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Best Nursing Homes in Honolulu, HI

Why trust this guide? Our editorial team analyzed 13 nursing homes in Honolulu, HI 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
13 homes
Other senior care options in Honolulu:
Avg Overall CMS Rating: 3.4/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Honolulu, HI. 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: 3.8/ 5The average Staffing Rating across all CMS-certified nursing homes in Honolulu, HI. 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 Honolulu, HI. 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 Honolulu

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

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

Maunalani Nursing and Rehabilitation Center
NH
NC
PC
Honolulu (Kaimuki)
100
Facility 100
HI AVG 43
Rank #13 / 87
87.7%
Facility 87.7%
HI AVG 74.2%
Rank #8 / 28
+18%
4.19
Facility 4.19
HI AVG 4.20
Rank #16 / 33
-71%0%
$32.1k
Facility $32.1k
HI AVG $43.4k
Rank #28 / 34
21
Facility 21
HI AVG 35.5
Rank #4 / 34
4.2
Facility 4.2
HI AVG 8.2
Rank #4 / 34
290-
11
Facility 11
HI AVG 49
Rank #153 / 178
The Maunalani Foundation
$18.6M
Facility $18.6M
HI AVG $20.8M
Rank #11 / 29
$10.4M
Facility $10.4M
HI AVG $7.1M
Rank #7 / 29
56%
Facility 56%
HI AVG 38.9%
Rank #7 / 29
125013
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
Islands Skilled Nursing and Rehab
NH
Honolulu (Mccully - Moiliili)
42
Facility 42
HI AVG 43
Rank #29 / 87
83.7%
Facility 83.7%
HI AVG 74.2%
Rank #12 / 28
+13%
3.16
Facility 3.16
HI AVG 4.20
Rank #32 / 33
-12%-25%
$89.2k
Facility $89.2k
HI AVG $43.4k
Rank #33 / 34
64
Facility 64
HI AVG 35.5
Rank #34 / 34
12.8
Facility 12.8
HI AVG 8.2
Rank #32 / 34
134-
96
Facility 96
HI AVG 49
Rank #11 / 178
Pacific Healthcare Ventures LLC
$13.0M
Facility $13.0M
HI AVG $20.8M
Rank #22 / 29
$8.1M
Facility $8.1M
HI AVG $7.1M
Rank #16 / 29
61.9%
Facility 61.9%
HI AVG 38.9%
Rank #5 / 29
125067
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
Liliha Healthcare Center
NH
HC
NC
PC
RC
Honolulu (Liliha - Kapalama)
92
Facility 92
HI AVG 43
Rank #17 / 87
84.3%
Facility 84.3%
HI AVG 74.2%
Rank #10 / 28
+14%
4.00
Facility 4.00
HI AVG 4.20
Rank #19 / 33
-36%-5%
$11.2k
Facility $11.2k
HI AVG $43.4k
Rank #22 / 34
52
Facility 52
HI AVG 35.5
Rank #30 / 34
10.4
Facility 10.4
HI AVG 8.2
Rank #29 / 34
379-
81
Facility 81
HI AVG 49
Rank #29 / 178
-
$12.2M
Facility $12.2M
HI AVG $20.8M
Rank #21 / 29
$7.0M
Facility $7.0M
HI AVG $7.1M
Rank #19 / 29
57.5%
Facility 57.5%
HI AVG 38.9%
Rank #10 / 29
125041
Hale Ola Kino-
NH
RC
Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
32
Facility 32
HI AVG 43
Rank #38 / 87
--------------
98
Facility 98
HI AVG 49
Rank #3 / 178
$4.9M
Facility $4.9M
HI AVG $20.8M
Rank #28 / 29
$2.4M
Facility $2.4M
HI AVG $7.1M
Rank #28 / 29
50.1%
Facility 50.1%
HI AVG 38.9%
Rank #9 / 29
125047
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
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 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 Honolulu, 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 13 nursing homes in Honolulu, HI. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Honolulu, 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 Honolulu, 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 Honolulu, 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.