Here are 7 Nursing Homes in Hawaii County, HI

Nurse hours

5.51 /day

Staff turnover

24%

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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

5.34 /day

Staff turnover

31%

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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

3.60 /day

Staff turnover

16%

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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

3.79 /day

Staff turnover

30%

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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

4.64 /day

Staff turnover

60%

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Yukio Okutsu State Veterans Home runs on a state government budget, which shows in the staffing: 4.64 nurse hours per resident day, roughly 20% above the national average. Weekends dip about 12% below its own weekday levels, so coverage isn't perfectly even. The trouble sits in the inspection record, 39 deficiencies, three serious enough to reach harm or jeopardy level, plus one fine of $13,049. Staff turnover of 60.3% is well above the 45.8% national figure, which matters for a 95-bed home where residents rely on consistent caregivers. Quality measures score well, but the last inspection was November 2024, and the deficiency count is the number families should ask about directly.

Nurse hours

3.77 /day

Staff turnover

39%

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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

3.72 /day

Staff turnover

62%

Serious cites

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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.