The 10 Worst Nursing Homes in Hawaii

  Worst Nursing Homes in Hawaii By City

Every city in Hawaii has its own set of challenges and standards when it comes to nursing home care. To help you find the information most relevant to your location, we've compiled city-specific rankings of the worst-rated nursing homes. Click on the links below to explore the detailed lists for each city.

Worst Nursing Homes in Honolulu

• Nuuanu Hale (173.667)
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (2024-12-09)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-04-01)
• Liliha Healthcare Center (167.333)
• To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2024-04-30)
• Have properly located and lighted "Exit" signs. (2024-04-10)
• Kuakini Geriatric Care, Inc (162.333)
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (2025-02-07)
• Provide safe and appropriate respiratory care for a resident when needed. (2025-02-07)
• Hale Malamalama (153.333)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-10-31)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-10-31)
• Islands Skilled Nursing and Rehabilitation (140.667)
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (2024-09-13)
• Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (2024-09-05)
• Hale Nani Rehabilitation and Nursing Center (131.333)
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (2024-11-26)
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (2024-11-26)
• The Care Center of Honolulu (112)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-09-29)
• Keep residents' personal and medical records private and confidential. (2024-09-29)
• Avalon Care Center - Honolulu, LLC (105.333)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-05-07)
• Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (2024-05-07)
• Kalakaua Gardens (79.667)
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2024-03-11)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2024-03-11)
• Arcadia Retirement Residence (77.167)
• Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (2024-11-22)
• Ensure that residents are fully informed and understand their health status, care and treatments. (2024-11-22)

Worst Nursing Homes in East Honolulu

Worst Nursing Homes in Pearl City

• Pearl City Nursing Home (80.667)
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (2024-12-13)
• Provide enough food/fluids to maintain a resident's health. (2024-12-13)

Worst Nursing Homes in Hilo

• Yukio Okutsu State Veterans Home (90.333)
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (2024-12-30)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-12-30)
• Life Care Center of Hilo (80.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-01-15)
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (2024-01-15)
• Hale Anuenue Restorative Care (78.667)
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2024-03-18)
• Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (2024-03-18)
• Legacy Hilo Rehabilitation and Nursing Center (62.333)
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (2024-08-09)
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (2024-08-09)
• Hilo Benioff Medical Center (24)
• Have properly located and lighted "Exit" signs. (2024-03-26)
• Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. (2024-03-26)

Worst Nursing Homes in Waipahu

  Related Lists and Resources

While it's important to be aware of the lowest-rated facilities, we also provide resources to help you find the best care available. Check out our other lists to find top-rated nursing homes and facilities that excel in specific areas.

• Best Nursing Homes in Hawaii
• Analysis of Nursing Homes in Hawaii

  Making Informed Decisions

Understanding our rankings and how they are derived can empower you to make better choices for your loved ones. Remember, a low rating in one area doesn't necessarily mean a facility is entirely unsuitable; it's a starting point for further investigation.

  Tips for Evaluating Nursing Homes in Hawaii:

• Schedule visits to potential facilities
• Speak with staff and residents
• Review recent inspection reports
• Consider the specific needs of your loved one

Disclaimer: NursingHomeDatabase.com does not have a relationship, either commercial or otherwise, with any of the skilled nursing facilities referred to on this site. This is an independent resource that tries to make more and better information available to the public.

  More Resources for Families

Navigating the world of nursing home care can be overwhelming. Here are some resources to help you make the best decisions for your family:

• The Role of Family in Nursing Home Care
• Navigating Medicaid for Nursing Home Care
• How to Handle a Nursing Home Discharge
• Understanding Nursing Home Ratings and What They Mean
• Questions to Ask During a Nursing Home Visit

  How We Compile Nursing Home Ratings in Hawaii

Every month, we rank all of the skilled nursing facilities in Hawaii. These rankings are based on data provided by The Centers for Medicare & Medicaid measures ("CMS"), including the CMS 5-Star Rating System and the Health Inspection Scores. The list of the Worst Skilled Nursing Facilities in Hawaii is based on the weighted overall health inspection score which is a composite of CMS's three most recent skilled nursing home inspection scores weighted to give the most recent inspection more importance.

The CMS 5-Star Rating System rates skilled nursing facilities from one to five stars, with one star being the lowest and five stars being the highest. The rating system also rates Hawaii nursing homes across five different dimensions including overall rating, health inspection rating, quality measures rating, overall staffing rating, and RN staffing rating (RN is an acronym for Registered Nurse).

In addition to the 5-Star Rating System, CMS provides numerical metrics that summarize:

• Health Inspection Domain. The health inspection rating is based on the three most recent standard surveys for each nursing home, results from any complaint investigations during the most recent three-year period, and any repeat revisits needed to verify that required corrections have brought the facility back into compliance. CMS calculates a weighted deficiency score based on points assigned to health deficiencies identified in each active provider’s current health inspection survey and the two prior surveys (including revisits), as well as deficiency findings from the most recent three years of complaint investigations. More recent surveys are weighted more heavily than older surveys: the most recent period (cycle 1) is assigned a weighting factor of 1/2, the previous period (cycle 2) has a weighting factor of 1/3, and the second prior survey (cycle 3) has a weighting factor of 1/6. The weighted time period scores are then summed to create the survey score for each facility.
• Staffing Domain. Using multiple reporting methods, CMS calculates the amount of time that the nursing staff spends with residents. This is measured across multiple dimensions, one each for three different levels of nursing, including Registered Nurses (“RNs”), Licensed Practical Nurses (“LPNs”), and Certified Nursing Assistants (“CNAs”), plus one metric that totals all contributions. These metrics are expressed in hours per resident per day. CMS also provides state-level and national averages for the metrics to allow for additional comparisons.
• Quality Measures Domain. A set of quality measures (QMs) has been developed from MDS-based indicators to describe the quality of care provided in nursing homes. These measures address a broad range of functioning and health status in multiple care areas. The facility rating for the QM domain is based on performance on a subset of 11 (out of 18) of the QMs. Ratings for the QM domain are calculated using the three most recent quarters for which data are available. This time period specification was selected to increase the number of assessments available for calculating the QM rating, increasing the stability of estimates and reducing the number of facilities that do not have enough data to report QM ratings.
• Abuse Flag. Abuse is always a concern in skilled nursing facilities. To highlight the issue, CMS has extracted this feature as its own flag. Facilities with an actual abuse event or where the potential for abuse has been shown for the past two years are flagged. The Health Inspection Score is capped at 2-stars for nursing homes that have been flagged for abuse.

Skilled nursing facilities that are new and do not have at least two surveys completed are not rated by CMS. These facilities may have health inspection scores that can be used to evaluate the facility.

One complication in Hawaii nursing home inspections is the COVID-19 pandemic. Although inspections should be performed every 12 months, COVID has decreased this frequency. While CMS admits that only in “rare cases” do these inspections increase to 15 months, our analysis suggests that this time frame may be even longer. This report shows that the time between inspections is now just under 500 days (more than sixteen months). There are now hundreds of skilled nursing homes in the United States that have not been inspected in more than 24 months. This list shows the skilled nursing homes with the longest period since being inspected. According to the CMS data, these homes have not been inspected since 2018!