Every Medicare-certified nursing home in Hawaii, graded on inspections, staffing, turnover
and enforcement history.
6 homes in the state sit in the federal Special Focus programme.
Pearl City Post Acute runs 6.15 nurse hours per resident day, roughly 59% above the national average, and its staff turnover of 27.8% sits well under the 45.8% national figure, a combination that suggests people here tend to stay. Weekend staffing dips about 11% below weekday levels, which is common but worth knowing if you're visiting or calling on a Saturday.
The current record shows 29 deficiencies, none at the harm or jeopardy level, though three are abuse-related and should be asked about directly. The last inspection was April 2026, so the picture is recent. A for-profit limited liability company operates the 122-bed home.
Pu'uwai 'O Makaha runs on a for-profit LLC structure with 93 certified beds, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That cushion matters, though weekends dip about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. Annual turnover of 27.6% is well under the national 45.8%, which suggests a steadier workforce than most places. The tradeoff shows up in its record: 37 deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $65,455. No abuse citations appear, and the last inspection was July 2025.
Ka Punawai Ola runs a tale of two ratings. Its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, and turnover of 34.6% is well below the national 45.8%, people here tend to stay. But the health inspection side tells a different story: 38 deficiencies on record, two of them at harm or jeopardy level and one abuse-related, with a 2/5 inspection star and $13,343 in fines.
Weekend staffing also drops about 12% below weekday levels. The last inspection was in April 2025, so the record is current. A for-profit corporation operates the 120-bed home. Strong quality measures and staffing don't erase that inspection history, read the deficiency details before deciding.
Maluhia is state-run, and its 4.14 nurse hours per resident day sit about 7% above the national average, but weekends run roughly 26% thinner than weekdays, which matters if your family visits then. Staff turnover is 29.6%, well below the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The record isn't spotless: 20 deficiencies, one at harm level, two tied to abuse, plus a single $8,278 fine. The most recent inspection was July 2025. Strong marks across all three CMS categories, real but limited findings underneath.
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.
Hale Kupuna Heritage Home runs on strong staffing, 4.17 nurse hours per resident day, roughly 8% above the national average, and that's the main reason it earns top marks on CMS's staffing measure. Turnover sits at 29.5%, well below the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its record: 25 deficiencies, including one at the harm level and three tied to abuse, plus a $16,350 fine. Weekend staffing also drops about 11% from weekday levels, which is worth asking about. Its last inspection was March 2026, so the picture is current.
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.
Palolo Chinese Home runs 4.13 nurse hours per resident day, which is genuinely better than the national average of 3.86. The catch is that weekend staffing drops roughly 8% below its own weekday levels, and turnover sits at 49.1%, higher than the 45.8% national figure. On the record side, 48 deficiencies is a lot to carry, including one at the harm level and seven tied to abuse. Inspectors were last in on May 1, 2025. The staffing and quality measure scores look decent, but a 2/5 on health inspections is the number that should give you pause.
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.
Nuuanu Hale sits in Honolulu with 75 certified beds and a for-profit corporate owner. The staffing numbers are a mixed picture: 3.61 nurse hours per resident day, about 6% under the national average, with weekends running roughly 10% below its own weekday level. That said, turnover is unusually low at 20.8% against a national 45.8%, which suggests a stable crew even if raw hours are thin.
The inspection record is where the concern concentrates. Fifty-six deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus a $27,310 fine. The most recent inspection was February 2026. Quality and staffing measures rate well above average, but those compliance findings are the number a family should ask about directly.
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.
Kauai Care Center sits in Waimea with 53 certified beds and for-profit individual ownership. Its 4.03 nurse hours per resident day run about 4% above the national average, though weekends dip roughly 13% below its own weekday staffing, so coverage isn't perfectly even across the week. Annual turnover of 45.5% lands almost exactly at the national figure of 45.8%. The current record shows 23 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last inspection was in April 2024. CMS gives it 3 stars for health inspections, 3 for quality measures, and 4 for staffing. The staffing is the strongest piece here; the inspection history is the part worth asking about directly.
Kalakaua Gardens has a staffing story that cuts both ways. At 5.78 nurse hours per resident day, it runs about 50 percent above the national average, and residents get roughly the same coverage on weekends as weekdays. But that staffing comes at a cost: annual turnover hits 100 percent, more than double the national figure, meaning the aides and nurses at the bedside are largely new faces year after year.
The inspection record is the bigger concern. Thirty-one deficiencies, two of them at the harm or jeopardy level and one tied to abuse, plus a $55,692 fine. The most recent inspection was in February 2026.
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.
The Care Center of Honolulu runs 182 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.64 hours per resident day, roughly 20% above the national average, with weekend coverage dipping about 11% below its own weekday levels. Staff turnover lands at 38.9%, which is lower than the 45.8% national figure, so people tend to stay longer here than at the typical home. What pulls the record down is the inspection side: 56 deficiencies on file, including one at the harm or jeopardy level and seven tied to abuse, plus a $8,018 fine. The most recent inspection was November 19, 2025.
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.
Hale Nani runs 288 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, roughly 5% under the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 32.4%, actually better than the 45.8% national figure, which suggests the problem isn't retention. It's the record: 96 deficiencies, one at harm or jeopardy level, eight tied to abuse, and a $27,885 fine. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. The most recent inspection was May 1, 2026.
Avalon Care Center in Honolulu runs on more nurse hours than most places, 4.62 per resident day, roughly a fifth above the national average, and weekend coverage dips only about 10% from its weekday staffing, which is a smaller drop than many homes show. Turnover sits at 40%, below the national 45.8%. The 41 deficiencies on record sound like a lot until you see none are at the harm or jeopardy level and none involve abuse, and its last inspection was recent, in June 2026. This is a for-profit corporate home with strong quality measure scores, steady staffing, and a clean serious-deficiency record, the kind of profile where the numbers hold up under scrutiny.
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.
Ann Pearl runs a nonprofit-style staffing level inside a for-profit corporate structure: 4.01 nurse hours per resident day, roughly 4% above the national average, with weekend coverage dipping about 10% below its own weekday numbers. That staffing strength is doing a lot of work against a much rougher record elsewhere. The current inspection history shows 46 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $23,520 fine and a place in CMS's Special Focus Facility program, a designation reserved for homes with a pattern of serious, repeated problems. Turnover sits at 46.2%, essentially the national rate, and the last inspection was February 2025. Strong aides, serious compliance concerns.