Worth Considering
3
Facilities graded B or better with zero fines
Best Nursing Homes in Honolulu, Hawaii
3 of 18 nursing homes in Honolulu (17%) meet our strict criteria. The Hawaii statewide average is 29%.
3 recommended · 6 caution · 9 avoid · data
City Average
3.0
★
+0.00 vs state
Total Beds
1,990
across 18 facilities
High Risk Facilities
9
9 Grade F
$646,752 in combined fines
Zero Fines
4
/18
passed all inspections
Nurse Availability
0 min
RN time per resident daily
Below CMS recommendation
Why These 3?
The nursing home market in Honolulu, Hawaii, is rated as adequate, with 18 total facilities and only 3 recommended options (17%). Families should be aware of the 9 facilities in the avoid tier, which collectively have incurred $505,499 in fines, highlighting the need for careful selection.
Exceptional (Grade A, Trust Score 90+)
- 1 LEAHI HOSPITAL (90) — Leahi Hospital stands out with its impressive CMS 5-star rating and an A grade, showcasing its commitment to high-quality care. With a Trust Score of 90/100 and zero fines, this state-run facility offers a reliable and safe environment for its 155 residents.
Strong (Grade B+, Trust Score 80-89)
- 2 Hi'olani Care Center at Kahala Nui (83) — Hi'olani Care Center at Kahala Nui excels with a CMS 5-star rating and a solid B+ grade, reflecting its dedication to quality service. As a non-profit facility with a Trust Score of 83/100, it emphasizes community focus and personalized care for its 20 residents.
Qualified (Grade B, Trust Score 70-79)
- 3 THE CHING VILLAS (73) — The Ching Villas offers a solid 4-star CMS rating and a B grade, making it a reliable choice for care. With a Trust Score of 73/100 and no fines, this for-profit facility provides ample space with 163 beds, ensuring a supportive environment for residents.
The other 15 Honolulu facilities didn't qualify — 9 carry Grade D or F ratings and 14 have fines totaling $646K.
Recommended
Leahi Hospital stands out with its impressive CMS 5-star rating and an A grade, showcasing its commitment to high-quality care. With a Trust Score of 90/100 and zero fines, this state-run facility offers a reliable and safe environment for its 155 residents.
Hi'olani Care Center at Kahala Nui excels with a CMS 5-star rating and a solid B+ grade, reflecting its dedication to quality service. As a non-profit facility with a Trust Score of 83/100, it emphasizes community focus and personalized care for its 20 residents.
The Ching Villas offers a solid 4-star CMS rating and a B grade, making it a reliable choice for care. With a Trust Score of 73/100 and no fines, this for-profit facility provides ample space with 163 beds, ensuring a supportive environment for residents.
Proceed with Caution
These facilities don't meet our recommendation criteria but may still be viable options.
Hidden Gem
Staffing Comparison
Staffing levels are the strongest predictor of care quality
| Metric | Top Facility | Honolulu Avg | CMS Minimum |
|---|---|---|---|
| RN Hours / Resident / Day | 0.00 | 0.00 | 0.75 |
| CMS Star Rating | 5 stars | 3.0 stars | — |
| Deficiencies / Inspection | 0 | 0.0 | — |
Facilities to Avoid
These facilities have significant quality concerns.
What Disqualified the Other 15?
Our criteria: Trust Grade B or better (score 70+) AND zero fines in 3 years
- Grade F facilities
- 9 Grade F — critical inspection failures
- Facilities with fines
- 14 Have fines totaling $646,752
- Low-scoring facilities
- 4 Scored below B — Trust Scores under 70
- Caution group
- 6 Had good grades but fines disqualified them
Questions Honolulu Families Should Ask
Based on what we found in local inspection data
-
1
"What is your current CMS star rating and Trust Score?"
Honolulu's city average is 3.0 stars
-
2
"Have you received any fines in the past 3 years?"
14 of 18 Honolulu facilities have fines
-
3
"How many RN hours per resident do you provide daily?"
CMS recommends 45 min; Honolulu avg is 0 min
-
4
"What were your most recent inspection findings?"
Honolulu facilities average 0.0 deficiencies per inspection
Explore Nearby Cities
Houston has strong options, but nearby cities add even more choices
Houston at a Glance
Good News
- 12 facilities meet our strict criteria—20% of the market
- 3 exceptional A-grade facilities with 5-star CMS ratings
- 24 facilities with zero fines in the past 3 years
Be Aware
- 30 facilities carry Grade F—nearly half the market
- $3.2M+ in total fines across 37 facilities
- Worst facility has $448,216 in fines alone
Key Numbers
- Average Trust Score: 48.6 (dragged down by 30 F-grades)
- 82% for-profit, 13% non-profit, 5% government
- 9.4 average deficiencies per facility
Frequently Asked Questions
How many nursing homes in Honolulu, HI are recommended?
3 of 18 nursing homes in Honolulu (17%) meet our strict criteria of excellent inspection results and a clean record with no fines.
What makes a nursing home in Honolulu "recommended"?
A facility earns our recommendation when it achieves a Trust Grade of B or better (score of 70+) AND has zero fines in the past three years. This combination indicates consistent quality care and regulatory compliance.
How should I evaluate nursing homes in Honolulu?
Look beyond star ratings. Check for recent fines, abuse citations, staffing levels (especially RN hours), and inspection deficiencies. Visit in person during different times of day to observe care quality firsthand.