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21 Best Medicaid Nursing Homes in Hawaii

21 of the 43 Medicare-certified nursing homes in Hawaii (49%) are top-graded Medicaid-certified, and all are listed below. 21 of the 21 graded homes earn an A and 0 earn a D or F. Nurse staff turnover runs 28.5%, 7.9 points lower than the 36.4% across all homes there. Hi'olani Care Center At Kahala Nui in Honolulu grades highest at A (99 out of 100).

How top-graded Medicaid-certified homes in Hawaii compare

This group set against every nursing home in Hawaii, from the current CMS release.

Nursing hours per resident per day

5.53

All homes in Hawaii: 4.97

Better than the local average

Nurse staff turnover

28.5%

All homes in Hawaii: 36.4%

Better than the local average

Average ElderGrade score

92/100

All homes in Hawaii: 82.7/100

Better than the local average

Grade spread

A

21 grade A,

The best-graded top-graded Medicaid-certified home in Hawaii is Hi'olani Care Center At Kahala Nui in Honolulu, HI, grade A, 99/100.

Every top-graded Medicaid-certified nursing home in Hawaii

Showing 21 to 21 of 21, best-graded first.

A

85/100

Ka Punawai Ola

Kapolei, HI · Honolulu County

CMS 3/5120 bedsFor-profitMedicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Ka Punawai Ola runs a tale of two ratings. Its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, and turnover of 34.6% is well below the national 45.8%, people here tend to stay. But the health inspection side tells a different story: 38 deficiencies on record, two of them at harm or jeopardy level and one abuse-related, with a 2/5 inspection star and $13,343 in fines. Weekend staffing also drops about 12% below weekday levels. The last inspection was in April 2025, so the record is current. A for-profit corporation operates the 120-bed home. Strong quality measures and staffing don't erase that inspection history, read the deficiency details before deciding.

Frequently asked questions

How many top-graded Medicaid-certified nursing homes are there in Hawaii?
There are 21 top-graded Medicaid-certified Medicare-certified nursing homes in Hawaii, 49% of the 43 nursing homes there.
Are top-graded Medicaid-certified nursing homes better staffed?
In Hawaii they average 5.53 total nursing hours per resident per day, against 4.97 for all nursing homes in Hawaii, a difference of +0.56 hours. Staff turnover averages 28.5% against 36.4%.
Which top-graded Medicaid-certified nursing home grades best in Hawaii?
Hi'olani Care Center At Kahala Nui in Honolulu, HI, grade A, 99 out of 100.
Does being top-graded Medicaid-certified mean a nursing home is safe?
No. Of the 21 graded top-graded Medicaid-certified homes in Hawaii, 21 grade A and 0 grade D or F.
Do top-graded Medicaid-certified nursing homes in Hawaii accept Medicaid?
21 of the 21 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Hawaii