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Best Nursing Homes in Hawaii, Graded A–F
All 42 graded Medicare-certified nursing homes in Hawaii, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Hawaii peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.
CMS data as of Aug 2026 · graded Sep 11, 2026Grade distribution — Hawaii
A4
B13
C10
D8
F7
Highest graded
Honokaa · Staffing 5.5 nurse hours per resident-da...See grade
42 facilitiesgraded in Hawaii · 4 earned an A
All Hawaii
Honolulu (18)Hilo (5)Kaneohe (3)Waimea (2)Ewa Beach (1)Hon (1)Honokaa (1)Kahului (1)Kailua Kona (1)
Highest in Hawaii 1
Honoka'a Hospital & Skilled Nursing - Honokaa, HI · 66 beds · government - state CMS Care Compare · data as of Aug 2026
- Staffing 5.5 nurse hours per resident-day — top 10% in Hawaii
- 5 health deficiencies at the last standard survey (CMS severity score 32) — top quarter
- No fines or payment denials in 3 years
AScore 83 · ExcellentSee Full Grade
8089324100
Honokaa, Hawaii County
Medicaid
2
Hale Makua - Wailuku - Wailuku, HI · 90 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.6 nurse hours per resident-day — above median in Hawaii
- 3 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
- No fines or payment denials in 3 years
AScore 75 · ExcellentSee Full Grade
8082431722
Wailuku, Maui County
Medicaid
3
Oahu Care Facility - Honolulu, HI · 82 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 5.1 nurse hours per resident-day — top quarter in Hawaii
- 10 health deficiencies at the last standard survey (CMS severity score 40) — top quarter
- $8,278 in fines in 3 years
AScore 73 · ExcellentSee Full Grade
8086873300
Honolulu, Honolulu County
Medicaid
4
Maunalani Nursing And Rehabilitation Center - Honolulu, HI · 100 beds · non profit - other CMS Care Compare · data as of Aug 2026
- Staffing 5.5 nurse hours per resident-day — top quarter in Hawaii
- 5 health deficiencies at the last standard survey (CMS severity score 24) — top 10%
- $32,133 in fines in 3 years
AScore 72 · ExcellentSee Full Grade
8087320771
Honolulu, Honolulu County
Medicaid
5
Maluhia - Honolulu, HI · 158 beds · government - state CMS Care Compare · data as of Aug 2026
- Staffing 4.1 nurse hours per resident-day — below median in Hawaii
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
- $8,278 in fines in 3 years
BScore 69 · GoodSee Full Grade
8088323000
Honolulu, Honolulu County
Medicaid
6
Hale Ola Kino By Arcadia - Hon, HI · 32 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 5.5 nurse hours per resident-day — above median in Hawaii
- 6 health deficiencies at the last standard survey (CMS severity score 24) — top quarter
- No fines or payment denials in 3 years
BScore 68 · GoodSee Full Grade
8089834444
Hon, Honolulu County
Medicaid
7
Kulana Malama - Ewa Beach, HI · 33 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 9.8 nurse hours per resident-day — top quarter in Hawaii
- 9 health deficiencies at the last standard survey (CMS severity score 36) — above median
- $14,069 in fines in 3 years
BScore 68 · GoodSee Full Grade
8086811200
Ewa Beach, Honolulu County
Medicaid
8
Lanai Community Hospital - Lanai City, HI · 10 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 12.4 nurse hours per resident-day — top 10% in Hawaii
- 6 health deficiencies at the last standard survey (CMS severity score 28) — above median
- No fines or payment denials in 3 years
BScore 68 · GoodSee Full Grade
8085658450
Lanai City, Maui County
Medicaid
9
Hi'olani Care Center At Kahala Nui - Honolulu, HI · 20 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 6.4 nurse hours per resident-day — top quarter in Hawaii
- 8 health deficiencies at the last standard survey (CMS severity score 44) — above median
- No fines or payment denials in 3 years
BScore 67 · GoodSee Full Grade
8082187052
Honolulu, Honolulu County
Medicaid
10
15 Craigside - Honolulu, HI · 45 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.5 nurse hours per resident-day — below median in Hawaii
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
- No fines or payment denials in 3 years
BScore 66 · GoodSee Full Grade
8085237000
Honolulu, Honolulu County
11
Yukio Okutsu State Veterans Home - Hilo, HI · 95 beds · government - state CMS Care Compare · data as of Aug 2026
- Staffing 4.6 nurse hours per resident-day — above median in Hawaii
- 10 health deficiencies at the last standard survey (CMS severity score 44) — above median
- $13,049 in fines in 3 years
BScore 65 · GoodSee Full Grade
8089611500
Hilo, Hawaii County
Medicaid
12
Samuel Mahelona Memorial Hospital - Kapaa, HI · 66 beds · government - state CMS Care Compare · data as of Aug 2026
- Staffing 6.1 nurse hours per resident-day — top 10% in Hawaii
- 8 health deficiencies at the last standard survey (CMS severity score 56) — above median
- No fines or payment denials in 3 years
BScore 64 · GoodSee Full Grade
8088224961
Kapaa, Kauai County
Medicaid
13
