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 Esamya Koh Care Home LLC

Esamya Koh Care Home LLC 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 LLC, 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

Hale Ho Aloha

2670 Pacific Heights Rd, Honolulu, HI 96813
Overview of Hale Ho Aloha

The address alone tells you something: 2670 Pacific Heights Rd puts Hale Ho Aloha 1.4 miles from Honolulu’s city center and under a mile from St. Francis Medical Center, in the Nuuanu – Punchbowl neighborhood. The Walk Score is 3. Getting here, and getting anywhere from here, requires a car.

What the facility offers is nursing home care with 24-hour staffing, hospice, and respite stays in the same building. The clinical roster includes physicians, licensed nurses, a licensed social worker, and a restorative therapy team.

Daily care covers the full range of personal needs: bathing, dressing, feeding, toileting. Nurse call systems are in resident rooms, and WanderGuard monitoring is in place. The infrastructure is attentive to residents who need close oversight.

The common spaces are designed for daily life rather than programming: a dining room, gathering areas, seating spaces, and outdoor lanais. Meals draw on locally inspired cuisine. Volunteer opportunities are available for those who want them.

The structurally significant fact here is payment. Hale Ho Aloha is a state-licensed nursing home and does not hold Medicare or Medicaid certification through the federal CMS framework. That means federal coverage pathways are not available at this facility; families need to plan around private pay from the outset. Administrator Bryce Sumida, DPT, OCS, NHA, leads operations.

What we find is a care-focused nursing home in a central Honolulu location, built for residents who need consistent clinical support and whose families are prepared to navigate private payment.

Contact Hale Ho Aloha

Overview of Lanai Community Hospital

Conveniently located in the thriving neighborhood of Lanai City, HI, at 7th Street, Lanai Community Hospital is a distinguished community that offers long-term care and inpatient acute care. The community also features emergency medicine, ensuring residents’ urgent needs are well cared for. Residents can ease their worries with a compassionate and highly trained team helping with their needs.

Residents have quick access to their necessities and leisure with the community’s ideal location near delightful restaurants and recreation sites. The community ensures residents’ fast recovery with top-notch care and state-of-the-art amenities. Here, residents make the most of their golden years, accompanied by the community’s wide range of care.

Contact Lanai Community Hospital

Overview of Legacy Hilo Rehabilitation & Nursing Center

Live comfortably in your golden years with Legacy Hilo Rehabilitation & Nursing Center, a dependable community located in the peaceful neighborhood along Kaumana Drive, Hilo, HI, that offers rehabilitation and skilled nursing. This 100-bed community strives to provide the highest quality of care tailored to residents’ special needs 24/7 to optimize comfort and independence. Residents keep their peace of mind within the community specially crafted and sophisticated accommodations in a cozy and nurturing environment.

Fun recreational activities and stimulating programs are also conducted, promoting an active lifestyle. Healthy meals are important for residents’ well-being, so delicious and well-balanced dining options are served to satisfy dietary needs and preferences. The community’s wide range of care options and state-of-the-art amenities create the perfect setting for a quick recovery and blissful retirement.

Contact Legacy Hilo Rehabilitation & Nursing Center

Overview of Hi’olani Assisted Living Center at Kahala Nui

Enjoy a better quality of life with Hi’olani Assisted Living Center at Kahala Nui, an outstanding community surrounded by delightful local amenities in Malia Street, Honolulu, HI, that offers assisted living, memory care, and nursing care. With a respectful and highly skilled team available around the clock, residents receive the highest quality of care tailored to their needs. The community also handles housekeeping and maintenance, ensuring residents can enjoy a worry-free lifestyle.

Residents can meet new friends and gain meaningful experiences with plenty of fun recreational activities and exciting trips. Dietitian-approved dining options are served to satisfy residents’ dietary needs and preferences. The community also provides medication administration, mobility assistance, and scheduled transportation for residents’ comfort and convenience. Residents are guaranteed to spend their golden years comfortably with the community’s dedicated care and inviting setting.

