Best Nursing Homes in Hawaii

Why trust this guide? Our editorial team analyzed 31 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

Dr. Jordan Weiss

Last updated

Jun 2026

We analyzed

31 homes

Other senior care options in Hawaii:

Assisted Living Memory Care Independent Living

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

East Honolulu Hilo Honolulu Kahului Kailua Kaneohe Pearl City Waipahu

Compare Nursing Homes around Hawaii

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

24 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	2	85	A+	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	3	42	-	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	1	98	A+	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	2	95	-	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	3	65	-	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	3	35	-	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	1	102	A+	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	1	170	A+	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	7	209	-	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	-	80	A+	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	-	45	A+	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	-	96	A+	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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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.

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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

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

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

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

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

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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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.