Hawaii Best Medicaid Nursing Homes 2026

Nurse hours

6.39 /day

Staff turnover

24%

Serious cites

0

Hi'olani Care Center at Kahala Nui is a small nonprofit home, just 20 certified beds, and the staffing numbers are where it stands out. At 6.39 nurse hours per resident day, it runs roughly two-thirds above the national average, and its staff turnover of 23.9% is about half the national rate, which matters because consistent caregivers know their residents. Weekend coverage dips only slightly below weekdays, so care doesn't thin out on Saturdays and Sundays. The trade-off is in inspections: a three-star health inspection rating and 24 deficiencies on the current record, though none at the harm level and none abuse-related. The last state visit was June 2024. Strong staffing and quality scores, a middling inspection history.

Nurse hours

5.51 /day

Staff turnover

24%

Serious cites

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Honoka'a Hospital & Skilled Nursing runs on state money and a lot of nursing hours. At 5.51 per resident day, it's staffed about 43 percent above the national average, and weekend coverage only dips around 14 percent from its weekday level, a smaller drop than many homes manage. Turnover sits at 24.4 percent against a national 45.8 percent, so the people caring for residents tend to stay. The 14 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was in late 2024.

Nurse hours

5.51 /day

Staff turnover

13%

Serious cites

0

Hale Ola Kino By Arcadia runs on unusually heavy staffing for a 32-bed home: 5.51 nurse hours per resident day, roughly 43% above the national average of 3.86. Weekend coverage dips about 15% below its own weekday level, which is worth asking about, but the bigger story is retention, 13.2% annual turnover against a national average of 45.8% means aides and nurses tend to stay, and that consistency matters more than almost anything for daily care. The 24 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was February 2025. Corporate for-profit ownership, but the numbers here don't read like a typical corporate building.

Nurse hours

4.61 /day

Staff turnover

24%

Serious cites

0

Hale Makua in Wailuku runs 4.61 nurse hours per resident day, roughly 19% above the national average of 3.86, and that cushion matters on Maui where travel for care is hard. Weekend staffing dips about 13% below its own weekday level, so ask how that gap gets covered. Staff turnover is 23.8% against a national 45.8%, meaning aides and nurses tend to stay. Its record shows 17 deficiencies, none at harm or jeopardy level and none abuse-related, with an inspection dated January 30, 2026, so the picture is current.

Nurse hours

4.07 /day

Staff turnover

31%

Serious cites

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The Weinberg Care Center in Kaneohe runs on a nonprofit model with 44 certified beds, and the numbers behind its record hold up under scrutiny. Nurse staffing sits at 4.07 hours per resident day, about 5% above the national average, though weekend coverage dips roughly 11% below its own weekday level, worth asking about if your family visits primarily on Saturdays or Sundays. Staff turnover is 30.8%, notably lower than the 45.8% national figure, which suggests a more stable caregiving team than most homes manage. Inspectors found 19 deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed January 30, 2025. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

Nurse hours

6.10 /day

Staff turnover

8%

Serious cites

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Samuel Mahelona Memorial Hospital runs on unusually heavy staffing for a nursing home, 6.10 nurse hours per resident day, roughly 58 percent above the national figure. Just as telling is the turnover: 7.5 percent a year against a national average near 46 percent, meaning the people caring for residents largely stay put. Weekend coverage dips only slightly below weekdays, so families shouldn't expect a stark drop-off on Saturdays. The trade-off sits in the inspection record. Eighteen deficiencies are logged, including one at the harm level and one abuse-related, though the most recent inspection in May 2026 suggests the state-run home is being watched closely. Strong staffing and consistent caregivers, with some compliance problems still on the books.

Nurse hours

5.34 /day

Staff turnover

31%

Serious cites

0

Hilo Benioff Medical Center runs 5.34 nurse hours per resident day, roughly 38% above the national average, and its staffing ratio holds up better than most, weekend hours dip about 14% below weekdays, which is worth knowing if you're planning visits or worrying about coverage on a Sunday. Turnover sits at 30.8%, well under the 45.8% national figure, so the people caring for your family member are more likely to still be there next year. The tradeoff shows up in the inspection record: 23 deficiencies, including one at the harm level and two abuse-related, with the most recent survey in February 2025. State-owned, 52 beds, and quality scores that beat its inspection scores.

Nurse hours

4.85 /day

Staff turnover

10%

Serious cites

0

Kauai Veterans Memorial Hospital is a small state-run home, 20 certified beds, where the caregiver hours per resident run about 26% above the national average, and staff turnover sits at 9.5% against a national 45.8%. That kind of retention is rare, and the quality measures score reflects it. The problem isn't the people; it's the building's history. Twenty-one deficiencies on the current record, two of them serious enough to put residents in harm's way, landed this home in CMS's Special Focus Facility program, and the inspection star tells the same story. Weekend staffing also dips about 11% below weekdays. One fine on record, $34,588. The last inspection was September 2024.

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

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

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

4.55 /day

Staff turnover

18%

Serious cites

0

Leahi Hospital is state-run, and that shows in the numbers that matter most: turnover sits at 17.7% against a national average of 45.8%, so the people caring for residents tend to stay. Nurse staffing runs 4.55 hours per resident day, roughly 18% above the national figure, though weekends drop about 20% below the home's own weekday level, worth asking about if your family visits on Saturdays. Eighteen deficiencies are on the current record, four tied to abuse, but none rose to harm or jeopardy, and the last inspection was recent, in July 2025.

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

4.72 /day

Staff turnover

27%

Serious cites

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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

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.