Contact Hi’olani Assisted Living Center at Kahala Nui

Overview of Palolo Chinese Home Adult Day Care Center

Palolo Chinese Home is a 113-bed healthcare campus at 2459 10th Avenue in Honolulu, Hawaii. Led by CEO Darryl Ing and Administrator Darlene Nakayama, the non-profit organization provides a continuum of care including skilled nursing, intermediate care, and adult day health services. The facility holds a license valid through August 2027 and serves seniors across Oahu with specialized support for memory care and rehabilitation. Its location in Palolo Valley carries a Walk Score of 10, making the community’s scheduled transportation necessary for most local errands.

Oversight records from the Hawaii Department of Health and CMS currently reflect a 3-star overall rating. While the campus achieved a citations-per-inspection rate of zero for more severe “immediate jeopardy” categories in late 2025, recent surveys identified several moderate deficiencies. A May 2025 federal inspection documented 22 health citations—exceeding the state average of 10.6, primarily involving care plan updates and incident reporting procedures. A subsequent December 2025 review found that a resident’s nutrition plan did not reflect current physician diet orders, leading the facility to implement new audit protocols for care plan accuracy.

Clinical care is supported by staffing levels that perform at a 4-star level, according to federal benchmarks. The facility provides 3 hours and 58 minutes of nursing time per resident daily, with registered nurse (RN) presence exceeding the state average at 1 hour and 23 minutes. Professional services focus on long-term wellness, with the quality of care for permanent residents earning a 5-star rating. The campus also offers unique community programs, including a “Meals to Go” service for local seniors and home modification assistance to support aging-in-place.

The residential environment features a culturally diverse setting where programs respect the traditions of various ethnicities. Shared amenities include structured socialization, exercise classes, and cultural celebrations, such as Year of the Horse events. Adult day care operates seven days a week, offering supervised activities and meals for up to 30 participants. The facility accepts a combination of private pay, Medicare, and Medicaid, with daily skilled nursing rates starting at approximately $304.

Prospective representatives seeking an established, non-profit campus with strong long-term care outcomes may find this community appropriate. Families are encouraged to ask directly about the updated electronic incident reporting system and verify the current consistency of nutritional transcription for residents with complex dietary needs before making a final placement decision.

Contact Palolo Chinese Home Adult Day Care Center

Overview of Kula Hospital

Kula Hospital is a one-of-a-kind community in Kula, HI, offering short-term rehabilitation and long-term care. Residents do not have to worry about their medical needs with a compassionate and highly qualified team helping whenever necessary. The community also provides emergency care to ensure residents’ convenience and safety.

Physical therapy and imaging services are also provided to enhance residents’ living experiences. The community strives to provide the highest quality of care for residents to recover quickly and make the most of their best years. Residents can keep their peace of mind with the community’s exceptional services and state-of-the-art amenities.

Contact Kula Hospital

Overview of 15 Craigside

Burrowed at the heart of downtown Honolulu, 15 Craigside enchants with a picturesque view of the mountains and valleys near Craigside Place, Honolulu, HI providing independent living. The community features well-lit and spacious floor plans including studio and one-bedroom apartments with den and private lanais. With the seniors’ welfare in mind, 15 Craigside strives to deliver care and assistance tailored to their unique needs and preferences.

The community fosters a friendly and vibrant environment, providing seniors with activities and programs for learning and enjoyment. Satisfying its residents’ dietary needs and preferences, the community serves delicious and healthy meals three times a day. Amenities include a fitness center, an indoor pool, a spacious lobby, a library, a chapel, a resident store, and a beautiful solarium.

Contact 15 Craigside

Overview of Avalon Care Center – Honolulu

For the past three decades, Avalon Health Care in Honolulu has been showing an unwavering commitment to providing top-notch healthcare services. It has been a source of solace and comfort to patients and residents alike. With a wide array of programs that cater to different needs, including Long-Term Care, Skilled Nursing, Rehabilitation, Memory Care, Assisted Living, Senior Living, Independent Living, and Healthcare, Avalon Health Care has proven to be a reliable partner in health and wellness.
Their services are exceptional, ranging from skilled nursing and assisted living to hospice/home health, therapy services, physicians/medical providers, and care coordination services. This comprehensive approach to healthcare ensures that patients and residents receive the best possible care and assistance with daily living. In Hawaii’s serene and calming environment, Avalon Health Care’s compassionate and dedicated team of healthcare professionals have made it their life’s work to provide excellent care while preserving the dignity and independence of their patients and residents.

Contact Avalon Care Center – Honolulu

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.