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Nursing homes in Hawaii
43 certified nursing homes with 4,248 beds. 17 rated 5 stars overall and 3 rated 1 star by CMS. 21 were fined in the last three years, $831,590 in all.
CMS Care Compare data as of September 1, 2026
Hawaii against the national average
| Measure | Hawaii | United States |
|---|---|---|
| Average overall stars | 3.7 | 3.0 |
| Health deficiencies at the last standard inspection | 9.5 | 9.2 |
| Nursing staff hours per resident per day | 4.97 | 3.86 |
| Registered nurse hours per resident per day | 1.75 | 0.69 |
| Weekend nursing staff hours per resident per day | 4.41 | 3.42 |
| Nursing staff turnover (%) | 36.4 | 45.8 |
| Fines per home (last 3 years) | 0.7 | 0.9 |
25 of Hawaii's 43 homes are for profit, and 21 belong to a group CMS tracks as a chain. 0 carry the CMS abuse icon.
Nurse staffing in Hawaii, quarter by quarter
Hours worked by nurses and nurse aides per resident per day, from the daily payroll records every Hawaii home sends CMS, added up across the state. In January to March 2026, weekend staffing ran 16% below weekdays (nationally 15%), and contract or agency staff worked 6.9% of nursing hours (nationally 5.3%).
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract share | US, all staff |
|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.63 | 1.60 | 4.86 | 4.08 | 6.9% | 3.75 |
| Oct to Dec 2025 | 4.47 | 1.53 | 4.68 | 3.94 | 7.1% | 3.76 |
| Jul to Sep 2025 | 4.63 | 1.56 | 4.83 | 4.11 | 8.2% | 3.77 |
| Apr to Jun 2025 | 4.45 | 1.50 | 4.65 | 3.95 | 8.4% | 3.78 |
These are hours across all of the state's residents, so they differ a little from the averages of homes CMS publishes in the table above. Source: CMS Payroll Based Journal Daily Nurse Staffing. Every state compared: the weekend staffing gap.
Official Hawaii contacts and records
- State survey agency: Hawaii Department of Health, Office of Health Care Assurance. It inspects nursing homes for CMS (the inspections on this site are its findings) and takes complaints about care.
- Long-term care ombudsman: Hawaii Long-Term Care Ombudsman Program, Executive Office on Aging, 586-7268. A free, confidential advocate for residents and their families, required in every state by the federal Older Americans Act.
Links taken from each office's own site and checked on October 8, 2026.
Special Focus Facilities in Hawaii
CMS puts a small number of homes with a long record of serious problems on its Special Focus Facility list for closer inspection. Candidates are homes that qualify but have not been chosen.
- Hale Nani Rehabilitation and Nursing CenterHonolulu · On the list · not rated
- Ann Pearl Nursing FacilityKaneohe · Candidate · 2 of 5 stars
- Avalon Care Center - Honolulu, LLCHonolulu · Candidate · 2 of 5 stars
- Hale MalamalamaHonolulu · Candidate · 2 of 5 stars
- Islands Skilled Nursing & RehabilitationHonolulu · Candidate · 1 of 5 stars
- Kuakini Geriatric Care, IncHonolulu · Candidate · 1 of 5 stars
Largest owner groups in Hawaii
| Group | Homes in Hawaii | Homes nationally | Average stars |
|---|---|---|---|
| Hawaii Health Systems Corporation | 7 | 7 | 4.7 |
| Ohana Pacific Management Co. | 6 | 6 | 3.3 |
| Life Care Centers of America | 4 | 194 | 3.4 |
| Good Samaritan Society | 1 | 92 | 3.1 |
| Regency Pacific Management | 1 | 27 | 3.9 |
| Avalon Health Care | 1 | 16 | 3.4 |
| Volare Health | 1 | 16 | 1.8 |
Every nursing home in Hawaii, by county
Hawaii County (7)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Hale Anuenue Restorative Care | Hilo | 4 | 25 | |
| Hilo Benioff Medical Center | Hilo | 4 | 23 | |
| Legacy Hilo Rehabilitation & Nursing Center | Hilo | 1 | 34 | $10,628 |
| Life Care Center of Hilo | Hilo | 5 | 43 | $8,492 |
| Yukio Okutsu State Veterans Home | Hilo | 4 | 39 | $13,049 |
| Honoka'a Hospital & Skilled Nursing | Honokaa | 5 | 14 | |
| Life Care Center of Kona | Kailua Kona | 3 | 36 | $27,612 |
Honolulu County (27)
Kauai County (5)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Samuel Mahelona Memorial Hospital | Kapaa | 5 | 18 | |
| Hale Kupuna Heritage Home, LLC | Koloa | 4 | 25 | $10,628 |
| Garden Isle Healthcare and Rehabilitation Center | Lihue | 5 | 37 | |
| Kauai Care Center | Waimea | 3 | 23 | |
| Kauai Veterans Memorial Hospital | Waimea | 5 | 14 | $34,588 |
Maui County (4)
| Home | City | Overall | Citations | Fines |
|---|---|---|---|---|
| Hale Makua - Kahului | Kahului | 3 | 59 | $170,249 |
| Kula Hospital | Kula | 2 | 32 | |
| Lanai Community Hospital | Lanai City | 5 | 17 | |
| Hale Makua - Wailuku | Wailuku | 5 | 17 |