Leahi Hospital - Honolulu, HI · 155 beds · government - state CMS Care Compare · data as of Aug 2026
- Staffing 4.6 nurse hours per resident-day — below median in Hawaii
- 6 health deficiencies at the last standard survey (CMS severity score 28) — top quarter
- No fines or payment denials in 3 years
BScore 64 · GoodSee Full Grade
8087338000
Honolulu, Honolulu County
Medicaid
14
The Ching Villas - Honolulu, HI · 163 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 6.5 nurse hours per resident-day — top 10% in Hawaii
- 13 health deficiencies at the last standard survey (CMS severity score 68) — below median
- No fines or payment denials in 3 years
BScore 64 · GoodSee Full Grade
8085476000
Honolulu, Honolulu County
Medicaid
15
Kula Hospital - Kula, HI · 105 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- 10 health deficiencies at the last standard survey (CMS severity score 68) — below median
- No fines or payment denials in 3 years
BScore 62 · GoodSee Full Grade
8088781221
Kula, Maui County
Medicaid
16
Pearl City Post Acute - Pearl City, HI · 122 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 6.2 nurse hours per resident-day — top quarter in Hawaii
- 9 health deficiencies at the last standard survey (CMS severity score 40) — above median
- No fines or payment denials in 3 years
BScore 62 · GoodSee Full Grade
8084531919
Pearl City, Honolulu County
Medicaid
17
Harry And Jeanette Weinberg Care Center - Kaneohe, HI · 44 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.1 nurse hours per resident-day — bottom quarter in Hawaii
- 4 health deficiencies at the last standard survey (CMS severity score 16) — top quarter
- No fines or payment denials in 3 years
BScore 58 · GoodSee Full Grade
8082471670
Kaneohe, Honolulu County
Medicaid
18
Garden Isle Healthcare And Rehabilitation Center - Lihue, HI · 110 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.1 nurse hours per resident-day — below median in Hawaii
- 11 health deficiencies at the last standard survey (CMS severity score 48) — above median
- No fines or payment denials in 3 years
CScore 58 · AverageSee Full Grade
8082451802
Lihue, Kauai County
Medicaid
19
Hale Makua - Kahului - Kahului, HI · 252 beds · non profit - other CMS Care Compare · data as of Aug 2026
- Staffing 4.9 nurse hours per resident-day — top quarter in Hawaii
- 10 health deficiencies at the last standard survey (CMS severity score 40) — above median
- $170,249 in fines in 3 years
CScore 57 · AverageSee Full Grade
8088772761
Kahului, Maui County
Medicaid
20
Pu'uwai 'O Makaha - Waianae, HI · 93 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 4.3 nurse hours per resident-day — above median in Hawaii
- 8 health deficiencies at the last standard survey (CMS severity score 32) — top quarter
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
8086959508
Waianae, Honolulu County
Medicaid
21
Avalon Care Center - Honolulu, Llc - Honolulu, HI · 108 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.6 nurse hours per resident-day — above median in Hawaii
- 20 health deficiencies at the last standard survey (CMS severity score 100) — bottom quarter
- No fines or payment denials in 3 years
CScore 54 · AverageSee Full Grade
8088474834
Honolulu, Honolulu County
Medicaid
22
Aloha Nursing & Rehab Centre - Kaneohe, HI · 141 beds · for profit - partnership CMS Care Compare · data as of Aug 2026
- Staffing 4.8 nurse hours per resident-day — above median in Hawaii
- 10 health deficiencies at the last standard survey (CMS severity score 52) — above median
- $36,296 in fines in 3 years
CScore 52 · AverageSee Full Grade
8082472220
Kaneohe, Honolulu County
Medicaid
23
Arcadia Retirement Residence - Honolulu, HI · 91 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.6 nurse hours per resident-day — above median in Hawaii
- 7 health deficiencies at the last standard survey (CMS severity score 44) — above median
- $12,854 in fines in 3 years
CScore 52 · AverageSee Full Grade
8089410941
Honolulu, Honolulu County
24
Liliha Healthcare Center - Honolulu, HI · 92 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.7 nurse hours per resident-day — top quarter in Hawaii
- 11 health deficiencies at the last standard survey (CMS severity score 72) — below median
- No fines or payment denials in 3 years
CScore 49 · AverageSee Full Grade
8085379557
Honolulu, Honolulu County
Medicaid
25
Life Care Center Of Hilo - Hilo, HI · 252 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.8 nurse hours per resident-day — below median in Hawaii
- 13 health deficiencies at the last standard survey (CMS severity score 72) — below median
- $8,492 in fines in 3 years
CScore 44 · AverageSee Full Grade
8089599151
Hilo, Hawaii County
Medicaid
Hawaii nursing homes by city
How we grade nursing homes
What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Hawaii facilities in the same size band; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.