The 10 Worst Nursing Homes in Hawaii

Finding the Right Nursing Home in Hawaii: Why It Matters

When it comes to choosing a nursing home for your loved ones in Hawaii, it's crucial to have access to accurate and comprehensive information. Our "Worst Nursing Homes in Hawaii" page aims to provide you with insights into the facilities that have fallen short in various aspects of care. Understanding these ratings can help you make more informed decisions and ensure the well-being of those who matter most.

Top Worst Nursing Homes in Hawaii

Our state rankings highlight the nursing homes in Hawaii that have received the lowest quality scores based on a variety of factors, including health inspections, staffing levels, and resident care. These scores are designed to give you a clear picture of which facilities may require closer scrutiny.

Factors Considered:

• Health and safety inspections
• Staffing ratios
• Resident care and outcomes
• Compliance with federal and state regulations

Our scoring methodology is transparent and designed to provide an unbiased look at each facility's performance. Nursing Homes with the warning icon () have been flagged by CMS for abuse.

Disclaimer: Our rankings are based on data collected from reputable sources, including government reports and independent evaluations. While we strive for accuracy, we encourage you to visit facilities and conduct your own research before making any decisions.

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

• Kuakini Geriatric Care, Inc (228.75)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-03-06)
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (2025-03-06)
• Hale Nani Rehabilitation and Nursing Center (178)
  • Post nurse staffing information every day. (2026-01-02)
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (2026-01-02)
• Hale Malamalama (139.5)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-03-26)
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-03-26)
• The Care Center of Honolulu (138)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-05-31)
  • Ensure each resident receives an accurate assessment. (2026-05-31)
• Avalon Care Center - Honolulu, LLC (94)
  • Have proper medical gas storage and administration areas. (2025-06-20)
  • Reasonably accommodate the needs and preferences of each resident. (2025-05-16)
• Nuuanu Hale (94)
  • 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. (2026-04-20)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2026-04-20)
• Liliha Healthcare Center (93)
  • Respond appropriately to all alleged violations. (2025-07-24)
  • 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. (2025-07-24)
• Palolo Chinese Home (80)
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (2025-10-09)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2025-10-09)
• Kalakaua Gardens (78)
  • Have a battery powered remote alarm panel in a location accessible by operating personnel. (2027-05-30)
  • Have elevators that firefighters can control in the event of a fire. (2026-11-30)
• The Ching Villas (70)
  • Provide appropriate treatment and care according to orders, resident?s preferences and goals. (2026-02-20)
  • Ensure that residents are fully informed and understand their health status, care and treatments. (2026-02-20)

Worst Nursing Homes in East Honolulu

Worst Nursing Homes in Pearl City

• Pearl City Post Acute (36)
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (2025-06-05)
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (2025-06-05)

Worst Nursing Homes in Hilo

• Legacy Hilo Rehabilitation and Nursing Center (99.5)
  • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (2026-05-09)
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (2026-05-09)
• Life Care Center of Hilo (89)
  • Respond appropriately to all alleged violations. (2026-05-01)
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (2026-05-01)
• Hale Anuenue Restorative Care (76)
  • Install corridor and hallway doors that block smoke. (2024-03-18)
  • To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2024-03-18)
• Hilo Benioff Medical Center (70)
  • 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. (2025-07-30)
  • To conduct inspection, testing and maintenance of fire doors by qualified individuals. (2025-07-30)
• Yukio Okutsu State Veterans Home (50)
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (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)

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