Best Nursing Homes in Honolulu, HI

Reviewed by

Last updated

May 2026

We analyzed

14 homes in Honolulu, HI

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

Government Data for Nursing Homes in Honolulu, Hawaii: Salaries, Revenues, Occupancy Rates, Ownership.

Other senior care options in Honolulu:

Assisted Living Memory Care Independent Living

Compare Nursing Homes around Honolulu

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

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

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Maunalani Nursing and Rehabilitation 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.	Honolulu (Kaimuki)	100 Facility 100 HI AVG 51 Rank #15 / 87	87.7% Facility 87.7% HI AVG 74.2% Rank #7 / 27	+18%	4.19 Facility 4.19 HI AVG 4.20 Rank #16 / 32				-71%	0%	$73.7k Facility $73.7k HI AVG $43.4k Rank #29 / 33	21 Facility 21 HI AVG 35.5 Rank #4 / 33	4.2 Facility 4.2 HI AVG 8.2 Rank #4 / 33	2	92	-	11 Facility 11 HI AVG 49 Rank #153 / 178	The Maunalani Foundation	$20.3M Facility $20.3M HI AVG $20.8M Rank #11 / 28	$11.3M Facility $11.3M HI AVG $7.1M Rank #7 / 28	55.7% Facility 55.7% HI AVG 38.9% Rank #7 / 28	125013
Arcadia Retirement Residence		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.	Honolulu (Makiki/Lower/ Punchbowl/Tantalus)	91 Facility 91 HI AVG 51 Rank #20 / 87	84.3% Facility 84.3% HI AVG 74.2% Rank #9 / 27	+14%	5.08 Facility 5.08 HI AVG 4.20 Rank #7 / 32				+26%	+21%	$33.7k Facility $33.7k HI AVG $43.4k Rank #26 / 33	36 Facility 36 HI AVG 35.5 Rank #18 / 33	9.0 Facility 9.0 HI AVG 8.2 Rank #26 / 33	2	86	A+	86 Facility 86 HI AVG 49 Rank #27 / 178	Kathleen Yokouchi	$19.0M Facility $19.0M HI AVG $20.8M Rank #13 / 28	$9.5M Facility $9.5M HI AVG $7.1M Rank #11 / 28	49.9% Facility 49.9% HI AVG 38.9% Rank #11 / 28	125014
Kalākaua Gardens		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.	Honolulu (Ala Moana)	236 Facility 236 HI AVG 51 Rank #6 / 87	71.4% Facility 71.4% HI AVG 74.2% Rank #17 / 27	-4%	0.37 Facility 0.37 HI AVG 4.20 Rank #32 / 32				-3%	-91%	$60.6k Facility $60.6k HI AVG $43.4k Rank #28 / 33	35 Facility 35 HI AVG 35.5 Rank #17 / 33	5.8 Facility 5.8 HI AVG 8.2 Rank #10 / 33	3	45	-	98 Facility 98 HI AVG 49 Rank #3 / 178	1723 Kalakaua LLC	$24.6M Facility $24.6M HI AVG $20.8M Rank #10 / 28	$10.6M Facility $10.6M HI AVG $7.1M Rank #8 / 28	43.1% Facility 43.1% HI AVG 38.9% Rank #15 / 28	125066
Islands Skilled Nursing and Rehab		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.	Honolulu (Mccully - Moiliili)	42 Facility 42 HI AVG 51 Rank #33 / 87	83.7% Facility 83.7% HI AVG 74.2% Rank #11 / 27	+13%	3.16 Facility 3.16 HI AVG 4.20 Rank #31 / 32				-12%	-25%	$89.2k Facility $89.2k HI AVG $43.4k Rank #31 / 33	64 Facility 64 HI AVG 35.5 Rank #33 / 33	12.8 Facility 12.8 HI AVG 8.2 Rank #31 / 33	1	31	-	96 Facility 96 HI AVG 49 Rank #11 / 178	Pacific Healthcare Ventures LLC	$13.6M Facility $13.6M HI AVG $20.8M Rank #21 / 28	$8.1M Facility $8.1M HI AVG $7.1M Rank #15 / 28	59.4% Facility 59.4% HI AVG 38.9% Rank #5 / 28	125067
The Care Center of Honolulu		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.	Honolulu (Liliha - Kapalama)	254 Facility 254 HI AVG 51 Rank #1 / 87	66.6% Facility 66.6% HI AVG 74.2% Rank #19 / 27	-10%	3.31 Facility 3.31 HI AVG 4.20 Rank #29 / 32				-13%	-21%	$8.0k Facility $8.0k HI AVG $43.4k Rank #14 / 33	47 Facility 47 HI AVG 35.5 Rank #28 / 33	9.4 Facility 9.4 HI AVG 8.2 Rank #27 / 33	1	171	A+	71 Facility 71 HI AVG 49 Rank #46 / 178	Suzanne Darley	$40.4M Facility $40.4M HI AVG $20.8M Rank #6 / 28	$18.2M Facility $18.2M HI AVG $7.1M Rank #2 / 28	45.1% Facility 45.1% HI AVG 38.9% Rank #14 / 28	125019
