Nursing Homes in Hawaii: Staffing, Turnover, and Penalties
Hawaii has 43 Medicare- or Medicaid-certified nursing homes in 18 cities. On CMS's August 2026 figures, nurse aides there log 2.88 hours per resident per day, 24% above the US average of 2.32, and 36.4% of nursing staff leave in a year (US 45.8%).
Hawaii averages
Aide hours per resident per day is the nurse aide time a home logged for each resident across a whole day, from the payroll records every home submits to CMS. More hours per resident means more hands on the floor for the same number of residents. Turnover is the share of nursing staff who left over a year. Fines and payment denials are CMS penalties from the last three years.
CMS Care Compare State and US Averages, August 2026 release
Nursing homes by city
The most nursing homes are in Honolulu (18), Hilo (5), Kaneohe (3). Each city page compares every home on staffing, turnover, CMS stars, and fines.
Largest nursing home chains in Hawaii
CMS links 21 of Hawaii's homes to these 7 chains. A chain is a group of homes under common ownership or management, as CMS records it.
| Chain | Homes in HI | Homes nationwide |
|---|---|---|
| Hawaii Health Systems Corporation | 7 | 7 |
| Ohana Pacific Management Co. | 6 | 6 |
| Life Care Centers of America | 4 | 194 |
| Avalon Health Care | 1 | 16 |
| Good Samaritan Society | 1 | 92 |
| Regency Pacific Management | 1 | 27 |
| Volare Health | 1 | 16 |
Chain as recorded in the CMS Provider Information file, August 2026 release