25 For-Profit Nursing Homes in Hawaii

Nurse hours

6.46 /day

Staff turnover

36%

Serious cites

0

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.

Nurse hours

4.09 /day

Staff turnover

32%

Serious cites

0

Garden Isle Healthcare in Lihue runs on unusually steady staffing for a for-profit home: 4.09 nurse hours per resident day, about 6% above the national average, with weekend coverage dipping only 7% below weekdays. Turnover sits at 31.5% against a national 45.8%, which matters more than any single number here, it means fewer unfamiliar faces on the floor. The tradeoff shows up in inspections. The current record carries 38 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level, and the most recent survey was in February 2025. Ownership is a for-profit corporation, and CMS gives it 3 of 5 stars on health inspections but 5 of 5 on both quality measures and staffing. Read those together: strong day-to-day care, a longer paper trail of cited problems.

Nurse hours

3.60 /day

Staff turnover

16%

Serious cites

0

Hale Anuenue runs on a paradox: the numbers that predict daily care are strong, and the ones that predict trouble are not. Staffing sits at 3.60 hours per resident day, a bit under the national 3.86, but turnover is 16.2% against a national 45.8%, a stable crew that knows the residents, even if the shifts are a touch thin and weekends run about 11% lighter than weekdays. The alarm is the inspection record: 28 deficiencies, two at harm or jeopardy level, three tied to abuse, with the last visit in February 2024. Federal quality measures score 5/5, yet inspectors keep finding serious problems.

Nurse hours

5.09 /day

Staff turnover

48%

Serious cites

0

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.

Nurse hours

4.75 /day

Staff turnover

39%

Serious cites

0

Aloha Nursing & Rehab Centre in Kaneohe runs on unusually heavy staffing for a for-profit partnership home, 4.75 nurse hours per resident day, about 23% above the national average, with weekend coverage dipping roughly 10% below its own weekday levels. Turnover sits at 38.6%, better than the 45.8% national figure but still meaning more than a third of staff leaving each year. The tradeoff shows up in inspections: 40 deficiencies on the current record, one serious enough to cause harm, and a $36,296 fine, though nothing abuse-related. The most recent inspection was August 2025, so the record is current. Strong daily care hours, a middling inspection history.

Nurse hours

3.79 /day

Staff turnover

30%

Serious cites

0

Life Care Center of Hilo runs 252 certified beds under corporate ownership, and its inspection record is mixed: 41 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse. That's a real flag worth asking about directly. Staffing sits at 3.79 nurse hours per resident day, slightly under the national average, and weekend coverage drops about 14% below its own weekday levels, so care may thin out on Saturdays and Sundays. Turnover, though, is 30.3%, well below the national 45.8%, meaning the crew tends to stay. Last full inspection was December 2023, and fines total $13,065.

Nurse hours

4.72 /day

Staff turnover

27%

Serious cites

0

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.

Nurse hours

9.84 /day

Staff turnover

41%

Serious cites

0

Kulana Malama sits in Ewa Beach with 33 certified beds, run by a for-profit limited liability company. The staffing number is the headline: 9.84 total nurse hours per resident day, roughly two and a half times the national average of 3.86. Weekend coverage dips only about 6% below weekdays, and turnover at 41% runs slightly better than the 45.8% national figure. But 25 deficiencies sit on the current record, including one at the harm or jeopardy level and one tied to abuse, plus a $14,069 fine. The last inspection was June 2024. Strong daily staffing and a clean recent survey history aren't the same thing, and here the paper trail is doing more work than the hours-per-resident number.

Nurse hours

12.42 /day

Staff turnover

58%

Serious cites

0

Lanai Community Hospital runs just 10 certified beds, which makes its staffing figure worth a second look: 12.42 nurse hours per resident day, roughly triple the national average. Small homes often post numbers like that because a fixed crew covers very few residents. Weekend staffing dips about 9% below its own weekday level, so coverage isn't perfectly even. Turnover sits at 58.3%, well above the 45.8% national mark, meaning the people delivering that care change often. Inspections in April 2026 produced 17 deficiencies, none at the harm level, though four were abuse-related, worth asking about directly. The company is a for-profit LLC.

