18 / 84
93.7%
Facility 93.7%
HI AVG 84.1
Rank #2 / 23
+11%
5.08
Facility 5.08
HI AVG 4.20
Rank #4 / 25
+26%+21%
$12.9k
Facility $12.9k
HI AVG $43.4k
Rank #19 / 26
36
Facility 36
HI AVG 35.5
Rank #13 / 26
9.0
Facility 9.0
HI AVG 8.2
Rank #20 / 26
285A+
86
Facility 86
HI AVG 50
Rank #27 / 174
Kathleen Yokouchi
$14.6MFiscal year ending 12/2023
Facility $14.6MFiscal year ending 12/2023
HI AVG $17.9M
Rank #11 / 20
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
HI AVG $10.1M
Rank #15 / 20
51.1%Fiscal year ending 12/2023
Facility 51.1%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #13 / 20
125014
Pearl City Nursing Home
NH
PC
SNF
Pearl City (Lehua Avenue)
122
Facility 122
HI AVG 43
Rank #8 / 84
93.4%
Facility 93.4%
HI AVG 84.1
Rank #3 / 23
+11%
4.08
Facility 4.08
HI AVG 4.20
Rank #13 / 25
-12%-3%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
41
Facility 41
HI AVG 35.5
Rank #17 / 26
6.8
Facility 6.8
HI AVG 8.2
Rank #7 / 26
-114-
73
Facility 73
HI AVG 50
Rank #44 / 174
-$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.125043
Lanai Community Hospital
NH
SNF
Lanai City (7Th Street)
10
Facility 10
HI AVG 43
Rank #42 / 84
92.0%
Facility 92.0%
HI AVG 84.1
Rank #5 / 23
+9%- - --
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
21
Facility 21
HI AVG 35.5
Rank #2 / 26
7.0
Facility 7.0
HI AVG 8.2
Rank #10 / 26
-9-
58
Facility 58
HI AVG 50
Rank #68 / 174
----125023
Oahu Care Facility
NH
SNF
Honolulu (Mccully - Moiliili)
82
Facility 82
HI AVG 43
Rank #19 / 84
71.6%
Facility 71.6%
HI AVG 84.1
Rank #21 / 23
-15%
4.62
Facility 4.62
HI AVG 4.20
Rank #9 / 25
-30%+10%
$8.3k
Facility $8.3k
HI AVG $43.4k
Rank #17 / 26
39
Facility 39
HI AVG 35.5
Rank #14 / 26
7.8
Facility 7.8
HI AVG 8.2
Rank #15 / 26
159-
93
Facility 93
HI AVG 50
Rank #19 / 174
Pacific Skilled Healthcare LLC$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.125042
15 Craigside
NH
ADC
AL
HC
IL
SNF
Honolulu (Nuuanu - Punchbowl)
45
Facility 45
HI AVG 43
Rank #25 / 84
98.9%
Facility 98.9%
HI AVG 84.1
Rank #1 / 23
+18%
5.04
Facility 5.04
HI AVG 4.20
Rank #5 / 25
+1%+20%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
5
Facility 5
HI AVG 35.5
Rank #1 / 26
2.5
Facility 2.5
HI AVG 8.2
Rank #1 / 26
-45A+
50
Facility 50
HI AVG 50
Rank #85 / 174
Bree Komagome
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
HI AVG $17.9M
Rank #20 / 20
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
HI AVG $10.1M
Rank #19 / 20
67.8%Fiscal year ending 12/2023
Facility 67.8%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #3 / 20
125063
Hi’olani Assisted Living Center at Kahala Nui
NH
AL
IL
MC
SNF
Honolulu (Waialae - Kahala)
20
Facility 20
HI AVG 43
Rank #39 / 84
85.5%
Facility 85.5%
HI AVG 84.1
Rank #13 / 23
+2%
5.36
Facility 5.36
HI AVG 4.20
Rank #2 / 25
+16%+28%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
24
Facility 24
HI AVG 35.5
Rank #7 / 26
8.0
Facility 8.0
HI AVG 8.2
Rank #16 / 26
-17-
71
Facility 71
HI AVG 50
Rank #46 / 174
Craig Courts
$8.2MFiscal year ending 12/2023
Facility $8.2MFiscal year ending 12/2023
HI AVG $17.9M
Rank #18 / 20
$13.4MFiscal year ending 12/2023
Facility $13.4MFiscal year ending 12/2023
HI AVG $10.1M
Rank #4 / 20
163.8%Fiscal year ending 12/2023
Facility 163.8%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #1 / 20
125055
Hilo Medical Center
NH
Hilo (Waianuenue Avenue)
52
Facility 52
HI AVG 43
Rank #22 / 84
--
4.84
Facility 4.84
HI AVG 4.20
Rank #6 / 25
+10%+15%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
23
Facility 23
HI AVG 35.5
Rank #6 / 26
7.7
Facility 7.7
HI AVG 8.2
Rank #14 / 26
155-
7
Facility 7
HI AVG 50
Rank #165 / 174
----125002
Kula Hospital
NH
Kula (Keokea Place)
105
Facility 105
HI AVG 43
Rank #11 / 84
88.5%
Facility 88.5%
HI AVG 84.1
Rank #10 / 23
+5%
5.73
Facility 5.73
HI AVG 4.20
Rank #1 / 25
+20%+36%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
32
Facility 32
HI AVG 35.5
Rank #11 / 26
6.4
Facility 6.4
HI AVG 8.2
Rank #6 / 26
