Nursing homes in Hawaii
43 Medicare- and Medicaid-certified nursing homes, with an average CMS overall rating of 3.7/5 — +0.71 stars vs. the national average of 3.0. 23% are rated below average, and federal fines on record total $831,590.
Source: CMS Provider Data Catalog, processing date 2026-09-01. Ratings are official CMS figures, not endorsements.
Top-rated nursing homes in Hawaii
Sorted by CMS overall rating, then by size.
LIFE CARE CENTER OF HILO
5/5Hilo · 252 bedsMuch above average →Maluhia
5/5Honolulu · 158 bedsMuch above average →LEAHI HOSPITAL
5/5Honolulu · 155 bedsMuch above average →PEARL CITY POST ACUTE
5/5Pearl City · 122 bedsMuch above average →GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER
5/5Lihue · 110 bedsMuch above average →MAUNALANI NURSING AND REHABILITATION CENTER
5/5Honolulu · 100 bedsMuch above average →All 43 facilities in Hawaii
Filter by name or minimum star rating, and click a column heading to sort.
Beds are CMS-certified beds. Fines are the total dollar value of civil money penalties on record. Abuse icon and Watch list are CMS designations explained on the national directory.
Nursing homes by city in Hawaii
Pick a city to compare its facilities on rating, staffing, and fines.
City pages cover the 3 cities with three or more facilities. Smaller towns appear in the full table below.
Facilities carrying a CMS flag in Hawaii
0 with a substantiated abuse citation and 5 on the Special Focus Facility watch list. These are official CMS designations, listed here as they appear in the source data.
| Facility | City | Overall | Beds | Fines |
|---|---|---|---|---|
| AVALON CARE CENTER - HONOLULU, LLC Watch list | Honolulu, HI | 2/5 | 108 | — |
| ANN PEARL NURSING FACILITY Watch list | Kaneohe, HI | 2/5 | 104 | $15,288 |
| HALE MALAMALAMA Watch list | Honolulu, HI | 2/5 | 40 | $72,144 |
| KUAKINI GERIATRIC CARE, INC Watch list | Honolulu, HI | 1/5 | 187 | $98,421 |
| Islands Skilled Nursing & Rehabilitation Watch list | Honolulu, HI | 1/5 | 42 | $108,251 |
Choosing between nursing homes in Hawaii
The state average hides wide variation. In Hawaii the facilities in this directory run from one star to five, and that gap matters more than the average when you are choosing for a specific person.
Work the list in this order: filter to 4- and 5-star facilities, check the staffing and turnover numbers on each profile, then read the inspection and fine history. Distance from family, Medicaid acceptance, and the specific clinical services offered — ventilator care, dialysis, memory units — usually narrow the list faster than ratings do.
If the person needs this level of care for more than a short rehabilitation stay, ask each facility's admissions office directly how Medicaid is handled, whether they accept a pending application, and what happens if private funds run out. Those answers vary by facility, not by state, and they matter more than any published average.
How many nursing homes are there in Hawaii?
43 CMS-certified nursing homes, holding 4248 certified beds in total.
What is the average nursing home rating in Hawaii?
3.7 out of 5 stars across 41 rated facilities, against a national average of 3.0.
Which nursing home in Hawaii has the highest rating?
CMS rates facilities, not states, and every 5-star home in the state is listed above. Compare staffing and inspection detail on the individual profiles.
Does Medicare pay for a nursing home in Hawaii?
Medicare Part A covers up to 100 days of skilled nursing after a qualifying hospital stay, with cost sharing after day 20. Longer stays are generally paid privately or through Medicaid.