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Top 10 Worst Nursing Homes in Hawaii

Top 10 of 43 nursing homes in Hawaii, ranked using our review score, based on Medicare warnings, ratings, inspection problems, and fines. Not a legal finding — use it to prioritize which report cards to read first.

  1. 1.Kuakini Geriatric Care, IncMedicare rating: 1 out of 5 · 59 inspection problems · $98,421 in fines
    Honolulu, Honolulu CountySFF Candidate
  2. 2.Islands Skilled Nursing & RehabilitationMedicare rating: 1 out of 5 · 64 inspection problems · $89,206 in fines
    Honolulu, Honolulu CountySFF Candidate
  3. 3.Hale MalamalamaMedicare rating: 2 out of 5 · 43 inspection problems · $87,032 in fines
    Honolulu, Honolulu CountySFF Candidate
  4. 4.Ann Pearl Nursing FacilityMedicare rating: 2 out of 5 · 46 inspection problems · $15,288 in fines
    Kaneohe, Honolulu CountySFF Candidate
  5. 5.Legacy Hilo Rehabilitation & Nursing CenterMedicare rating: 1 out of 5 · 34 inspection problems · $16,350 in fines
    Hilo, Hawaii County
  6. 6.Kauai Veterans Memorial HospitalMedicare rating: 2 out of 5 · 21 inspection problems · $34,588 in fines
    Waimea, Kauai CountySFF Candidate
  7. 7.Avalon Care Center - Honolulu, LlcMedicare rating: 2 out of 5 · 55 inspection problems · $0 in fines
    Honolulu, Honolulu County
  8. 8.Hale Makua - KahuluiMedicare rating: 3 out of 5 · 59 inspection problems · $170,249 in fines
    Kahului, Maui County
  9. 9.Nuuanu HaleMedicare rating: 2 out of 5 · 56 inspection problems · $27,310 in fines
    Honolulu, Honolulu County
  10. 10.The Care Center of HonoluluMedicare rating: 2 out of 5 · 56 inspection problems · $8,018 in fines
    Honolulu, Honolulu County

What the records show for Hawaii ranking

Homes with a CMS overall rating
10 of 10
Homes rated 1 or 2 stars
9
Homes with a CMS abuse warning
0

Medicare file dates: Aug 1, 2026. These dates are not the dates of individual inspections.

Counts describe the homes in this displayed list, not every nursing home or every care incident. A missing rating or warning is not a clean bill of health. Sources and limitations.

Local records to explore

These examples come from the list above. File dates are not inspection dates; open a report for the dated findings.

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