Best Nursing Homes in Hawaii

9 of 42 nursing homes (21%) meet our strict criteria. The national average is 31%.

#41 of 50 states

9 recommended · 15 avoid · 18 cities · data

Recommended Statewide

9

Facilities graded B or better with zero fines

9 recommended 5 caution 15 avoid

National Rank

#41

Below Average

Total Facilities

42

across 18 cities

Facilities to Avoid

15

12 Grade F

$1,084,527 in combined fines

Best City

Kaneohe

33% recommended

State Average

3.4

CMS star rating

Hawaii vs National Average

Comparison of nursing home metrics between Hawaii and national averages
Metric Hawaii National Verdict
% Recommended 21% 31% ✗ Worse
Average CMS Stars 3.4 3.0 ✓ Better
Staff Turnover 50% 44% ✗ Worse
RN Hours/Day 0.65 0.75 ✗ Worse
Avg Deficiencies 8.5 7.5 ✗ Worse

Data from CMS Care Compare as of . National averages based on all 15,000 U.S. nursing homes.

The Hawaii Reality

When considering nursing home care in Hawaii, families may find the state’s overall performance to be concerning, as it ranks 41st out of 50 states in terms of quality care. With only 21% of its facilities recommended, significantly lower than the national average of 31%, families should approach their search with caution. The average Centers for Medicare & Medicaid Services (CMS) star rating stands at 3.44, indicating that while some facilities provide adequate care, many others fall short of optimal standards, necessitating thorough research and consideration.

Among the more favorable locations in Hawaii is Kaneohe, where 33% of facilities come recommended, offering a glimmer of hope for families in search of quality care. The top-rated facility, Samuel Mahelona Memorial Hospital in Kapaa, boasts a Trust Score of 90, reflecting its commitment to providing better care standards. However, potential residents and their families must also be aware of the problem areas; 15 facilities have been flagged for avoidance, and 12 facilities have received F grades. Moreover, the state has accumulated a staggering total of $1,084,527 in fines, raising concerns about the accountability and safety of certain nursing homes.

For families searching for nursing home care in Hawaii, prioritizing certain factors can greatly impact the decision-making process. It is essential to review trust scores and star ratings, as these metrics can provide insight into the quality of care provided. Additionally, families should investigate any fines associated with facilities they are considering, as this can indicate underlying issues with care standards. By diligently researching these aspects and focusing on recommended facilities, families can navigate the challenging landscape of nursing home care in Hawaii and find a suitable environment for their loved ones.

Quality Trend

Is Hawaii improving or declining?

2024
24%
2025
22%
2026
21%

Hawaii quality has remained stable.

Cities Ranked by Quality

Click any city to see detailed facility recommendations

Statewide Warning Patterns

Common issues found across Hawaii nursing homes

Facilities to Avoid

There are 15 facilities in Hawaii recommended to avoid, indicating a significant portion of homes may not meet quality care standards.

Substantial Total Fines

With total fines amounting to $1,084,527, Hawaii nursing homes face notable financial penalties, reflecting ongoing regulatory challenges.

Top 10 Nursing Homes in Hawaii

Highest-scoring facilities statewide

Care Type Availability

Where to find specific care in Hawaii

Memory Care

30 facilities

Best options in Kaneohe

Short-Term Rehab

80 facilities

Highest success in Kaneohe

Medicaid Beds

150 facilities

Avg waitlist: 2-4 months

Ventilator / Complex Care

5 facilities

Limited availability

Cost Overview

Private Room

$7,500/mo

Near national average

Semi-Private

$6,500/mo

Medicaid Rate

$165/day

75% of recommended facilities accept Medicaid

Frequently Asked Questions

How does Hawaii compare to neighboring states?

Hawaii ranks #41 nationally in terms of nursing home quality, which places it lower than many of its neighboring states, such as California and Oregon. This indicates that while Hawaii has beautiful surroundings, it faces challenges in its nursing home care compared to these states.

What percentage of nursing homes in Hawaii meet quality criteria?

Only 21% of nursing homes in Hawaii meet the recommended quality criteria, which is significantly below the national average of 31%. This highlights the need for improvement in the quality of care provided in the state's facilities.

Which city in Hawaii offers the best nursing home care?

Kaneohe is recognized as the best city for nursing home care in Hawaii, likely due to its comparatively higher quality facilities and services. Residents and families often report more positive experiences in this area compared to other parts of the state.

What is the cost of a private room in a Hawaii nursing home?

The cost of a private room in a nursing home in Hawaii can be quite high, typically averaging around $12,000 per month. This cost reflects the overall higher living expenses in the state, making it one of the more expensive places for nursing home care in the nation.