Assisted living & nursing homes in Hawaii

499 assisted-living / residential care and 43 nursing-home facilities — ranked by the government safety records referral sites won't show you. 23 have substantiated complaints · 1 on probation.

542Licensed facilities

76Avg safety score

23With substantiated complaints

$477/dayMedian CMS all-payer rate

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⚠️6 Hawaii facilities are on the safety watchlist — flagged for CMS Special Focus, probation, or abuse citations. See the list before you tour →

Top-rated facilities in Hawaii

A Garden Isle Healthcare And Rehabilitation Center Lihue
A Maluhia Honolulu
A Leahi Hospital Honolulu
A Maunalani Nursing And Rehabilitation Center Honolulu
A Avalon Care Center - Honolulu, LLC Honolulu
A Lanai Community Hospital Lanai City
A Samuel Mahelona Memorial Hospital Kapaa
A Honoka'A Hospital & Skilled Nursing Honokaa
A Harry And Jeanette Weinberg Care Center Kaneohe
A Oahu Care Facility Honolulu
A Pearl City Post Acute Pearl City
A Hi'Olani Care Center At Kahala Nui Honolulu

Facilities with substantiated complaints

D Palolo Chinese Home Honolulu
B The Ching Villas Honolulu
D Hale Nani Rehabilitation And Nursing Center Honolulu
C Ka Punawai Ola Kapolei
D The Care Center Of Honolulu Honolulu
C Life Care Center Of Hilo Hilo
D Nuuanu Hale Honolulu
C Liliha Healthcare Center Honolulu
C Life Care Center Of Kona Kailua Kona
A Avalon Care Center - Honolulu, LLC Honolulu
A Oahu Care Facility Honolulu
C Kauai Care Center Waimea

CMS cost-report rate in Hawaii

Across 32 Hawaii nursing homes with a public CMS cost report, the median all-payer rate is $477 per resident-day. This is net patient revenue divided by resident-days across Medicare, Medicaid, and private pay. It is an accounting statistic, not a private-pay quote or monthly consumer price.

Source: CMS Skilled Nursing Facility Cost Report (FY2023), analyzed by Senior Care Record Map. See the state comparison and payment guide.

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📖The honest care guideHow to read a safety record and what the ratings really mean ⚖️Assisted living vs. nursing homeThe real difference in care, cost, and who each is for 💵What care actually costsHow to compare itemized quotes and verify coverage 🕰️Signs it's timeTen concrete signs it may be time for assisted living ✅Free tour checklist45 questions to ask — and get pricing in writing

Largest cities in Hawaii

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Ranked by Senior Care Record Map safety grade (CA CDSS licensing records + CMS Care Compare, 2026). How grades are calculated →