Liliha Healthcare 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.	Honolulu (Liliha - Kapalama)	92 Facility 92 HI AVG 51 Rank #19 / 87	84.3% Facility 84.3% HI AVG 74.2% Rank #9 / 27	+14%	4.00 Facility 4.00 HI AVG 4.20 Rank #19 / 32				-36%	-5%	$11.2k Facility $11.2k HI AVG $43.4k Rank #16 / 33	52 Facility 52 HI AVG 35.5 Rank #29 / 33	10.4 Facility 10.4 HI AVG 8.2 Rank #28 / 33	3	82	-	81 Facility 81 HI AVG 49 Rank #29 / 178	-	$13.8M Facility $13.8M HI AVG $20.8M Rank #20 / 28	$7.0M Facility $7.0M HI AVG $7.1M Rank #18 / 28	51.1% Facility 51.1% HI AVG 38.9% Rank #10 / 28	125041
Hale O Meleana		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. 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. 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.	Honolulu (Liliha - Kapalama)	176 Facility 176 HI AVG 51 Rank #7 / 87	55.0% Facility 55.0% HI AVG 74.2% Rank #22 / 27	-26%	5.19 Facility 5.19 HI AVG 4.20 Rank #6 / 32				-8%	+24%	$0 Facility $0 HI AVG $43.4k Rank #1 / 33	37 Facility 37 HI AVG 35.5 Rank #19 / 33	7.4 Facility 7.4 HI AVG 8.2 Rank #19 / 33	-	147	-	37 Facility 37 HI AVG 49 Rank #108 / 178	Stephen Brewer	$41.8M Facility $41.8M HI AVG $20.8M Rank #5 / 28	$9.7M Facility $9.7M HI AVG $7.1M Rank #10 / 28	23.2% Facility 23.2% HI AVG 38.9% Rank #28 / 28	125064
Hale Ola Kino	-	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.	Honolulu (Makiki/Lower/ Punchbowl/Tantalus)	32 Facility 32 HI AVG 51 Rank #39 / 87	-	-	-	-	-	-	-	-	-	-	-	-	-	-	98 Facility 98 HI AVG 49 Rank #3 / 178		$5.4M Facility $5.4M HI AVG $20.8M Rank #27 / 28	$2.8M Facility $2.8M HI AVG $7.1M Rank #27 / 28	51.9% Facility 51.9% HI AVG 38.9% Rank #9 / 28	125047
15 Craigside		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. 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. N Nursing	Honolulu (Nuuanu - Punchbowl)	45 Facility 45 HI AVG 51 Rank #31 / 87	97.7% Facility 97.7% HI AVG 74.2% Rank #1 / 27	+32%	5.04 Facility 5.04 HI AVG 4.20 Rank #8 / 32				+1%	+20%	$12.7k Facility $12.7k HI AVG $43.4k Rank #17 / 33	5 Facility 5 HI AVG 35.5 Rank #1 / 33	2.5 Facility 2.5 HI AVG 8.2 Rank #1 / 33	-	43	A+	50 Facility 50 HI AVG 49 Rank #85 / 178	Bree Komagome	$6.3M Facility $6.3M HI AVG $20.8M Rank #26 / 28	$5.6M Facility $5.6M HI AVG $7.1M Rank #23 / 28	89.2% Facility 89.2% HI AVG 38.9% Rank #1 / 28	125063
Avalon Care Center – Honolulu		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. 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.	Honolulu (Kalihi Valley)	108 Facility 108 HI AVG 51 Rank #12 / 87	90.4% Facility 90.4% HI AVG 74.2% Rank #6 / 27	+22%	4.06 Facility 4.06 HI AVG 4.20 Rank #17 / 32				+24%	-3%	$12.8k Facility $12.8k HI AVG $43.4k Rank #18 / 33	53 Facility 53 HI AVG 35.5 Rank #30 / 33	17.7 Facility 17.7 HI AVG 8.2 Rank #33 / 33	-	95	A+	47 Facility 47 HI AVG 49 Rank #93 / 178	Avalon Of Hawaii LLC	$32.9M Facility $32.9M HI AVG $20.8M Rank #7 / 28	$11.9M Facility $11.9M HI AVG $7.1M Rank #6 / 28	36% Facility 36% HI AVG 38.9% Rank #22 / 28	125020

Nursing Home Explorer

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 14 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.

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15 Craigside

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Avalon Care Center – Honolulu

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