States › Hawaii
Nursing homes in Hawaii
Hawaii has 43 Medicare-certified nursing homes.0 currently carry the federal abuse flag, and 6 are in or nominated for the Special Focus program for persistently poor performance. Average total nurse staffing is 4.97 hours per resident per day (national average 3.86, both as reported).
Health inspection ratings across Hawaii
This chart counts facilities by their health inspection rating — the on-site survey result, and the one component CMS grades on a curve within each state, so it compares facilities with their in-state peers. The overall CMS rating shown in the table below also folds in staffing and self-reported quality measures — how ratings really work.
2 facilities currently have no health inspection rating (too new, or under review).
Cities
Honolulu (18) · Hilo (5) · Kaneohe (3) · Kapolei (2) · Waimea (2) · Ewa Beach (1) · Hon (1) · Honokaa (1) · Kahului (1) · Kailua Kona (1) · Kapaa (1) · Koloa (1) · Kula (1) · Lanai City (1) · Lihue (1) · Pearl City (1) · Waianae (1) · Wailuku (1)
All facilities
How to read this table: "Overall" is the CMS star rating; "Inspection" is the on-site health inspection rating — the most independent signal. Click a column header to sort.
Help and oversight in Hawaii
- Inspections & complaints: nursing homes in Hawaii are surveyed by the Hawaii Department of Health, Office of Health Care Assurance, which also takes complaints about care.
- Resident advocacy: the Long-Term Care Ombudsman program provides a free, independent advocate for residents in every state.
- Paying for care: in Hawaii, Medicaid is called Med-QUEST and covers long-term nursing home care for those who qualify — see the official Med-QUEST site and our guide to who pays for nursing home care.
- Before you tour: our visit checklist and guide to reading inspection reports.
State agency and Medicaid links compiled from official state government sites, verified 2026-08-28. If one has moved, please tell us.