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HAWAII HEALTH SYSTEMS CORPORATION

Every nursing home CMS records under this group, and how the portfolio performs as a whole. Consistency across a group says more about an operator than any single building.

Homes

7

States

1

Beds

546

Avg score

91.4

Avg turnover

29%

Federal fines

$114,965

All 7 homes

A

99/100

Honoka'a Hospital & Skilled Nursing

Honokaa, HI · Hawaii County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
5.51 /day
Staff turnover
24%
Serious cites
0

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.

A

96/100

Hilo Benioff Medical Center

Hilo, HI · Hawaii County

CMS 4/552 bedsGovernmentMedicaid
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.

A

94/100

Kauai Veterans Memorial Hospital

Waimea, HI · Kauai County

CMS 5/520 bedsNon-profitMedicaid
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.

A

91.5/100

Leahi Hospital

Honolulu, HI · Honolulu County

CMS 5/5155 bedsGovernmentMedicaid
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.

B

84/100

Maluhia

Honolulu, HI · Honolulu County

CMS 5/5158 bedsGovernmentMedicaid
Nurse hours
4.14 /day
Staff turnover
30%
Serious cites
0

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.

B

84/100

Yukio Okutsu State Veterans Home

Hilo, HI · Hawaii County

CMS 4/595 bedsGovernmentMedicaid
Nurse hours
4.64 /day
Staff turnover
60%
Serious cites
0

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.

-

Not graded

Daniel K Akaka State Veterans Home

Kapolei, HI · 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.