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Other Senior care options in Hilo:

Best Nursing Homes in Hilo, HI

Reviewed by Dr. Jordan Weiss
Updated Feb 2026
We analyzed 6 homes in Hilo, HI

Sources: CMS Centers for Medicare and Medicaid Services, and Hawaii Department of Health, Office of Aging and Long Term Care.

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Video Tour: Top-rated Nursing Homes facilities in Hilo, Hawaii.

Watch this Video to see Hilo's Top-rated Senior Communities

Compare Nursing Homes around Hilo

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

6 facilities compared · CMS & HI Dept. of Health data

Click column headers to sort
Hale Nā Koa ‘O Hanakahi
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Hilo
66
Facility 66
HI AVG 115
Rank #23 / 94
-
Facility -
HI AVG 74.2%
-
5.51
Facility 5.51
HI AVG 4.20
Rank #2 / 32
+13%+31%
$17.1k
Facility $17.1k
HI AVG $43.4k
Rank #24 / 33
15
Facility 15
HI AVG 35.5
Rank #2 / 33
3.8
Facility 3.8
HI AVG 8.2
Rank #2 / 33
1
Facility 1
HI AVG 1.2
61-
48
Facility 48
HI AVG 47
Rank #90 / 178
-
-
Facility -
HI AVG $20.8M
-
Facility -
HI AVG $7.1M
-
Facility -
HI AVG 38.9%
125032
Hale Anuenue Restorative Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Hilo
120
Facility 120
HI AVG 115
Rank #10 / 94
68.7%
Facility 68.7%
HI AVG 74.2%
Rank #18 / 27
-7%
3.78
Facility 3.78
HI AVG 4.20
Rank #21 / 32
-27%-10%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 33
31
Facility 31
HI AVG 35.5
Rank #15 / 33
6.2
Facility 6.2
HI AVG 8.2
Rank #11 / 33
2
Facility 2
HI AVG 1.2
92-
7
Facility 7
HI AVG 47
Rank #166 / 178
Gail Kahookele
$17.5M
Facility $17.5M
HI AVG $20.8M
Rank #15 / 28
$8.2M
Facility $8.2M
HI AVG $7.1M
Rank #14 / 28
46.5%
Facility 46.5%
HI AVG 38.9%
Rank #13 / 28
125045
Yukio Okutsu State Veterans Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Hilo (Piʻihonua)
95
Facility 95
HI AVG 115
Rank #17 / 94
62.4%
Facility 62.4%
HI AVG 74.2%
Rank #20 / 27
-16%
4.67
Facility 4.67
HI AVG 4.20
Rank #11 / 32
-24%+11%
$13.0k
Facility $13.0k
HI AVG $43.4k
Rank #19 / 33
39
Facility 39
HI AVG 35.5
Rank #20 / 33
13.0
Facility 13.0
HI AVG 8.2
Rank #32 / 33
3
Facility 3
HI AVG 1.2
64-
9
Facility 9
HI AVG 47
Rank #158 / 178
East Hawaii State Veterans Home
$13.8M
Facility $13.8M
HI AVG $20.8M
Rank #19 / 28
$7.7M
Facility $7.7M
HI AVG $7.1M
Rank #16 / 28
55.5%
Facility 55.5%
HI AVG 38.9%
Rank #8 / 28
125058
Life Care Center of Hilo
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Hilo
252
Facility 252
HI AVG 115
Rank #3 / 94
81.7%
Facility 81.7%
HI AVG 74.2%
Rank #12 / 27
+10%
3.38
Facility 3.38
HI AVG 4.20
Rank #28 / 32
-16%-20%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 33
40
Facility 40
HI AVG 35.5
Rank #22 / 33
8.0
Facility 8.0
HI AVG 8.2
Rank #22 / 33
-
Facility -
HI AVG 1.2
222-
11
Facility 11
HI AVG 47
Rank #153 / 178
Lemapu Lemanua
$42.9M
Facility $42.9M
HI AVG $20.8M
Rank #4 / 28
$16.2M
Facility $16.2M
HI AVG $7.1M
Rank #3 / 28
37.8%
Facility 37.8%
HI AVG 38.9%
Rank #21 / 28
125040
Hilo Medical Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hilo (Waianuenue Avenue)
52
Facility 52
HI AVG 115
Rank #29 / 94
-
Facility -
HI AVG 74.2%
-
4.84
Facility 4.84
HI AVG 4.20
Rank #9 / 32
+10%+15%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 33
23
Facility 23
HI AVG 35.5
Rank #8 / 33
7.7
Facility 7.7
HI AVG 8.2
Rank #20 / 33
1
Facility 1
HI AVG 1.2
52-
7
Facility 7
HI AVG 47
Rank #166 / 178
-
-
Facility -
HI AVG $20.8M
-
Facility -
HI AVG $7.1M
-
Facility -
HI AVG 38.9%
125002
Legacy Hilo Rehabilitation & Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hilo (Kaumana)
100
Facility 100
HI AVG 115
Rank #14 / 94
77.8%
Facility 77.8%
HI AVG 74.2%
Rank #14 / 27
+5%
3.29
Facility 3.29
HI AVG 4.20
Rank #29 / 32
-24%-22%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 33
27
Facility 27
HI AVG 35.5
Rank #14 / 33
6.8
Facility 6.8
HI AVG 8.2
Rank #13 / 33
-
Facility -
HI AVG 1.2
91A+
7
Facility 7
HI AVG 47
Rank #166 / 178
Jennifer Pearce
$18.5M
Facility $18.5M
HI AVG $20.8M
Rank #14 / 28
$6.1M
Facility $6.1M
HI AVG $7.1M
Rank #22 / 28
33.2%
Facility 33.2%
HI AVG 38.9%
Rank #24 / 28
125065

