Page 3 of Best Nursing Homes in Hawaii

Why trust this guide? Our editorial team analyzed 31 nursing homes in HI using CMS data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in HI
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Last updated
We analyzed These are the facilities in Hawaii our team has analyzed — not a count of every nursing home provider in Hawaii.
31 homes
Other senior care options in Hawaii:

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-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Hawaii average is: 64.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Hale Malamalama
NH
HOS
SNF
Honolulu (Kuliouou - Kalani Iki)
40
Facility 40
HI AVG 83
Rank #22 / 29
86.3%
Facility 86.3%
HI AVG 83.3%
Rank #11 / 22
+4%
4.35
Facility 4.35
HI AVG 4.20
Rank #17 / 26
D+ -34%+4%
$87.0k
Facility $87.0k
HI AVG $43.4k
Rank #24 / 26
43
Facility 43
HI AVG 35.5
Rank #20 / 26
10.8
Facility 10.8
HI AVG 8.2
Rank #23 / 26
335-
23
Facility 23
HI AVG 44
Rank #22 / 33
Ono Enterprise Ltd$4.0M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.6M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.65.5%*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.125050
Pālolo Chinese Home
NH
AL
HOS
RESC
RC
SNF
Honolulu (Palolo)
18
Facility 18
HI AVG 83
Rank #27 / 29
--
4.39
Facility 4.39
HI AVG 4.20
Rank #17 / 26
? +47%+4%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
48
Facility 48
HI AVG 35.5
Rank #22 / 26
6.0
Facility 6.0
HI AVG 8.2
Rank #6 / 26
197A+
10
Facility 10
HI AVG 44
Rank #27 / 33
Darlene Nakayama
$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
Islands Skilled Nursing and Rehab
NH
SNF
Honolulu (Mccully - Moiliili)
42
Facility 42
HI AVG 83
Rank #21 / 29
86.7%
Facility 86.7%
HI AVG 83.3%
Rank #9 / 22
+4%
2.79
Facility 2.79
HI AVG 4.20
Rank #26 / 26
D -12%-34%
$89.2k
Facility $89.2k
HI AVG $43.4k
Rank #25 / 26
56
Facility 56
HI AVG 35.5
Rank #24 / 26
11.2
Facility 11.2
HI AVG 8.2
Rank #24 / 26
136-
96
Facility 96
HI AVG 44
Rank #3 / 33
Pacific Healthcare Ventures LLC
$13.0MFiscal year ending 12/2023
Facility $13.0MFiscal year ending 12/2023
HI AVG $17.9M
Rank #14 / 20
$8.1MFiscal year ending 12/2023
Facility $8.1MFiscal year ending 12/2023
HI AVG $10.1M
Rank #13 / 20
61.9%Fiscal year ending 12/2023
Facility 61.9%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #5 / 20
125067
Legacy Hilo Rehabilitation & Nursing Center
NH
ADC
MC
SNF
Hilo
100
Facility 100
HI AVG 83
Rank #10 / 29
88.6%
Facility 88.6%
HI AVG 83.3%
Rank #7 / 22
+6%
3.57
Facility 3.57
HI AVG 4.20
Rank #24 / 26
? -24%-15%
$16.4k
Facility $16.4k
HI AVG $43.4k
Rank #19 / 26
34
Facility 34
HI AVG 35.5
Rank #13 / 26
8.5
Facility 8.5
HI AVG 8.2
Rank #20 / 26
189A+
7
Facility 7
HI AVG 44
Rank #30 / 33
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
Hale Ola Kino-
NH
RC
SNF
Honolulu
32
Facility 32
HI AVG 83
Rank #24 / 29
---?-----------
98
Facility 98
HI AVG 44
Rank #1 / 33
$5.5M*Fiscal year ending 10/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.9M*Fiscal year ending 10/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.53.1%*Fiscal year ending 10/2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.125047

Rank badges are statewide and care-type specific: each nursing home is ranked against every other HI nursing home we track that reports that metric, not just the 31 on this page. See how we rank facilities

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Nursing Home Explorer
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 skilled 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 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 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 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 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

Harry and Jeanette Weinberg Care Center is a nursing home in Kaneohe, HI. Nursing home care provides ongoing nursing oversight and help with daily needs, so the community may be a good fit for a resident whose health needs require that level of support.

Private rooms give each resident an individual room rather than shared accommodation. Payment options are Medicare, Medicaid, and private pay, giving families listed ways to cover nursing home care.

Named programs include Safe Shelter, Elder Justice, Trauma-Informed Care, Education, and Professional Resources. The community focuses on serving older adults and advancing public knowledge of elder abuse prevention, extending its work into education and prevention alongside residential care.

Contact Harry and Jeanette Weinberg Care Center

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 Palolo Chinese Home Adult Day Care Center

Palolo Chinese Home Adult Day Care Center provides adult day care, assisted living, hospice care, nursing home care, residential care, respite care, and skilled nursing in Honolulu, HI. Adult day care offers support during the day, while assisted living helps with daily tasks such as bathing, dressing, and taking medication.

Nursing home care and skilled nursing serve residents who need ongoing residential nursing care. Skilled nursing includes licensed nursing care on site around the clock, hospice care addresses needs at the end of life, and respite care offers a temporary stay when a family caregiver needs to travel or recover.

The community has 40 beds, creating a smaller setting where staff and residents can get to know each other. Rehabilitation services are available for residents who need therapy as part of their care, and the center also offers Senior Day Care, In Home Services, Meals to Go, and the Older Adult Home Modification Program for daytime care, assistance at home, take home meals, and home changes for older adults. Palolo Chinese Home Adult Day Care Center may be a good fit for a family seeking daytime support, a brief respite stay, or several residential and nursing care options in a smaller community.

Contact Palolo Chinese Home Adult Day Care Center

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

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

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. Rank badges compare each home against other nursing homes in the same state — never against assisted living, memory care, or independent living communities.

  • 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
No paid rankings Facilities cannot pay to influence placement.
How we're paid: If we help you find a home and you move in, that home may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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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.

Nursing Homes in Hawaii at a glance

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