Nursing home safety in Hawaii
Hawaii has 31 Medicare-certified nursing homes. They average 3.72 out of 5 CMS stars (0.74 better than the national average), carry 36.2 health-inspection citations each, and 0 are listed with an abuse icon by CMS in this source snapshot. Federal penalties total $762,854. CMS abuse-icon records and a separate star-record sample are named below.
Source: CMS Care Compare — Provider Information released 2026-08-06; source data last modified 2026-07-29. Free to cite with attribution to Haven.
CMS source snapshot: 20 days old. These are historical CMS fields from a dated source release, not live proof of availability, certification status, an inspection outcome, or an individual's care fit.
Staffing in Hawaii averages 5.2 nurse hours per resident per day (1.31 better than the national average). Citations average 36.2 per home (5.9 worse than the national average)— though citation counts reflect how aggressively a state's survey agency inspects, so they compare poorly across state lines.
Special Focus Facilities in Hawaii
CMS's own list of homes with a persistent record of poor care. They are inspected about twice as often as other facilities and can be terminated from Medicare and Medicaid if they do not improve.
- Ann Pearl Nursing Facility (opens the official CMS Care Compare record) — Kaneohe · SFF Candidate
- Hale Malamalama (opens the official CMS Care Compare record) — Honolulu · SFF Candidate
- Kuakini Geriatric Care, INC (opens the official CMS Care Compare record) — Honolulu · SFF Candidate
- Hale Nani Rehabilitation and Nursing Center (opens the official CMS Care Compare record) — Honolulu · SFF
CMS four- and five-star records in Hawaii
Four and five-star homes with no abuse flag and no Special Focus status in this CMS snapshot. The first 10 are shown in neutral name order; these source fields are not a Haven recommendation.
| Community | City | CMS stars | Nurse hrs/day |
|---|---|---|---|
| 15 Craigside (opens the official CMS Care Compare record) | Honolulu | 5 | 4.53125 |
| Aloha Nursing & Rehab Centre (opens the official CMS Care Compare record) | Kaneohe | 4 | 4.75414 |
| Arcadia Retirement Residence (opens the official CMS Care Compare record) | Honolulu | 4 | 4.61186 |
| Avalon Care Center - Honolulu, LLC (opens the official CMS Care Compare record) | Honolulu | 5 | 4.6203 |
| Hale Makua - Wailuku (opens the official CMS Care Compare record) | Wailuku | 5 | 4.60791 |
| Hale Ola Kino By Arcadia (opens the official CMS Care Compare record) | Hon | 5 | 5.51414 |
| Harry and Jeanette Weinberg Care Center (opens the official CMS Care Compare record) | Kaneohe | 5 | 4.07092 |
| Hi'olani Care Center at Kahala Nui (opens the official CMS Care Compare record) | Honolulu | 5 | 6.39479 |
| Kula Hospital (opens the official CMS Care Compare record) | Kula | 4 | 5.78987 |
| Kulana Malama (opens the official CMS Care Compare record) | Ewa Beach | 5 | 9.8374 |
Largest federal penalties in Hawaii
Civil monetary penalties follow serious deficiencies. A large fine history is a question to raise, not an automatic disqualification — some homes correct course, and the citations tell you which.
- Hale Makua - Kahului · Kahului (opens the official CMS Care Compare record)$170,249
- Islands Skilled Nursing & Rehabilitation · Honolulu (opens the official CMS Care Compare record)$89,206
- Hale Malamalama · Honolulu (opens the official CMS Care Compare record)$87,032
- Kuakini Geriatric Care, INC · Honolulu (opens the official CMS Care Compare record)$83,236
- Pu'uwai 'o Makaha · Waianae (opens the official CMS Care Compare record)$65,455
- Kalakaua Gardens · Honolulu (opens the official CMS Care Compare record)$55,692
- Aloha Nursing & Rehab Centre · Kaneohe (opens the official CMS Care Compare record)$36,296
- Maunalani Nursing and Rehabilitation Center · Honolulu (opens the official CMS Care Compare record)$32,133
- Hale Nani Rehabilitation and Nursing Center · Honolulu (opens the official CMS Care Compare record)$27,885
- Nuuanu Hale · Honolulu (opens the official CMS Care Compare record)$27,310
Hawaii nursing homes: common questions
How many nursing homes in Hawaii have been flagged for abuse?
0 of 31 CMS-certified nursing homes in Hawaii (0%) are listed with the federal abuse icon in the CMS snapshot used for this report. CMS applies the icon when a facility has been cited for abuse-related deficiencies on a recent inspection. The national rate in this same snapshot is 9.9%. Every listed home is named on this page.
What is the average nursing home rating in Hawaii?
Hawaii nursing homes average 3.72 out of 5 on the CMS overall star rating, across 29 rated facilities. The national average is 2.98. Staffing averages 5.2 total nurse hours per resident per day versus 3.89 nationally.
Which nursing homes in Hawaii are on the Special Focus list?
4 Hawaii facilities are designated a Special Focus Facility or candidate — CMS's list of homes with a persistent record of poor care, which face roughly double the normal inspection frequency and possible termination from Medicare and Medicaid. They are listed by name on this page.
How much have Hawaii nursing homes been fined?
Federal civil monetary penalties against Hawaii nursing homes total $762,854 in the CMS release used for this report. Fines follow serious deficiencies, so a large penalty history is worth asking a facility about directly — they are required to discuss their inspection record with you.
Worried about a specific home in Hawaii?
Open a named home's linked CMS record to review the source fields behind this report, then use the assessment and comparison tools to prepare questions, then confirm current price, availability, and care acceptance directly with each home.