State Analysis Report for Hawaii

Key metrics for nursing homes in Hawaii including change in number of homes and number of beds, nursing home staffing levels, occupancy, newest nursing homes, and more. This report is updated weekly.

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

Updated on May 19, 2024

According to the latest data compiled by NursingHomeDatabase.com, Hawaii has a total of 42 active skilled nursing facilities with 4,231 total 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 3,338 residents as May 19, 2024 for a state wide occupancy level of 78.89 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 0.87
All Staff 4.69 3.78

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 26 new cases and 26 new deaths among residents for the week ending May 19, 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
Lanai Community Hospital
628 7TH STREET
LANAI CITY, HI
33.33
Kulana Malama
91-1360 KARAYAN STREET
EWA BEACH, HI
34.67
Hale Ho'ola Hamakua
45-547 PLUMERIA STREET
HONOKAA, HI
36.00
Samuel Mahelona Memorial Hospital
4800 KAWAIHAU ROAD
KAPAA, HI
37.33
Maunalani Nursing and Rehabilitation Center
5113 MAUNALANI CIRCLE
HONOLULU, HI
38.67
Maluhia
1027 HALA DRIVE
HONOLULU, HI
38.67
Hilo Medical Center
1190 WAIANUENUE AVENUE
HILO, HI
44.67
Hi'olani Care Center at Kahala Nui
4389 MALIA STREET
HONOLULU, HI
47.33
Clarence Tc Ching Villas at St Francis
2230 LILIHA STREET
HONOLULU, HI
50.00

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
291.83
/
Hale Malamalama
6163 SUMMER STREET
HONOLULU, HI
230.67
Hale Makua - Kahului
472 KAULANA STREET
KAHULUI, HI
217.50
Ann Pearl Nursing Facility
45-181 WAIKALUA ROAD
KANEOHE, HI
199.67
Nuuanu Hale
2900 PALI HIGHWAY
HONOLULU, HI
165.67
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
Yukio Okutsu State Veterans Home
1180 WAIANUENUE AVENUE
HILO, HI
122.67
Palolo Chinese Home
2459 10TH AVENUE
HONOLULU, HI
116.67

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 13.30 Higher
Cycle 1 Total Number Of Fire Safety Deficiencies 1.80 Lower
Cycle 2 Total Number Of Health Deficiencies 11.90 Higher
Cycle 2 Total Number Of Fire Safety Deficiencies 2.20 Lower
Cycle 3 Total Number Of Health Deficiencies 10.30 Higher
Cycle 3 Total Number Of Fire Safety Deficiencies 3.40 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 39.30 Lower
Registered Nurse Turnover 41.40 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 1.80 Lower
Fine Amount In Dollars 39,517.00 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 5.29 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 1.16 Lower
Percentage Of Long Stay Residents With A Urinary Tract Infection 2.11 Lower
Percentage Of Long Stay Residents Who Have Depressive Symptoms 2.02 Lower
Percentage Of Long Stay Residents Who Were Physically Restrained 0.37 Higher
Percentage Of Long Stay Residents Experiencing One Or More Falls With Major Injury 2.65 Lower
Percentage Of Long Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 94.21 Higher
Percentage Of Long Stay Residents Who Received An Antipsychotic Medication 9.55 Lower
Percentage Of Short Stay Residents Assessed And Appropriately Given The Pneumococcal Vaccine 78.61 Lower
Percentage Of Short Stay Residents Who Newly Received An Antipsychotic Medication 1.21 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 8.33 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 97.05 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 78.29 Higher
Percentage Of Short Stay Residents Who Were Rehospitalized After A Nursing Home Admission 17.07 Lower
Percentage Of Short Stay Residents Who Had An Outpatient Emergency Department Visit 11.30 Lower
Number Of Hospitalizations Per 1000 Long-stay Resident Days 1.35 Lower
Number Of Outpatient Emergency Department Visits Per 1000 Long-stay Resident Days 0.77 Lower

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We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.

We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.