Nursing Homes in Hawaii- Monthly Analysis & Key Metrics

Data as of February 11, 2024

Reviewed by Richard Saunders

The State Level Skilled Nursing Home Analysis Report

Recently, the Biden administration announced a goal of improving nursing home care, as highlighted in several important announcements (see the initial announcement and a subsequent announcement). While this is a commendable goal, it is not entirely clear what the best approach is for achieving it. Proposing minimum staffing levels for all nursing homes simplifies a complicated issue. Nursing Homes address a wide range of resident needs, from short-term rehabilitation to long-term care to dementia and memory issues, that require different levels of care. It also fails to address a national staffing shortage that will likely only worsen.

At NursingHomeDatabase.com, we believe that one critical element of any improvement effort is to have access to good, clear data and analysis that can help everyone understand the current state of affairs, identify trends, and track progress over time. To this end, we have built this series of reports that will try to illuminate the key metrics of nursing home performance for each state. Our reports are designed to provide valuable insights and inform policymakers, healthcare providers, and families who are interested in nursing home care.

The analysis for the state level report cards of nursing home care is primarily derived from data that the Centers for Medicare and Medicaid ("CMS") provides. CMS publishes weekly data about nursing home occupancy and COVID-19 infections and publishes monthly reports with ratings, staffing levels, and deficiencies.

Summary Analysis of Nursing Homes in Hawaii- The 10,000 foot view

Updated on February 11, 2024

According to the latest data compiled by NursingHomeDatabase.com, Hawaii has a total of 42 active skilled nursing facilities and 4,231 beds. Based on the US Census estimates for the population of 1,440,196, the current total bed count represents one bed for every 340.39 persons in Hawaii. There were 3,354 residents as February 11, 2024 for a state wide occupancy level of 79.27 percent. (Note that the home count is based on monthly data provided by CMS and the number of beds and the occupancy numbers are based on weekly data. There is a minor number of homes that do not report their data weekly.)

According to the monthly data, Hawaii has added 0 new beds and lost 32 existing beds over the past year.

The Biden Administration has announced that it wants to regulate minimum nursing home staffing levels. They have proposed minimums of .55 hours of care per resident per day from registered nurses (RNs) and 2.45 hours of care per resident per day certified nursing aids (CNAs). These are the current level amount of hours per resident per day of care for Hawaii and a comparison to national averages.

Staffing Levels State National
Registered Nurse (RN) 1.53 0.65
Certified Nursing Assistants (CNA) 2.77 2.26
Licensed Practical Nurse (LPN) 0.38 0.88
All Staff 4.69 3.79

Detailed analysis pages for the largest cities in Hawaii:

COVID-19 Infections in Hawaii Nursing Homes

While COVID-19 infections and deaths are down significantly from late 2020 and 2021, the number of infections and deaths continues to be monitored. For nursing homes in Hawaii there were a total of 27 new cases and 27 new deaths among residents for the week ending February 11, 2024. The chart below shows COVID-19 activity for the past year.

New and Lost Nursing Homes in Hawaii

No new homes were reported by CMS over the past twelve months.

Hawaii lost 1 skilled nursing facilities and 32 beds over the past year. Below is list of the lost facilities:

Facility Number of Beds
Hale Ola Kino 32

This data is based on homes reported by CMS. Additional homes may have opened or closed but are not yet in the dataset.

Occupancy Percentages for Hawaii Nursing Homes

The chart below shows the overall occupancy for nursing home beds in Hawaii. Occupancies levels for individual facilities will differ and can be found on the detail page for the specific nursing home.

Best and Worst Nursing Homes in Hawaii

The list below shows the best skilled nursing facilities in Hawaii based on their most recent weighted average inspection score. Some nursing homes may have higher overall 5-star ratings than the homes on this list. We feel that the health inspection score is the best indicator of current operations. It changes quicker than the overall rating.

Facility Rating
15 Craigside
15 CRAIGSIDE PLACE
HONOLULU, HI
4.67
Kulana Malama
91-1360 KARAYAN STREET
EWA BEACH, HI
34.67
Samuel Mahelona Memorial Hospital
4800 KAWAIHAU ROAD
KAPAA, HI
36.00
Lanai Community Hospital
628 7TH STREET
LANAI CITY, HI
37.33
Maunalani Nursing and Rehabilitation Center
5113 MAUNALANI CIRCLE
HONOLULU, HI
38.67
Maluhia
1027 HALA DRIVE
HONOLULU, HI
38.67
Hale Ho'ola Hamakua
45-547 PLUMERIA STREET
HONOKAA, HI
40.00
/
Harry and Jeanette Weinberg Care Center
45-090 NAMOKU ST
KANEOHE, HI
43.33
Hilo Medical Center
1190 WAIANUENUE AVENUE
HILO, HI
44.67
Hi'olani Care Center at Kahala Nui
4389 MALIA STREET
HONOLULU, HI
47.33

The list below shows the worst skilled nursing facilities in Hawaii based on their most recent weighted average inspection score.

