RankingsUpdated August 2026

The 25 Best-Rated Nursing Homes in Hawaii (2026)

The top 25 of 41 CMS-certified nursing homes in Hawaii, ranked by health inspection scores, staffing levels, and penalty history — never paid placement. See how our ranking method works

420.9 per 30K residentsBelow national avg of 1.3 per 30KTotal Nursing Homes
3.6/5
+0.6 vs national avgNational avg: 3.00Statewide Avg Rating
$36K$35K vs national avgNational avg: $71KAvg Fine (When Penalized)
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1No Penalties

Nursing HomeKapaa, HI

Samuel Mahelona Memorial Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection5.0
  • Staffing5.0
  • Quality Measures5.0
66 BedsInspected Nov 2024

Above Hawaii avg of 3.6

4800 Kawaihau RoadKapaa, HI 96746

(808) 822-4961

View Facility
2No Penalties

Nursing HomeHonolulu, HI

Leahi Hospital

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures5.0
155 BedsInspected Jul 2025

Above Hawaii avg of 3.6

3675 Kilauea AvenueHonolulu, HI 96816

(808) 733-8000

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31 Penalty

Nursing HomeHonokaa, HI

Honoka'A Hospital & Skilled Nursing

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing5.0
  • Quality Measures5.0
66 BedsInspected Nov 2024

Above Hawaii avg of 3.6

45-547 Plumeria StreetHonokaa, HI 96727

(808) 932-4100

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41 Penalty

Nursing HomeHonolulu, HI

Maluhia

Government

★★★★★5 out of 5 stars5.0ExcellentCMS Overall
  • Health Inspection4.0
  • Staffing4.0
  • Quality Measures5.0
158 BedsInspected Jul 2025

Above Hawaii avg of 3.6

1027 Hala DriveHonolulu, HI 96817

(808) 832-3000

View Facility
5No Penalties

Nursing HomeHilo, HI

Hilo Benioff Medical Center

Government

★★★★☆4 out of 5 stars4.0Above AverageCMS Overall
  • Health Inspection3.0
  • Staffing5.0
  • Quality Measures2.0
52 BedsInspected Feb 2025

Above Hawaii avg of 3.6

1190 Waianuenue AvenueHilo, HI 96720

(808) 932-3000

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61 Penalty

Nursing HomeHilo, HI

Yukio Okutsu State Veterans Home

Government

★★★☆☆3 out of 5 stars3.0AverageCMS Overall
  • Health Inspection3.0
  • Staffing4.0
  • Quality Measures4.0
95 BedsInspected Nov 2024

Below Hawaii avg of 3.6

1180 Waianuenue AvenueHilo, HI 96720

(808) 961-1500

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71 Penalty

Nursing HomeWaimea, HI

Kauai Veterans Memorial Hospital

Government

★★☆☆☆2 out of 5 stars2.0Below AverageCMS Overall
  • Health Inspection1.0
  • Staffing1.0
  • Quality Measures5.0
20 BedsInspected Sep 2024

Below Hawaii avg of 3.6

4643 Waimea Canyon DriveWaimea, HI 96796

(808) 338-9431

View Facility

State report

Why families compare nursing homes in Hawaii

#2of 51 states & DC
Health Ranking

Among the strongest health outcomes in the nation (rank 2 of 51).

America’s Health Rankings 2024
  • Population 65+22.7%

    About 28% higher than the national average of 17.7%.

    Census ACS 2023
  • Life expectancy80.0 yrs

    A little higher than the national average of 76.4 yrs.

    CDC NVSR 2022
  • Nurse staff turnover36.5%

    About 21% lower than the national average of 46.4%.

    CMS PBJ 2024

See full demographics & care economics for Hawaii →

FAQ

Questions families ask about this page

How many nursing homes are in Hawaii?

Hawaii has 42 nursing homes in the full directory. This rankings page evaluated 41 eligible nursing homes with public CMS ratings and public profile slugs, then highlighted the top 25.

What is the average CMS rating for nursing homes in Hawaii?

Nursing homes in Hawaii average 3.6 out of 5 on the CMS overall rating, compared with a national nursing-home average of 3.0.

What is the average fine when a nursing home in Hawaii is penalized?

Among Hawaii nursing homes that were fined, the average fine is $36K. The national nursing-home average is $71K.

How does Hawaii compare with the national average?

Hawaii averages 3.6 out of 5 on CMS overall rating, compared with a national nursing-home average of 3.0. The average fine when penalized is $36K versus $71K nationally.

Should I rely on these rankings alone?

No. Use this report as a shortlist, then review the facility profile, confirm payment options, look at inspection history, and speak with licensed professionals before making a care decision.

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