Last Updated: December 2025

🏆 Top 25 Nursing Homes in Hawaii

View our comprehensive rankings of the highest quality facilities in Hawaii, based on CMS data, staffing, safety, and quality measures.

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Hawaii at a Glance

48
Total Facilities
3.4
Average Rating
N/A
Avg RN Hours/Day
N/A%
Avg Turnover Rate

CMS Star Rating Distribution

(5-Star)
17
35.4%
(4-Star)
4
8.3%
(3-Star)
12
25.0%
(2-Star)
9
18.8%
(1-Star)
5
10.4%

About Nursing Homes in Hawaii

Hawaii has 48 Medicare-certified nursing homes with an average quality rating of 3.4 stars. 17 facilities (35.4%) earn the top five-star rating, above the national average of 18.9%.

All nursing homes in Hawaii are regulated by state and federal agencies, undergo regular CMS inspections, and must meet federal quality standards. Use our search tool to compare facilities based on Medicare ratings, staffing levels, quality measures, and safety records.

Nursing Home Costs in Hawaii

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Statewide Average

Nursing home costs in Hawaii average $496-$538 per day ($14,880-$16,140/month) for skilled nursing care, which is 58% above the national median according to the 2024 Genworth Cost of Care Survey.

Most facilities accept Medicare for short-term rehabilitation (up to 100 days), private insurance, and Medicaid for eligible residents.

Cost Variation by Metro Area

We have city-level cost data for 2 metro areas in Hawaii. Costs can vary significantly by location:

Kahului
$525-$575/day ($15,750-$17,250/month)
Urban Honolulu
$488-$513/day ($14,640-$15,390/month)
Calculate detailed costs for Hawaii →

Browse by City in Hawaii

View nursing homes in specific cities across Hawaii. Each city page shows facilities ranked by quality.

HONOLULU
18 facilities

🏆 Top 10 Nursing Homes by City

See our expert rankings of the best facilities in major cities across Hawaii.

Top 10 in HONOLULU

All Nursing Homes in Hawaii

Filter and sort facilities below. Default ranking uses our composite quality score, which combines CMS ratings, staffing quality, safety records, and compliance history.

Showing 48 of 48 facilities in Hawaii

LEAHI HOSPITAL

3675 KILAUEA AVENUE, HONOLULU, HI 96816

Phone: (808)733-8000

Distance: 0 miles | Beds: 155 | Est. Occupancy: 64% (~55 available)

GovernmentCMS Rating: 5/5 Stars

MALUHIA

1027 HALA DRIVE, HONOLULU, HI 96817

Phone: (808)832-3000

Distance: 0 miles | Beds: 158 | Est. Occupancy: 56% (~70 available)

GovernmentCMS Rating: 5/5 Stars

Maluhia

1027 Hala Drive, Honolulu, HI 96817

Phone: (808)832-3000

Distance: 0 miles | Beds: 158 | Est. Occupancy: 55% (~71 available)

GovernmentCMS Rating: 5/5 Stars

HALE MAKUA HEALTH SERVICES

1540 LOWER MAIN STREET, WAILUKU, HI 96793

Phone: (808)243-1722

Distance: 0 miles | Beds: 90 | Est. Occupancy: 82% (~16 available)

NonprofitCMS Rating: 5/5 Stars

HALE OLA KINO BY ARCADIA

1314 KALAKAUA AVE SECOND FLOOR, HON, HI 96826

Phone: (808)983-4444

Distance: 0 miles | Beds: 32 | Est. Occupancy: 93% (~2 available)

For-ProfitCMS Rating: 5/5 Stars

HALE HO'OLA HAMAKUA

45-547 PLUMERIA STREET, HONOKAA, HI 96727

Phone: (808)932-4100

Distance: 0 miles | Beds: 66 | Est. Occupancy: 93% (~5 available)

GovernmentCMS Rating: 5/5 Stars

PEARL CITY POST ACUTE

919 LEHUA AVENUE, PEARL CITY, HI 96782

Phone: (808)453-1919

Distance: 0 miles | Beds: 122 | Est. Occupancy: 95% (~7 available)

For-ProfitCMS Rating: 5/5 Stars
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Search All Hawaii Facilities

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How Does Hawaii Compare?

Explore nursing home quality in neighboring states and regions:

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National State Rankings

See where Hawaii ranks among all 50 states for quality, staffing, and safety.

Compare All States →

📚 Expert Guides to Evaluating Nursing Homes

Learn how to interpret quality ratings and staffing metrics with our data-driven guides based on 14,751 facilities nationwide.

The Truth About Star Ratings

Only 18.9% of facilities earn 5 stars. Learn what ratings really mean and how to use them effectively.

Read Guide →

Understanding Staffing Levels

Hawaii averages N/A RN hours/day. Learn what staffing metrics reveal about care quality.

Read Guide →

Facility Tour Checklist

Essential questions to ask and red flags to watch for when visiting Hawaii facilities.

Read Guide →

Warning Signs of Neglect

Critical red flags that indicate neglect, abuse, or substandard care at any facility.

Read Guide →
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Decoding CMS Data

Learn how to read health inspections, quality measures, and compliance reports.

Read Guide →
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All Expert Guides

Browse our complete library of nursing home evaluation resources.

View All →