Nursing Homes & Senior Care in Hawaii
Hawaii has 42 CMS-certified nursing homes listed in the Care Compare directory, each assigned an official Five-Star Quality rating from the Centers for Medicare & Medicaid Services. The average overall rating across all state facilities stands at 3.66 of 5 stars.
The Five-Star rating system is a relative quality measure with documented limitations. The ratings presented here reflect data current as of May 2026 and should not be construed as a recommendation or guarantee of quality. Each facility is assessed across multiple domains, with overall, health-inspection, and staffing stars provided to give a comprehensive snapshot of performance.
Prospective residents and their families should understand that a single star rating represents only one factor in the decision-making process. Location, the specific care needs of the individual, an in-person visit to the facility, and direct conversations with nursing staff and clinical leadership all play essential roles in evaluating whether a particular home is the right fit. Residents and their advocates are advised to confirm each facility's current rating on its live Medicare Care Compare profile before making any final decisions based on this information.
How to read this. The star ratings here are official CMS Five-Star Quality figures, shown as the rating as of May2026 — a relative quality measure with documented limits, not a recommendation, guarantee, or medical/financial/legal advice. Always confirm the current rating and details on the facility’s live Medicare Care Compare profile, and involve the resident and their clinicians in any decision.
Hawaii rating breakdown → · How to choose care in Hawaii → · Compare by ownership type →
Informational only — not medical, financial, or legal advice. Senior Care by State reports official CMS Five-Star Quality data, which is a relative measure with documented limitations — not a recommendation or a guarantee that any facility is right for you. Choosing care is a personal medical and financial decision: confirm the current details with the facility directly, talk with the resident’s physician and care team, and verify ratings and coverage on Medicare.gov or with your state’s long-term-care or health agency before relying on anything here. For medical, financial, or legal questions, consult a qualified professional.