CMS Data · 2026
Hawaii Nursing Home Staffing Ratios
State average: 4.45 total HPRD · 0.98 RN · 0.75 LPN · 2.72 CNA
Hawaii vs. National Average
Bar = Hawaii average. Marker line = U.S. national average. Source: CMS PBJ 2024.
Browse by City in Hawaii
Hawaii Nursing Home Staffing — Top 42 Facilities
Sorted by CMS overall star rating. Click any facility for detailed staffing data.
GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER
LIHUE, HI · For profit
5★
5★
4.15
1.58
Maluhia
Honolulu, HI · Government
5★
4★
3.96
1.65
⚠ 1 CMS fine on record
LEAHI HOSPITAL
HONOLULU, HI · Government
5★
5★
4.45
1.80
MAUNALANI NURSING AND REHABILITATION CENTER
HONOLULU, HI · Non profit
5★
1★
0.60
0.10
⚠ 2 CMS fines on record
ARCADIA RETIREMENT RESIDENCE
HONOLULU, HI · Non profit
5★
5★
4.73
1.64
⚠ 1 CMS fine on record
SAMUEL MAHELONA MEMORIAL HOSPITAL
KAPAA, HI · Government
5★
5★
6.02
2.15
Honoka'a Hospital & Skilled Nursing
HONOKAA, HI · Government
5★
5★
5.76
1.61
HARRY AND JEANETTE WEINBERG CARE CENTER
KANEOHE, HI · Non profit
5★
5★
4.18
1.74
OAHU CARE FACILITY
HONOLULU, HI · For profit
5★
5★
5.53
1.55
⚠ 1 CMS fine on record
PEARL CITY POST ACUTE
PEARL CITY, HI · For profit
5★
5★
6.23
2.19
Hi'olani Care Center at Kahala Nui
Honolulu, HI · Non profit
5★
5★
5.74
1.87
HALE MAKUA - WAILUKU
WAILUKU, HI · Non profit
5★
5★
4.48
1.40
Kulana Malama
EWA BEACH, HI · For profit
5★
4★
10.37
5.46
⚠ 1 CMS fine on record
15 CRAIGSIDE
HONOLULU, HI · Non profit
5★
5★
4.54
1.91
HALE OLA KINO BY ARCADIA
HON, HI · For profit
5★
5★
5.41
1.44
HILO BENIOFF MEDICAL CENTER
HILO, HI · Government
4★
5★
5.61
1.49
KULA HOSPITAL
KULA, HI · Non profit
4★
5★
5.43
2.09
LANAI COMMUNITY HOSPITAL
LANAI CITY, HI · For profit
4★
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Aloha Nursing & Rehab Centre
Kaneohe, HI · For profit
4★
5★
4.79
1.90
⚠ 1 CMS fine on record
PU'UWAI 'O MAKAHA
WAIANAE, HI · For profit
4★
4★
4.06
1.13
⚠ 1 CMS fine on record
YUKIO OKUTSU STATE VETERANS HOME
HILO, HI · Government
4★
4★
4.98
1.20
⚠ 1 CMS fine on record
THE CHING VILLAS
HONOLULU, HI · For profit
4★
5★
5.84
2.26
AVALON CARE CENTER - HONOLULU, LLC
HONOLULU, HI · For profit
3★
4★
4.56
1.84
LIFE CARE CENTER OF HILO
HILO, HI · For profit
3★
4★
3.65
0.95
⚠ 1 CMS fine on record
LILIHA HEALTHCARE CENTER
HONOLULU, HI · For profit
3★
5★
4.21
1.19
⚠ 1 CMS fine on record
HALE ANUENUE RESTORATIVE CARE
HILO, HI · For profit
3★
4★
3.57
1.10
KA PUNAWAI OLA
KAPOLEI, HI · For profit
3★
4★
4.03
1.69
⚠ 1 CMS fine on record
LIFE CARE CENTER OF KONA
KAILUA KONA, HI · For profit
3★
4★
3.94
1.19
⚠ 1 CMS fine on record
Palolo Chinese Home
HONOLULU, HI · For profit
3★
4★
3.97
1.39
Kauai Care Center
Waimea, HI · For profit
3★
4★
4.25
0.71
HALE KUPUNA HERITAGE HOME, LLC
KOLOA, HI · For profit
3★
4★
3.39
1.48
⚠ 1 CMS fine on record
HALE NANI REHABILITATION AND NURSING CENTER
HONOLULU, HI · For profit
2★
5★
4.03
1.25
⚠ 1 CMS fine on record
KAUAI VETERANS MEMORIAL HOSPITAL
WAIMEA, HI · Government
2★
5★
4.75
1.72
⚠ 1 CMS fine on record
NUUANU HALE
HONOLULU, HI · For profit
2★
4★
3.46
1.31
⚠ 1 CMS fine on record
ANN PEARL NURSING FACILITY
KANEOHE, HI · For profit
2★
3★
3.82
1.53
⚠ 1 CMS fine on record
HALE MALAMALAMA
HONOLULU, HI · For profit
2★
5★
4.14
1.37
⚠ 2 CMS fines on record
KALAKAUA GARDENS
HONOLULU, HI · For profit
2★
4★
5.11
1.92
⚠ 1 CMS fine on record
Islands Skilled Nursing & Rehabilitation
Honolulu, HI · For profit
2★
3★
5.97
2.90
⚠ 1 CMS fine on record
THE CARE CENTER OF HONOLULU
HONOLULU, HI · For profit
1★
3★
4.67
1.57
⚠ 1 CMS fine on record
KUAKINI GERIATRIC CARE, INC
HONOLULU, HI · Non profit
1★
3★
3.35
1.26
⚠ 2 CMS fines on record
LEGACY HILO REHABILITATION & NURSING CENTER
HILO, HI · For profit
1★
3★
3.85
1.17
HALE MAKUA - KAHULUI
KAHULUI, HI · Non profit
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4.84
1.42
⚠ 3 CMS fines on record
Frequently Asked Questions
- What are the nursing home staffing requirements in Hawaii?
- CMS requires all Hawaii nursing homes to meet the federal minimums of 3.48 total nursing HPRD and 0.55 RN HPRD with 24-hour RN presence. Hawaii's state average of 4.45 total HPRD is at or above the national average of 3.89.
- What is the average RN staffing level in Hawaii nursing homes?
- Hawaii nursing homes average 0.98 RN hours per resident per day — above the U.S. national average of 0.69. Individual facilities vary widely; use this tool to compare specific nursing homes.
- How do I find the best-staffed nursing home in Hawaii?
- Sort by CMS staffing star rating (4–5 stars) and look for total HPRD above 3.89 — especially RN HPRD above 1.0. Also check staff turnover: facilities below 30% annual turnover typically provide more consistent care.
Data: CMS PBJ system via Care Compare. Revalidated every 24 hours. Not a medical recommendation.