2026 Rankings

Best Nursing Homes in Hawaii

Top 25 nursing homes in Hawaii ranked by CareGrader’s A-F grading system, based on real CMS government inspection data.

42 total facilities3.5 avg rating1 Special Focus Facilities

How we rank: Facilities are ranked by CareGrader composite score (0-100), which combines CMS health inspections (35%), staffing levels (25%), quality measures (25%), and penalty history (15%). Read our methodology

#1
A

LANAI COMMUNITY HOSPITAL

LANAI CITY, Hawaii

Score: 96/1005/5 CMS10 bedsNon profit - Corporation
#2
A

15 CRAIGSIDE

HONOLULU, Hawaii

Score: 95.8/1005/5 CMS45 bedsNon profit - Corporation
#3
A

SAMUEL MAHELONA MEMORIAL HOSPITAL

KAPAA, Hawaii

Score: 95.8/1005/5 CMS66 bedsGovernment - State
#4
A

HARRY AND JEANETTE WEINBERG CARE CENTER

KANEOHE, Hawaii

Score: 93.3/1005/5 CMS44 bedsNon profit - Corporation
#5
A

LEAHI HOSPITAL

HONOLULU, Hawaii

Score: 92.3/1005/5 CMS155 bedsGovernment - State
#6
A

Honoka'a Hospital & Skilled Nursing

HONOKAA, Hawaii

Score: 90/1005/5 CMS66 bedsGovernment - State
#7
B

KA PUNAWAI OLA

KAPOLEI, Hawaii

Score: 89.8/1005/5 CMS120 bedsFor profit - Corporation
#8
B

HALE OLA KINO BY ARCADIA

HON, Hawaii

Score: 89.3/1005/5 CMS32 bedsFor profit - Corporation
#9
B

Hi'olani Care Center at Kahala Nui

Honolulu, Hawaii

Score: 88.8/1005/5 CMS20 bedsNon profit - Corporation
#10
B

GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER

LIHUE, Hawaii

Score: 88.8/1005/5 CMS110 bedsFor profit - Corporation
#11
B

HALE MAKUA - WAILUKU

WAILUKU, Hawaii

Score: 88.5/1005/5 CMS90 bedsNon profit - Corporation
#12
B

Maluhia

Honolulu, Hawaii

Score: 88.3/1005/5 CMS158 bedsGovernment - State
#13
B

PEARL CITY POST ACUTE

PEARL CITY, Hawaii

Score: 87.3/1004/5 CMS122 bedsFor profit - Corporation
#14
B

THE CHING VILLAS

HONOLULU, Hawaii

Score: 85.3/1004/5 CMS163 bedsFor profit - Limited Liability company
#15
B

Kulana Malama

EWA BEACH, Hawaii

Score: 84.8/1005/5 CMS33 bedsFor profit - Limited Liability company
#16
B

MAUNALANI NURSING AND REHABILITATION CENTER

HONOLULU, Hawaii

Score: 84.5/1005/5 CMS100 bedsNon profit - Other
#17
B

Kauai Care Center

Waimea, Hawaii

Score: 83.8/1003/5 CMS53 bedsFor profit - Individual
#18
B

LIFE CARE CENTER OF HILO

HILO, Hawaii

Score: 82.8/1003/5 CMS252 bedsFor profit - Corporation
#19
B

KULA HOSPITAL

KULA, Hawaii

Score: 82.8/1003/5 CMS105 bedsNon profit - Corporation
#20
B

HALE ANUENUE RESTORATIVE CARE

HILO, Hawaii

Score: 82.8/1003/5 CMS120 bedsFor profit - Limited Liability company
#21
B

PU'UWAI 'O MAKAHA

WAIANAE, Hawaii

Score: 82/1004/5 CMS93 bedsFor profit - Limited Liability company
#22
B

ANN PEARL NURSING FACILITY

KANEOHE, Hawaii

Score: 81.5/1003/5 CMS104 bedsFor profit - Corporation
#23
B

YUKIO OKUTSU STATE VETERANS HOME

HILO, Hawaii

Score: 81.5/1003/5 CMS95 bedsGovernment - State
#24
B

HILO BENIOFF MEDICAL CENTER

HILO, Hawaii

Score: 81.3/1004/5 CMS52 bedsGovernment - State
#25
B

HALE KUPUNA HERITAGE HOME, LLC

KOLOA, Hawaii

Score: 81.3/1003/5 CMS84 bedsFor profit - Limited Liability company
View All Nursing Homes in Hawaii

About Nursing Homes in Hawaii

Hawaii has 42 Medicare-certified nursing homes. CareGrader grades every facility from A to F using official CMS (Centers for Medicare & Medicaid Services) government data, including surprise health inspections, Payroll-Based Journal staffing audits, quality measures, and enforcement actions.

The average CMS star rating across all nursing homes in Hawaii is 3.5 out of 5 stars. There is currently 1 Special Focus Facility in Hawaii — nursing homes flagged by CMS for a persistent history of serious quality issues.

The rankings above show the top 25 nursing homes in Hawaii by CareGrader composite score. Scores are recalculated monthly when CMS publishes updated datasets. Read our full methodology to understand how grades are calculated.

Frequently Asked Questions

What is the best nursing home in Hawaii?

Based on CareGrader's analysis of CMS government data, LANAI COMMUNITY HOSPITAL in LANAI CITY is the highest-rated nursing home in Hawaii with a grade of A (score: 96/100). Rankings are based on health inspections (35%), staffing (25%), quality measures (25%), and penalty history (15%).

How many nursing homes are in Hawaii?

There are 42 Medicare-certified nursing homes in Hawaii. CareGrader grades each one from A to F based on CMS health inspection, staffing, quality, and penalty data.

How does CareGrader rank nursing homes in Hawaii?

CareGrader assigns A-F grades using a composite score (0-100) that combines four dimensions of CMS government data: health inspections (35% weight), staffing levels from Payroll-Based Journal data (25%), quality measures (25%), and penalty history including fines (15%). Grade A = 90-100 (Excellent), B = 80-89 (Good), C = 70-79 (Average), D = 60-69 (Below Average), F = below 60 (Poor). Data is updated monthly.

What is the average nursing home rating in Hawaii?

The average CMS star rating for nursing homes in Hawaii is 3.5 out of 5 stars. Use CareGrader to find facilities that score above this average.