11 of the 18 Medicare-certified nursing homes in Honolulu, HI (61%) are for-profit, and all are listed below. Nurse staff turnover runs 43.9%, 4.2 points higher than the 39.7% across all homes there. 3 of the 11 graded homes earn an A and 4 earn a D or F. The Ching Villas in Honolulu grades highest at A (93 out of 100).
How for-profit homes in Honolulu, HI compare
This group set against every nursing home in Honolulu, HI, from the current CMS release.
Nursing hours per resident per day
4.78
All homes in Honolulu, HI: 4.76
Better than the local average
Nurse staff turnover
43.9%
All homes in Honolulu, HI: 39.7%
Worse than the local average
Average ElderGrade score
73.2/100
All homes in Honolulu, HI: 77.6/100
Worse than the local average
Grade spread
A
B
D
3 grade A, 4 grade B, 4 grade D,
The best-graded for-profit home in Honolulu, HI is
The Ching Villas
in Honolulu, HI, grade A, 93/100.
The Ching Villas runs on unusually heavy nurse staffing, 6.46 hours per resident day, roughly two-thirds more than the national average, and that shows up in its five-star staffing rating. Weekend coverage dips about 13% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 36.3%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The catch is the inspection record: 40 deficiencies, though none at harm or jeopardy level and none abuse-related, and the most recent inspection was in January 2026. For-profit, limited liability ownership. Strong care numbers, a long paper trail to read.
Oahu Care Facility runs on better-than-average nurse coverage, 5.09 hours per resident day, roughly a third more than the national figure of 3.86, and its weekend hours dip only modestly below weekdays. Staff turnover is 47.8%, a touch above the national 45.8%, so the people giving that care turn over somewhat more than elsewhere. What pulls the record down is the inspection history: 37 deficiencies on file, including one at the harm level and one tied to abuse, plus an $8,278 fine. The most recent inspection was November 2025. Strong daily staffing, thinner safety record.
Liliha Healthcare Center runs on nurse staffing that's well above average, 4.72 hours per resident day against a national 3.86, and its staff turnover of 26.5% is far below the 45.8% national figure, which matters because stable staff know residents' routines. Weekend coverage dips about 11% from weekday levels, so ask how that plays out on Saturdays and Sundays. The caution flag is the inspection record: 48 deficiencies on file, including two at the harm level and five tied to abuse, with a 2/5 inspection rating and the most recent survey in January 2025. For-profit corporate ownership. The numbers describe a well-staffed building with a troubled regulatory history, worth asking about directly.
Palolo Chinese Home runs 4.13 nurse hours per resident day, which is genuinely better than the national average of 3.86. The catch is that weekend staffing drops roughly 8% below its own weekday levels, and turnover sits at 49.1%, higher than the 45.8% national figure. On the record side, 48 deficiencies is a lot to carry, including one at the harm level and seven tied to abuse. Inspectors were last in on May 1, 2025. The staffing and quality measure scores look decent, but a 2/5 on health inspections is the number that should give you pause.
Nuuanu Hale sits in Honolulu with 75 certified beds and a for-profit corporate owner. The staffing numbers are a mixed picture: 3.61 nurse hours per resident day, about 6% under the national average, with weekends running roughly 10% below its own weekday level. That said, turnover is unusually low at 20.8% against a national 45.8%, which suggests a stable crew even if raw hours are thin.
The inspection record is where the concern concentrates. Fifty-six deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $27,310 fine. The most recent inspection was February 2026. Quality and staffing measures rate well above average, but those compliance findings are the number a family should ask about directly.
Kalakaua Gardens has a staffing story that cuts both ways. At 5.78 nurse hours per resident day, it runs about 50 percent above the national average, and residents get roughly the same coverage on weekends as weekdays. But that staffing comes at a cost: annual turnover hits 100 percent, more than double the national figure, meaning the aides and nurses at the bedside are largely new faces year after year.
The inspection record is the bigger concern. Thirty-one deficiencies, two of them at the harm or jeopardy level and one tied to abuse, plus a $55,692 fine. The most recent inspection was in February 2026.
The Care Center of Honolulu runs 182 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.64 hours per resident day, roughly 20% above the national average, with weekend coverage dipping about 11% below its own weekday levels. Staff turnover lands at 38.9%, which is lower than the 45.8% national figure, so people tend to stay longer here than at the typical home. What pulls the record down is the inspection side: 56 deficiencies on file, including one at the harm or jeopardy level and seven tied to abuse, plus a $8,018 fine. The most recent inspection was November 19, 2025.
Hale Nani runs 288 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 32.4%, actually better than the 45.8% national figure, which suggests the problem isn't retention. It's the record: 96 deficiencies, one at harm or jeopardy level, eight tied to abuse, and a $27,885 fine. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was May 1, 2026.
Avalon Care Center in Honolulu runs on more nurse hours than most places, 4.62 per resident day, roughly a fifth above the national average, and weekend coverage dips only about 10% from its weekday staffing, which is a smaller drop than many homes show. Turnover sits at 40%, below the national 45.8%. The 41 deficiencies on record sound like a lot until you see none are at the harm or jeopardy level and none involve abuse, and its last inspection was recent, in June 2026. This is a for-profit corporate home with strong quality measure scores, steady staffing, and a clean serious-deficiency record, the kind of profile where the numbers hold up under scrutiny.
Hale Malamalama runs 40 beds in Honolulu under corporate for-profit ownership, and its staffing numbers are genuinely above average, 4.18 nurse hours per resident day against a national 3.86, though weekend coverage dips about 10% below its own weekday level. Turnover sits at 51.2%, higher than the 45.8% national figure. What pulls the picture down is the inspection record: 43 deficiencies, three at harm or jeopardy level and three abuse-related, with $87,032 in fines and a spot in CMS's Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was September 27, 2024. Strong quality scores don't cancel out that history.
Nurse staffing here runs 5.67 hours per resident day, about 47% above the national average of 3.86, which is a real point in its favor, and turnover at 40% is slightly better than the 45.8% norm. But weekends dip roughly 12% below the home's own weekday coverage, so the care you see on a Tuesday isn't guaranteed on a Sunday. The inspection record is the problem: 56 deficiencies, including one at the harm level and three tied to abuse, plus an $89,206 fine, against a 1-out-of-5 health inspection rating. The last inspection was May 2026. Strong staffing can't offset that pattern on its own.
Frequently asked questions
How many for-profit nursing homes are there in Honolulu, HI?
There are 11 for-profit Medicare-certified nursing homes in Honolulu, HI, 61% of the 18 nursing homes there.
Are for-profit nursing homes better staffed?
In Honolulu, HI they average 4.78 total nursing hours per resident per day, against 4.76 for all nursing homes in Honolulu, HI, a difference of +0.02 hours. Staff turnover averages 43.9% against 39.7%.
Which for-profit nursing home grades best in Honolulu, HI?