193-
25
Facility 25
HI AVG 50
Rank #127 / 174
----125003
Yukio Okutsu State Veterans Home
NH
HOS
RC
SNF
Hilo (Piʻihonua)
95
Facility 95
HI AVG 43
Rank #16 / 84
68.1%
Facility 68.1%
HI AVG 84.1
Rank #22 / 23
-19%
4.67
Facility 4.67
HI AVG 4.20
Rank #8 / 25
-24%+11%
$13.0k
Facility $13.0k
HI AVG $43.4k
Rank #20 / 26
39
Facility 39
HI AVG 35.5
Rank #14 / 26
13.0
Facility 13.0
HI AVG 8.2
Rank #25 / 26
365-
9
Facility 9
HI AVG 50
Rank #157 / 174
East Hawaii State Veterans Home
$12.5MFiscal year ending 06/2024
Facility $12.5MFiscal year ending 06/2024
HI AVG $17.9M
Rank #15 / 20
$7.7MFiscal year ending 06/2024
Facility $7.7MFiscal year ending 06/2024
HI AVG $10.1M
Rank #14 / 20
61.4%Fiscal year ending 06/2024
Facility 61.4%Fiscal year ending 06/2024
HI AVG 64.3%
Rank #6 / 20
125058
Aloha Nursing and Rehab Center
NH
HOS
PC
RC
SNF
Kaneohe
141
Facility 141
HI AVG 43
Rank #7 / 84
72.6%
Facility 72.6%
HI AVG 84.1
Rank #20 / 23
-14%
4.36
Facility 4.36
HI AVG 4.20
Rank #11 / 25
+20%+4%
$36.3k
Facility $36.3k
HI AVG $43.4k
Rank #22 / 26
41
Facility 41
HI AVG 35.5
Rank #17 / 26
6.8
Facility 6.8
HI AVG 8.2
Rank #7 / 26
1102A+
58
Facility 58
HI AVG 50
Rank #68 / 174
Aloha Management Company Inc
$21.2MFiscal year ending 08/2024
Facility $21.2MFiscal year ending 08/2024
HI AVG $17.9M
Rank #6 / 20
$8.7MFiscal year ending 08/2024
Facility $8.7MFiscal year ending 08/2024
HI AVG $10.1M
Rank #10 / 20
41.2%Fiscal year ending 08/2024
Facility 41.2%Fiscal year ending 08/2024
HI AVG 64.3%
Rank #20 / 20
125038
Legacy Hilo Rehabilitation & Nursing Center
NH
ADC
MC
SNF
Hilo (Kaumana)
100
Facility 100
HI AVG 43
Rank #13 / 84
79.8%
Facility 79.8%
HI AVG 84.1
Rank #17 / 23
-5%
3.29
Facility 3.29
HI AVG 4.20
Rank #22 / 25
-24%-22%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
27
Facility 27
HI AVG 35.5
Rank #9 / 26
6.8
Facility 6.8
HI AVG 8.2
Rank #7 / 26
-80A+
7
Facility 7
HI AVG 50
Rank #165 / 174
Jennifer Pearce
$13.3MFiscal year ending 12/2023
Facility $13.3MFiscal year ending 12/2023
HI AVG $17.9M
Rank #13 / 20
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
HI AVG $10.1M
Rank #18 / 20
46.1%Fiscal year ending 12/2023
Facility 46.1%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #17 / 20
125065
Pālolo Chinese Home
NH
AL
HOS
RESC
RC
SNF
Honolulu (Palolo)
18
Facility 18
HI AVG 43
Rank #41 / 84
--
4.54
Facility 4.54
HI AVG 4.20
Rank #10 / 25
+47%+8%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
45
Facility 45
HI AVG 35.5
Rank #21 / 26
5.6
Facility 5.6
HI AVG 8.2
Rank #3 / 26
198A+
10
Facility 10
HI AVG 50
Rank #155 / 174
Palolo Chinese Home
$15.6MFiscal year ending 12/2023
Facility $15.6MFiscal year ending 12/2023
HI AVG $17.9M
Rank #10 / 20
$10.3MFiscal year ending 12/2023
Facility $10.3MFiscal year ending 12/2023
HI AVG $10.1M
Rank #8 / 20
66.4%Fiscal year ending 12/2023
Facility 66.4%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #4 / 20
125059
Kalākaua Gardens
NH
AL
IL
MC
RC
SNF
Honolulu (Ala Moana)
49
Facility 49
HI AVG 43
Rank #23 / 84
84.7%
Facility 84.7%
HI AVG 84.1
Rank #14 / 23
+1%
0.37
Facility 0.37
HI AVG 4.20
Rank #25 / 25
-3%-91%
$55.7k
Facility $55.7k
HI AVG $43.4k
Rank #23 / 26
35
Facility 35
HI AVG 35.5
Rank #12 / 26
5.8
Facility 5.8
HI AVG 8.2
Rank #4 / 26
342-
98
Facility 98
HI AVG 50
Rank #3 / 174
1723 Kalakaua LLC
$21.3MFiscal year ending 12/2023
Facility $21.3MFiscal year ending 12/2023
HI AVG $17.9M
Rank #5 / 20
$9.5MFiscal year ending 12/2023
Facility $9.5MFiscal year ending 12/2023
HI AVG $10.1M
Rank #9 / 20
44.8%Fiscal year ending 12/2023
Facility 44.8%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #18 / 20
125066
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Nursing Home Explorer
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 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 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 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 Hale Makua Health Services

