Lowest-Rated Nursing Homes in Hawaii
Facilities in Hawaii with the lowest NursingHomeGrade Scores. A low score does not guarantee poor care in all areas — but families should review inspection records, staffing levels, and deficiency details carefully before choosing.
⚠ A low score indicates significant concerns in one or more areas: staffing, inspection violations, or quality measures. Visit each facility page for the full deficiency record and comparison data.
Rankings
| # | Facility | Location | Grade | Score | RN Hours | Deficiencies |
|---|---|---|---|---|---|---|
| 1 | HALE NANI REHABILITATION AND NURSING CENTER | HONOLULU, HI | F | 33 | 1.21 | 26 |
| 2 | KULA HOSPITAL | KULA, HI | F | 33 | N/A | 10 |
| 3 | Palolo Chinese Home | HONOLULU, HI | C | 57 | 1.34 | 21 |
| 4 | KUAKINI GERIATRIC CARE, INC | HONOLULU, HI | C | 59 | 1.40 | 11 |
| 5 | Islands Skilled Nursing & Rehabilitation | Honolulu, HI | C | 61 | 2.89 | 14 |
| 6 | LEGACY HILO REHABILITATION & NURSING CENTER | HILO, HI | C | 64 | 0.95 | 10 |
| 7 | Kauai Care Center | Waimea, HI | C | 64 | 0.66 | 10 |
| 8 | ANN PEARL NURSING FACILITY | KANEOHE, HI | C | 64 | 1.40 | 10 |
| 9 | AVALON CARE CENTER - HONOLULU, LLC | HONOLULU, HI | B | 66 | 1.84 | 20 |
| 10 | HALE MAKUA - KAHULUI | KAHULUI, HI | B | 68 | 1.47 | 10 |
| 11 | KA PUNAWAI OLA | KAPOLEI, HI | B | 69 | 1.81 | 13 |
| 12 | NUUANU HALE | HONOLULU, HI | B | 69 | 1.39 | 14 |
| 13 | KALAKAUA GARDENS | HONOLULU, HI | B | 71 | 2.04 | 11 |
| 14 | LILIHA HEALTHCARE CENTER | HONOLULU, HI | B | 71 | 1.45 | 11 |
| 15 | THE CARE CENTER OF HONOLULU | HONOLULU, HI | B | 71 | 1.52 | 9 |
| 16 | HILO BENIOFF MEDICAL CENTER | HILO, HI | B | 72 | 1.44 | 15 |
| 17 | PU'UWAI 'O MAKAHA | WAIANAE, HI | B | 73 | 1.06 | 8 |
| 18 | THE CHING VILLAS | HONOLULU, HI | B | 76 | 2.66 | 13 |
| 19 | HALE KUPUNA HERITAGE HOME, LLC | KOLOA, HI | B | 76 | 1.59 | 7 |
| 20 | YUKIO OKUTSU STATE VETERANS HOME | HILO, HI | B | 76 | 1.12 | 10 |
| 21 | PEARL CITY POST ACUTE | PEARL CITY, HI | B | 77 | 2.19 | 9 |
| 22 | SAMUEL MAHELONA MEMORIAL HOSPITAL | KAPAA, HI | B | 78 | 2.18 | 8 |
| 23 | HALE ANUENUE RESTORATIVE CARE | HILO, HI | B | 79 | 1.17 | 12 |
| 24 | Aloha Nursing & Rehab Centre | Kaneohe, HI | B | 79 | 1.85 | 10 |
| 25 | HALE MALAMALAMA | HONOLULU, HI | A | 80 | 1.40 | 6 |
| 26 | OAHU CARE FACILITY | HONOLULU, HI | B | 80 | 1.44 | 9 |
| 27 | LIFE CARE CENTER OF HILO | HILO, HI | A | 80 | 0.99 | 8 |
| 28 | ARCADIA RETIREMENT RESIDENCE | HONOLULU, HI | A | 80 | 1.60 | 7 |
| 29 | LIFE CARE CENTER OF KONA | KAILUA KONA, HI | A | 83 | 1.18 | 7 |
| 30 | MAUNALANI NURSING AND REHABILITATION CENTER | HONOLULU, HI | A | 84 | 1.62 | 5 |
| 31 | GARDEN ISLE HEALTHCARE AND REHABILITATION CENTER | LIHUE, HI | A | 84 | 1.65 | 11 |
| 32 | LANAI COMMUNITY HOSPITAL | LANAI CITY, HI | A | 86 | 4.38 | 6 |
| 33 | LEAHI HOSPITAL | HONOLULU, HI | A | 86 | 1.82 | 6 |
| 34 | Kulana Malama | EWA BEACH, HI | A | 87 | 5.38 | 3 |
| 35 | Hi'olani Care Center at Kahala Nui | Honolulu, HI | A | 88 | 2.13 | 8 |
| 36 | KAUAI VETERANS MEMORIAL HOSPITAL | WAIMEA, HI | A | 89 | 1.84 | 4 |
| 37 | Maluhia | Honolulu, HI | A | 91 | 1.68 | 2 |
| 38 | Honoka'a Hospital & Skilled Nursing | HONOKAA, HI | A | 93 | 1.60 | 5 |
| 39 | HARRY AND JEANETTE WEINBERG CARE CENTER | KANEOHE, HI | A | 94 | 1.69 | 4 |
| 40 | HALE MAKUA - WAILUKU | WAILUKU, HI | A | 96 | 1.36 | 3 |
| 41 | HALE OLA KINO BY ARCADIA | HON, HI | A | 99 | 1.54 | 1 |
| 42 | 15 CRAIGSIDE | HONOLULU, HI | A | 99 | 1.79 | 1 |
Methodology
Rankings are determined by NursingHomeGrade Score, a 0–100 composite that weights RN staffing compliance (35%), health inspection deficiencies (30%), CMS quality ratings (20%), and staffing consistency (15%). Data is sourced from the CMS Provider Data Catalog and updated regularly.