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22 Independent Nursing Homes in Hawaii

22 of the 43 Medicare-certified nursing homes in Hawaii (51%) are independently owned, and all are listed below. 12 of the 22 graded homes earn an A and 3 earn a D or F. They average 5.55 nursing hours per resident per day, 0.58 hours above the 4.97 for every home in Hawaii. Hi'olani Care Center At Kahala Nui in Honolulu grades highest at A (99 out of 100).

How independently owned homes in Hawaii compare

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

Nursing hours per resident per day

5.55

All homes in Hawaii: 4.97

Better than the local average

Nurse staff turnover

38.9%

All homes in Hawaii: 36.4%

Worse than the local average

Average ElderGrade score

82.8/100

All homes in Hawaii: 82.7/100

Better than the local average

Grade spread

A
B
D

12 grade A, 7 grade B, 3 grade D,

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

Every independently owned nursing home in Hawaii

Showing 21 to 22 of 22, best-graded first.

D

54/100

Hale Malamalama

Honolulu, HI · Honolulu County

CMS 2/540 bedsFor-profitMedicaid
Nurse hours
4.18 /day
Staff turnover
51%
Serious cites
0

Special Focus Facility

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.

D

54/100

Islands Skilled Nursing & Rehabilitation

Honolulu, HI · Honolulu County

CMS 1/542 bedsFor-profitMedicaid
Nurse hours
5.67 /day
Staff turnover
40%
Serious cites
0

Special Focus Facility

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 independently owned nursing homes are there in Hawaii?
There are 22 independently owned Medicare-certified nursing homes in Hawaii, 51% of the 43 nursing homes there.
Are independently owned nursing homes better staffed?
In Hawaii they average 5.55 total nursing hours per resident per day, against 4.97 for all nursing homes in Hawaii, a difference of +0.58 hours. Staff turnover averages 38.9% against 36.4%.
Which independently owned nursing home grades best in Hawaii?
Hi'olani Care Center At Kahala Nui in Honolulu, HI, grade A, 99 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 22 graded independently owned homes in Hawaii, 12 grade A and 3 grade D or F.
Do independently owned nursing homes in Hawaii accept Medicaid?
20 of the 22 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Hawaii