Nurse hours

6.15 /day

Staff turnover

28%

Serious cites

0

Pearl City Post Acute runs 6.15 nurse hours per resident day, roughly 59% above the national average, and its staff turnover of 27.8% sits well under the 45.8% national figure, a combination that suggests people here tend to stay. Weekend staffing dips about 11% below weekday levels, which is common but worth knowing if you're visiting or calling on a Saturday. The current record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related and should be asked about directly. The last inspection was April 2026, so the picture is recent. A for-profit limited liability company operates the 122-bed home.

Nurse hours

4.26 /day

Staff turnover

28%

Serious cites

0

Pu'uwai 'O Makaha runs on a for-profit LLC structure with 93 certified beds, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That cushion matters, though weekends dip about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. Annual turnover of 27.6% is well under the national 45.8%, which suggests a steadier workforce than most places. The tradeoff shows up in its record: 37 deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $65,455. No abuse citations appear, and the last inspection was July 2025.

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.

Nurse hours

4.17 /day

Staff turnover

30%

Serious cites

0

Hale Kupuna Heritage Home runs on strong staffing, 4.17 nurse hours per resident day, roughly 8% above the national average, and that's the main reason it earns top marks on CMS's staffing measure. Turnover sits at 29.5%, well below the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its record: 25 deficiencies, including one at the harm level and three tied to abuse, plus a $16,350 fine. Weekend staffing also drops about 11% from weekday levels, which is worth asking about. Its last inspection was March 2026, so the picture is current.

Nurse hours

4.13 /day

Staff turnover

49%

Serious cites

0

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.

Nurse hours

3.61 /day

Staff turnover

21%

Serious cites

0

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.

Nurse hours

3.77 /day

Staff turnover

39%

Serious cites

0

Life Care Center of Kona runs a for-profit operation with 94 certified beds and a mixed record. Nurse staffing sits at 3.77 hours per resident day, slightly below the national average, and weekend coverage drops about 13% from weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 38.5%, which is actually better than the national average of 45.8%, so the team here may be more stable than at many homes. The bigger concern is the inspection history: 44 deficiencies on record, including 2 at the harm or jeopardy level and 3 related to abuse, with a $27,612 fine and a 2-out-of-5 health inspection rating. The most recent inspection was September 2024.

Nurse hours

4.03 /day

Staff turnover

46%

Serious cites

0

Kauai Care Center sits in Waimea with 53 certified beds and for-profit individual ownership. Its 4.03 nurse hours per resident day run about 4% above the national average, though weekends dip roughly 13% below its own weekday staffing, so coverage isn't perfectly even across the week. Annual turnover of 45.5% lands almost exactly at the national figure of 45.8%. The current record shows 23 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last inspection was in April 2024. CMS gives it 3 stars for health inspections, 3 for quality measures, and 4 for staffing. The staffing is the strongest piece here; the inspection history is the part worth asking about directly.

Nurse hours

5.78 /day

Staff turnover

100%

Serious cites

0

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.

Nurse hours

4.64 /day

Staff turnover

39%

Serious cites

0

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.

Nurse hours

3.72 /day

Staff turnover

62%

Serious cites

0

Legacy Hilo Rehabilitation & Nursing Center is a for-profit home with 100 certified beds in Hilo, and the numbers tell a story worth reading carefully. Federal inspectors have logged 34 deficiencies against it, including one at the harm level and one tied to abuse, and the home sits in CMS's Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Staffing runs slightly below the national average at 3.72 hours per resident day, weekend coverage drops about 14% below weekdays, and annual turnover hits 62.3% against a national 45.8%. Its last inspection was February 27, 2026. One $16,350 fine is on record.