State data · CMS September 2026
Nursing homes in Hawaii
Hawaii has 43 nursing homes certified for Medicare or Medicaid, with 4,248 certified beds and a median occupancy of 85.2% (US median 85.7%). 58% are for-profit, 26% nonprofit and 16% government-owned, and 49% belong to a chain or affiliated group. HUD has endorsed 8 FHA-insured Section 232 nursing home loans in Hawaii since fiscal 2001, totaling $0.1 billion in original principal, 0 of them since fiscal 2021.
- Facilities
- 43
- Certified beds
- 4,248
- Median occupancy
- 85.2%
- Median nurse hours / resident day
- 4.61
- HUD 232 loans since FY2001
- 8
Star ratings
CMS overall ratings for the 41 rated Hawaii facilities. 1 are Special Focus Facilities and 5 are candidates, the CMS list for homes with a history of serious quality problems.
Ownership
| Measure | Hawaii | Share |
|---|---|---|
| For-profit | 25 | 58% |
| Nonprofit | 11 | 26% |
| Government | 7 | 16% |
| Changed ownership in the last 12 months | 0 | 0% |
| Private equity owner self-reported to CMS | 0 | 0% |
| REIT owner self-reported to CMS | 0 | 0% |
Largest chains and affiliated groups in Hawaii
- Hawaii Health Systems Corporation: 7 facilities
- Ohana Pacific Management Co.: 6 facilities
- Life Care Centers of America: 4 facilities
- Avalon Health Care: 1 facility
- Volare Health: 1 facility
- Good Samaritan Society: 1 facility
- Regency Pacific Management: 1 facility
Facilities with HUD Section 232 history
5 Hawaii facilities match at least one FHA-insured loan in HUD's healthcare database, most recent endorsement first.
| Facility | City | Beds | Latest endorsement | Amount |
|---|---|---|---|---|
| Kalakaua Gardens | Honolulu | 49 | Sep 8, 2026 | $51,140,000 |
| Liliha Healthcare Center | Honolulu | 92 | Sep 16, 2019 | $14,080,000 |
| Hale Nani Rehabilitation and Nursing Center | Honolulu | 288 | Jul 12, 2018 | $33,008,000 |
| Avalon Care Center - Honolulu, LLC | Honolulu | 108 | Sep 20, 2013 | $7,798,400 |
| Nuuanu Hale | Honolulu | 75 | Dec 5, 2002 | $5,100,000 |
Largest by certified beds
- Hale Nani Rehabilitation and Nursing Center, Honolulu: 288 beds
- Life Care Center of Hilo, Hilo: 252 beds
- Hale Makua - Kahului, Kahului: 252 beds
- Kuakini Geriatric Care, Inc, Honolulu: 187 beds
- The Care Center of Honolulu, Honolulu: 182 beds
- The Ching Villas, Honolulu: 163 beds
- Maluhia, Honolulu: 158 beds
- Leahi Hospital, Honolulu: 155 beds
- Aloha Nursing & Rehab Centre, Kaneohe: 141 beds
- Pearl City Post Acute, Pearl City: 122 beds
Every Hawaii facility
The full list is sorted by city, on one page.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.