11 of the 43 Medicare-certified nursing homes in Hawaii (26%) are non-profit, and all are listed below. 7 of the 11 graded homes earn an A and 1 earn a D or F. Nurse staff turnover runs 31.7%, 4.7 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 non-profit homes in Hawaii compare
This group set against every nursing home in Hawaii, from the current CMS release.
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.
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.
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.
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.
15 Craigside runs on a level of nurse staffing most homes can't match, 4.53 hours per resident day, about 17% above the national average. The bigger story is turnover: 13% compared to roughly 46% nationally, which means the people caring for residents tend to stay. Weekend coverage dips about 12% below its own weekday levels, so if you're planning visits, that's worth knowing. On the inspection side, five deficiencies on record, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was June 2025. As a nonprofit with 45 beds, it operates at a scale where oversight tends to stay tight. The numbers here reflect consistency rather than any single standout metric.
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.
Arcadia Retirement Residence runs on unusually strong staffing for a nonprofit in Honolulu: 4.61 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 9% below weekdays. Turnover sits at 24.7%, roughly half the national rate, which matters because consistent caregivers know their residents. The tradeoff shows up in its inspection history, 37 deficiencies on record, including two at the harm level and three tied to abuse, with one $12,854 fine. The most recent inspection was October 2024, so that record is current. Strong hands-on care, a thinner record on compliance.
Hale Makua - Kahului runs a 252-bed nonprofit home where the day-to-day staffing is genuinely strong, 4.87 nurse hours per resident, about 26% above the national average, with 5 out of 5 on CMS's staffing measure. Retention is better than most too: 32.2% turnover against a national 45.8%. What pulls the record down is the inspection side. The current file shows 59 deficiencies, six of them at harm or jeopardy level and two involving abuse, with $170,249 in fines across three events and a 2-out-of-5 inspection rating. The most recent survey was January 2026, so the findings are recent, not stale. Weekend coverage also dips about 13% below weekday levels. Good staffing, troubled compliance.
Nurse staffing at this Kula home runs about 5.79 hours per resident day, roughly half again the national average of 3.86, enough to earn the top CMS staffing rating. Weekends dip about 14% below weekday levels, so coverage isn't perfectly even across the week. The tradeoffs show up elsewhere: annual turnover sits at 53.9% against a national 45.8%, and the current inspection record carries 32 deficiencies, including one at the harm or jeopardy level and four tied to abuse. The two-star health inspection rating reflects that. Quality measures scored 5/5, and the last inspection was June 2024. Strong bedside hours, persistent regulatory findings.
Maunalani runs 5.51 nurse hours per resident day, roughly 43% above the national average, and weekends dip only about 12% below its own weekday level, the kind of consistent coverage that matters when someone needs help on a Saturday night. Inspections look strong too: a five-star health inspection rating, a five-star quality rating, no abuse deficiencies, and 21 total deficiencies with two at the harm level. The number that stands out is turnover, 97.4% annually against a national average of 45.8%, meaning nearly the entire nursing staff turns over each year, and two fines totaling $32,133 sit on the record. High marks from surveyors, but a workforce in constant churn.
Kuakini Geriatric Care is a 187-bed nonprofit in Honolulu with a serious split in its record. The staffing numbers aren't the problem: 3.43 nurse hours per resident day sits about 11% under the national average, but turnover is 26.1% against a national 45.8%, and CMS gives staffing four stars. The inspection side is where it falls apart, 55 deficiencies on the current record, three at harm or jeopardy level and two tied to abuse, plus $83,236 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Frequently asked questions
How many non-profit nursing homes are there in Hawaii?
There are 11 non-profit Medicare-certified nursing homes in Hawaii, 26% of the 43 nursing homes there.
Are non-profit nursing homes better staffed?
In Hawaii they average 4.84 total nursing hours per resident per day, against 4.97 for all nursing homes in Hawaii, a difference of -0.13 hours. Staff turnover averages 31.7% against 36.4%.
Which non-profit nursing home grades best in Hawaii?