facebook tracking Lowest-Rated Nursing Homes in Hawaii (2026), CMS Data
Skip to content

Lowest-rated nursing homes in Hawaii

All states › Hawaii › Lowest rated

These are the 25 nursing homes in Hawaii that CMS rates lowest, out of 43. Homes CMS lists as Special Focus Facilities come first, then Special Focus candidates, then the lowest overall star ratings; ties go to homes with the CMS abuse icon, a lower health inspection rating and more fines. The order comes from CMS's own ratings and flags, not from us; people often search for these as the worst-rated nursing homes in Hawaii. In Hawaii, CMS rates 2 homes 1 star, lists 1 as a Special Focus Facility and 5 as candidates.

Ratings come from CMS and are updated monthly; these are from October 2026. A star rating summarizes a lot, so read each home's inspection history and visit before you decide.

Lowest-rated nursing homes in Hawaii

1
Hale Nani Rehabilitation and Nursing Center Honolulu
288 beds Medicaid Medicare 1 fine Special Focus Facility
Not rated
Inspection — Staffing — Quality —
Nurse hours —
2
Islands Skilled Nursing & Rehabilitation Honolulu
42 beds Medicaid Medicare 3 fines SFF candidate
★☆☆☆☆
Inspection 1/5 Staffing 3/5 Quality 3/5
Nurse hours 5.47 hrs/day
3
Kuakini Geriatric Care Honolulu
187 beds Medicaid Medicare 3 fines SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 4/5 Quality 5/5
Nurse hours 3.54 hrs/day
4
Hale Malamalama Honolulu
40 beds Medicaid Medicare 1 fine SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 4/5 Quality 5/5
Nurse hours 4.28 hrs/day
5
Avalon Care Center - Honolulu Honolulu
108 beds Medicaid Medicare SFF candidate
★★☆☆☆
Inspection 1/5 Staffing 5/5 Quality 4/5
Nurse hours 4.68 hrs/day
6
Ann Pearl Nursing Facility Kaneohe
104 beds Medicaid Medicare 1 fine SFF candidate
★★★☆☆
Inspection 2/5 Staffing 4/5 Quality 5/5
Nurse hours 3.86 hrs/day
7
Legacy Hilo Rehabilitation & Nursing Center Hilo
100 beds Medicaid Medicare 1 fine
★☆☆☆☆
Inspection 1/5 Staffing 4/5 Quality 3/5
Nurse hours 4.14 hrs/day
8
Kula Hospital Kula
105 beds Medicaid Medicare
★★☆☆☆
Inspection 2/5 Staffing 1/5 Quality 5/5
Nurse hours —
9
Palolo Chinese Home Honolulu
113 beds Medicaid Medicare
★★☆☆☆
Inspection 2/5 Staffing 4/5 Quality 4/5
Nurse hours 4.35 hrs/day
10
Kauai Care Center Waimea
53 beds Medicaid Medicare
★★☆☆☆
Inspection 3/5 Staffing 4/5 Quality 1/5
Nurse hours 4.07 hrs/day
11
Hale Makua - Kahului Kahului
252 beds Medicaid Medicare 3 fines
★★★☆☆
Inspection 2/5 Staffing 5/5 Quality 4/5
Nurse hours 4.98 hrs/day
12
Kalakaua Gardens Honolulu
49 beds Medicaid Medicare 1 fine
★★★☆☆
Inspection 2/5 Staffing 5/5 Quality 4/5
Nurse hours 5.17 hrs/day
13
Nuuanu Hale Honolulu
75 beds Medicaid Medicare 1 fine
★★★☆☆
Inspection 2/5 Staffing 4/5 Quality 5/5
Nurse hours 3.54 hrs/day
14
Life Care Center of Kona Kailua Kona
94 beds Medicaid Medicare
★★★☆☆
Inspection 2/5 Staffing 4/5 Quality 5/5
Nurse hours 3.89 hrs/day
15
Hale Kupuna Heritage Home Koloa
84 beds Medicaid Medicare 1 fine
★★★☆☆
Inspection 3/5 Staffing 4/5 Quality 4/5
Nurse hours 3.82 hrs/day
16
The Care Center of Honolulu Honolulu
182 beds Medicaid Medicare 1 fine
★★★☆☆
Inspection 3/5 Staffing 4/5 Quality 4/5
Nurse hours 4.70 hrs/day
17
Ka Punawai Ola Kapolei
120 beds Medicaid Medicare 1 fine
★★★★☆
Inspection 2/5 Staffing 5/5 Quality 5/5
Nurse hours 4.32 hrs/day
18
Liliha Healthcare Center Honolulu
92 beds Medicaid Medicare
★★★★☆
Inspection 2/5 Staffing 5/5 Quality 5/5
Nurse hours 4.22 hrs/day
19
Arcadia Retirement Residence Honolulu
91 beds Medicare 1 fine
★★★★☆
Inspection 3/5 Staffing 5/5 Quality 4/5
Nurse hours 4.41 hrs/day
20
Oahu Care Facility Honolulu
82 beds Medicaid Medicare 1 fine
★★★★☆
Inspection 3/5 Staffing 5/5 Quality 3/5
Nurse hours 4.90 hrs/day
21
Aloha Nursing & Rehab Centre Kaneohe
141 beds Medicaid Medicare
★★★★☆
Inspection 3/5 Staffing 5/5 Quality 4/5
Nurse hours 4.62 hrs/day
22
Hale Anuenue Restorative Care Hilo
120 beds Medicaid Medicare
★★★★☆
Inspection 3/5 Staffing 4/5 Quality 5/5
Nurse hours 3.63 hrs/day
23
Hilo Benioff Medical Center Hilo
52 beds Medicaid Medicare
★★★★☆
Inspection 3/5 Staffing 5/5 Quality 4/5
Nurse hours 5.50 hrs/day
24
The Ching Villas Honolulu
163 beds Medicaid Medicare
★★★★☆
Inspection 3/5 Staffing 5/5 Quality 4/5
Nurse hours 5.83 hrs/day
25
Kauai Veterans Memorial Hospital Waimea
20 beds Medicaid Medicare 1 fine
★★★★★
Inspection 3/5 Staffing 5/5 Quality 5/5
Nurse hours 4.83 hrs/day
Compare

How this list works

Where do the ratings come from?
From CMS's Nursing Home Care Compare (the same data as Medicare.gov), October 2026. The overall rating combines health inspections, staffing and quality measures; inspections weigh the most.
What are the Special Focus Facility list and the abuse icon?
CMS lists this nursing home as a Special Focus Facility: homes "included in a special program to stimulate improvements in their quality of care" because of a persistent record of serious problems. CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years.
Is this a recommendation?
No. It is a ranking of CMS's published ratings. Ratings can change every month, and a home's rating may not reflect a recent change in ownership or staff. Visit, ask questions and read the inspection reports.

More lists for Hawaii

Lowest-rated nursing homes in other Hawaii cities

Source: CMS Provider Data Catalog, nursing home provider information and penalties, October 2026. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data.

https://www.nursinghomesineachstate.com/hawaii/lowest-rated-nursing-homes/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.