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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
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.
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 TableNH (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.
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.
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.
$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.
$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.
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Rank badges are statewide: each nursing home is ranked against every HI nursing home we track that reports that metric, not just the 32 on this page. See how we rank facilities
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.
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.
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.
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.
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.
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.
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.
Serenely tucked between Kahului Community Center Park and Kahului Park at Kaulana Street, Kahului, HI, Care Homes by Hale Makua is an outstanding community that offers assisted living. Residents experience exceptional care with a responsible and highly skilled team attending to their personal needs 24/7. The community also handles housekeeping and laundry, so residents can enjoy hassle-free living.
Residents spend their days as they please with a well-thought-out calendar of recreational activities and group events, highlighting their interests and capabilities. Delicious and well-balanced meals, alongside delightful snacks, are served to satisfy residents’ dietary needs and preferences. The community also provides medication management and arrangements for medical and dental appointments for residents’ convenience and safety. Residents do not have to worry about their special needs amidst the community’s well-maintained amenities and beautiful setting.
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.
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.
Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.
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
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.
If you move into a community through us, that community may pay us a referral fee. This never changes your cost or which options we recommend. Learn more
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