Hale Anuenue Restorative Care

Kaumana Springs Wilderness, 1333 Waianuenue Ave, Hilo, HI 96720
Overview of Hale Anuenue Restorative Care

Experience a better quality of life with Hale Anuenue Restorative Care, an putstanding community surrounded by delightful local amenities in Waianuenue Avenue, HIlo, HI, that offers skilled nursing and rehabilitation. Dedicated to improving residents’ well-being, a kind and highly qualified team provides exceptional care around the clock to optimize comfort and safety. As a member of Life Care Centers of America, the community promotes a cozy and nurturing environment so residents can thrive and live up to their potential.

Aside from their healthcare needs, the community strives to satisfy residents’ leisure and wellness with engaging recreational activities and enriching programs. Residents enjoy fine dining experience with delightful and healthy meals that satisfy their dietary needs and preferences. With its beautifully maintained grounds and purposely crafted amenities, residents make the most of their best years without worries.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

Building type icon
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Building Type: Single-story

Dining services icon
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Dining Services

Beauty services icon
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Beauty Services

Transportation services icon
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Transportation Services

Housekeeping icon
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Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Contact Hale Anuenue Restorative Care

Overview of Hale Nā Koa ‘o Hanakahi

Hale Na Koa ‘O Hanakahi is an idyllic haven nestled near Lokahi Park and Botanical Garden at the University of Hawaii – Hilo on West Kawili Street, Hilo, HI, that offers independent living. Residents, especially those 62+, experience the best of their golden years with the community’s beautifully furnished and cozy one-bedroom floor plans, designed for better comfort and safety. The community promotes a warm and friendly environment, ensuring residents feel at ease during their stay.

Residents can spend their days as they please with the community’s ideal location near recreation sites and delightful amenities, making it easier to access their needs and wants. The community accommodates those with incomes ranging from 30% to 80% of the median income, maintaining their independence without financial constraints. Amenities include a lounge, a coffee bar, a multi-purpose room, and an exercise room, creating the perfect setting for a blissful retirement.

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 62 Years Old

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Housing Options: 1 Bed Apartments

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Building Type: 2-story

Parking Available icon

Parking Available

Contact Hale Nā Koa ‘O Hanakahi

Overview of Yukio Okutsu State Veterans Home

Conveniently located near Hilo Benioff Medical Center and Wailuku River State Park in Hilo, HI, Yukio Okutsu State Veterans Home is a distinct community that offers veterans care. Featuring different levels of care, including skilled nursing, respite, and hospice care, the community strives to meet Veterans’ unique needs. Here, residents also enjoy a maintenance-free lifestyle with a kind and highly skilled team helping with their daily living activities and household chores 24/7.

Activities are carefully curated according to residents’ interests and strengths to maximize enjoyment and wellness. With delicious and well-balanced dining options, residents can rest assured of having the finest dining experience that satisfy their dietary needs and preferences. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. Veterans ease their worries and receive the utmost care they deserve amidst the community’s friendly setting and welcoming spaces.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: 2-story

Dining services icon
Dining services icon

Dining Services

Transportation services icon
Transportation services icon

Transportation Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Contact Yukio Okutsu State Veterans Home

Overview of Life Care Center of Hilo

Age with dignity with at Life Care Center of Hilo, an exceptional community situated near Ahualani Park and Ainaola Park in Hilo, HI, that offers rehabilitation and skilled nursing. Residents receive the highest quality of care tailored to their unique needs from a compassionate and well-trained team available around the clock. Purposely designed and spacious accommodations are available in a warm and nurtuiring environment, ensuring residents feel at ease during their stay.

Residents are encouraged to live actively with a robust calendar of fun recreational activities and engaging programs, highlighting their interests and strengths. Delicious and well-balanced meals are served for residents to enjoy a satisfactory dining experience that cater to their dietary needs and preferences. The community is ideal for those seeking exceptional care to recover quickly and live up to their potential.

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: 3-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Contact Life Care Center of Hilo

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.

What does this home offer?

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Building type icon

Building Type: Single-story

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Contact Legacy Hilo Rehabilitation & Nursing Center

Overview of Hilo Medical Center

Hilo Medical Center is a trusted community located near Wailuku River State Park in Hilo, HI, offering medical and rehabilitation services. Residents do not have to worry about their unique needs with a compassionate and highly trained team providing exceptional care around the clock. The community also promotes a warm and nurturing environment for residents to feel at ease and recover quickly.

Therapy services, including physical, occupational, and speech therapy are provided to enhance residents’ living experiences. The community also collaborates with top-rated organizations like East Hawaii Health for those who need behavioral health care. Residents here have the finest retirement experience with the community’s extensive amenities and wide range of care.

What does this home offer?

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Building type icon

Building Type: Mid-rise

Dining services icon
Dining services icon

Dining Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Contact Hilo Medical Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Hilo, HI

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 6 nursing homes in Hilo, HI. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Hilo, HI?

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 Hilo, HI, 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 Hilo, HI?

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.