Facility Rating
Liliha Healthcare Center
1814 LILIHA STREET
HONOLULU, HI
306.33
/
Hale Makua - Kahului
472 KAULANA STREET
KAHULUI, HI
254.67
Hale Malamalama
6163 SUMMER STREET
HONOLULU, HI
230.67
Ann Pearl Nursing Facility
45-181 WAIKALUA ROAD
KANEOHE, HI
186.33
Nuuanu Hale
2900 PALI HIGHWAY
HONOLULU, HI
173.33
Hale Makua Health Services
1540 LOWER MAIN STREET
WAILUKU, HI
171.33
Rating Not Available
The Care Center of Honolulu
1900 BACHELOT STREET
HONOLULU, HI
153.67
/
Kauai Care Center
9611 WAENA ROAD
WAIMEA, HI
144.33
Aloha Nursing and Rehab Centre
45-545 KAMEHAMEHA HIGHWAY
KANEOHE, HI
143.67
Pu'uwai 'o Makaha
84-390 JADE STREET
WAIANAE, HI
138.67

Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Skilled Nursing Homes in Hawaii Compared to Nationwide

We have compared Hawaii nursing homes to the nationwide average on several metrics. Hawaii performed better than the national average on several metrics and worse on other metrics.

Cycle 1 Total Number Of Health Deficiencies 14.50 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 1.80 Lower
Cycle 2 Total Number Of Health Deficiencies 10.60 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 2.40 Lower
Cycle 3 Total Number Of Health Deficiencies 10.30 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 3.00 Lower
Average Number Of Residents Per Day 76.40 Lower
Reported Nurse Aide Staffing Hours Per Resident Per Day 2.77 Higher
Reported Lpn Staffing Hours Per Resident Per Day 0.38 Lower
Reported Rn Staffing Hours Per Resident Per Day 1.53 Higher
Reported Licensed Staffing Hours Per Resident Per Day 1.91 Higher
Reported Total Nurse Staffing Hours Per Resident Per Day 4.69 Higher
Total Number Of Nurse Staff Hours Per Resident Per Day On The Weekend 4.13 Higher
Registered Nurse Hours Per Resident Per Day On The Weekend 1.15 Higher
Reported Physical Therapist Staffing Hours Per Resident Per Day 0.08 Higher
Total Nursing Staff Turnover 40.70 Lower
Registered Nurse Turnover 42.80 Lower
Number Of Administrators Who Have Left The Nursing Home 0.60 Lower
Case-mix Rn Staffing Hours Per Resident Per Day 0.40 Higher
Case-mix Total Nurse Staffing Hours Per Resident Per Day 3.26 Higher
Number Of Fines 2.50 Higher
Fine Amount In Dollars 40,232.00 Higher
Percentage Of Long Stay Residents Whose Need For Help With Daily Activities Has Increased 12.70 Lower
Percentage Of Long Stay Residents Who Lose Too Much Weight 4.99 Lower
Percentage Of Low Risk Long Stay Residents Who Lose Control Of Their Bowels Or Bladder 51.10 Higher
Percentage Of Long Stay Residents With A Catheter Inserted And Left In Their Bladder 1.27 Lower
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.15 Lower
Percentage Of Long Stay Residents Who Have Depressive Symptoms 2.08 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.36 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 2.32 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 93.70 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 9.56 Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 78.58 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.10 Lower
Percentage Of Long Stay Residents Whose Ability To Move Independently Worsened 19.31 Higher
Percentage Of Long Stay Residents Who Received An Antianxiety Or Hypnotic Medication 8.27 Lower
Percentage Of High Risk Long Stay Residents With Pressure Ulcers 5.44 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Seasonal Influenza Vaccine 97.24 Higher
Percentage Of Short Stay Residents Who Made Improvements In Function 77.53 Higher
Percentage Of Short Stay Residents Who Were Assessed And Appropriately Given The Seasonal Influenza Vaccine 77.86 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 17.01 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 11.84 Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.34 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 0.76 Lower