Wonderfully nestled between Kahului Park and Kahului Disc Golf Course in Kahului, HI, Hale Makua Health Services is an outstanding community offering a wide range of care, including adult day health, residential care, home health, long-term care, and rehabilitation. The community strives to meet residents’ needs with a compassionate and well-trained team attending to their needs around the clock. Whether at home or in our stress-free setting, residents can keep their peace of mind and receive exceptional care.

Aside from their healthcare needs, residents’ leisure and wellness are also taken into consideration, so fun recreational activities and enriching programs are also conducted. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. With continuum of care services, residents age with dignity wherever they prefer.

Contact Hale Makua Health Services

Hale Ola Kino

1314 Kalākaua Ave 2Nd Floor, Honolulu, HI 96826
Overview of Hale Ola Kino

Hale Ola Kino is a nursing home that offers a resort-like lifestyle where its staff and management believe that residents deserve only the best, which is why they also ensure that residents only get the top-level of service and care needed for their healthy recovery. Hale Ola Kino is a wellness-focused home that is dedicated to maintaining a nurturing environment for seniors so that they can have an enhanced life. 
Hale Ola offers a multidisciplinary approach to caregiving offers health care services that plan one’s medical condition or personal preference. Personal care offers assistance with daily living for residents. Lifestyle and health services that are wellness programs scheduled and created by the staff.

Contact Hale Ola Kino

Overview of Kīnā ‘ole Estate

Located on the Windward side of Oahu,  Kīnā ‘ole Estate provides its residents with a secure, cozy, and enjoyable environment created to give them both the independence they want and the support they might need. This community offers the highest level of senior care across its 5 fully licensed care homes. Their dedicated staff adapts to each resident’s needs and can care for their residents through the end stage of life.

Kīnā ‘ole Estate offers a special combination of senior housing, personalized supportive services, memory care, expanded care, and adult health care designed to respond to the individual needs of our residents who require help with activities of daily living. The suites are always your private retreat and come partially furnished. The interior design of Kīnā ‘ole Estate has been pre planned using neutral colors, and it is now just waiting for the finishing touches and priceless possessions that make a house a home.

Contact Kīnā ‘Ole Estate

Overview of Esamya Koh Care Home

Esamya Koh Care Home is a stunning nursing home nestled in the picturesque town of Waipahu, Hawaii. They pride themselves on maintaining the highest standards of nursing home care, ensuring that their residents receive exceptional support and attention. With a dedicated team of professionals and an array of offerings, they strive to create a vibrant and thriving community where the elderly can truly flourish, finding comfort, safety, and overall well-being.

Located in the heart of Waipahu, their nursing home not only offers a beautiful setting but also a wide range of amenities and services tailored to meet the unique needs of their residents. From personalized care plans to engaging activities and social programs, they prioritize the holistic well-being of every individual under their specialized nursing home care. When families choose Esamya Koh Care Home, they are choosing a place where seniors can flourish, surrounded by a warm and caring community. They understand the importance of creating a nurturing environment where comfort and safety are paramount.

Contact Esamya Koh Care Home LLC

Overview of Palolo Chinese Home Adult Day Care Center

Palolo Chinese Home Adult Day Care Center in Honolulu, Hawaii, offers adult day care, assisted living, hospice care, nursing home and skilled nursing care, residential care, and respite care. It has 40 beds and 24 hour staffing.

Respite care may be a good fit for families needing short term support while a primary caregiver travels or recovers. Services include rehabilitation, in home services, Meals to Go, and the Older Adult Home Modification Program. State inspections have reviewed the center’s routine care and safety standards.

Contact Palolo Chinese Home Adult Day Care 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 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.