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21 Chain-Owned Nursing Homes in Hawaii

21 of the 43 Medicare-certified nursing homes in Hawaii (49%) are chain-owned, and all are listed below. 11 of the 20 graded homes earn an A and 3 earn a D or F. They average 4.37 nursing hours per resident per day, 0.6 hours below the 4.97 for every home in Hawaii. Honoka'a Hospital & Skilled Nursing in Honokaa grades highest at A (99 out of 100).

How chain-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

4.37

All homes in Hawaii: 4.97

Worse than the local average

Nurse staff turnover

33.7%

All homes in Hawaii: 36.4%

Better than the local average

Average ElderGrade score

82.7/100

All homes in Hawaii: 82.7/100

Better than the local average

Grade spread

A
B
D

11 grade A, 5 grade B, 1 grade C, 3 grade D,

The best-graded chain-owned home in Hawaii is Honoka'a Hospital & Skilled Nursing in Honokaa, HI, grade A, 99/100.

Every chain-owned nursing home in Hawaii

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

-

Not graded

Daniel K Akaka State Veterans Home

Kapolei, HI ยท Honolulu County

GovernmentMedicaid
Nurse hours
n/a /day
Staff turnover
n/a
Serious cites
0

The Daniel K Akaka State Veterans Home is state-run, which matters less for the grade than what inspectors actually found. Eight deficiencies appear on the current record, and while none rose to the level of harm or jeopardy, one is abuse-related, a category worth asking about directly, since it covers everything from mishandling to resident-to-resident incidents. The most recent inspection closed out in April 2026, so the picture is current rather than stale. There's no staffing or turnover figure here to weigh against the national average, and without it the record is mostly a deficiency count and a recent walkthrough.

Frequently asked questions

How many chain-owned nursing homes are there in Hawaii?
There are 21 chain-owned Medicare-certified nursing homes in Hawaii, 49% of the 43 nursing homes there.
Are chain-owned nursing homes better staffed?
In Hawaii they average 4.37 total nursing hours per resident per day, against 4.97 for all nursing homes in Hawaii, a difference of -0.6 hours. Staff turnover averages 33.7% against 36.4%.
Which chain-owned nursing home grades best in Hawaii?
Honoka'a Hospital & Skilled Nursing in Honokaa, HI, grade A, 99 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 20 graded chain-owned homes in Hawaii, 11 grade A and 3 grade D or F.
Do chain-owned nursing homes in Hawaii accept Medicaid?
21 of the 21 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist in Hawaii