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Nursing homes in Hawaii County, Hawaii
Hawaii County, Hawaii, has 7 Medicare-certified nursing homes with 779 certified beds.
14% of them are rated 1 or 2 stars overall, a smaller share than the state (28%). Inspectors recorded 223 health deficiencies over three cycles, 28.6 per 100 beds against 35.2 statewide.
Fines in the period covered total $66K across 4 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Hawaii County | Hawaii | US |
|---|---|---|---|
| Facilities | 7 | 43 | 14690 |
| Rated 1–2 stars overall | 14% | 28% | 41% |
| Median overall rating | 4 | 4 | 3 |
| Citations per 100 beds (3 cycles) | 28.6 | 35.2 | 26.8 |
| Median nurse hours per resident day | 3.8 | 4.6 | 3.7 |
| Fines listed | $66K | $810K | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Honoka'A Hospital & Skilled Nursing | Honokaa | 66 | 5 | 4 | 5 | 14 | 21.2 | — | 22 Nov 2024 |
| Hale Anuenue Restorative Care | Hilo | 120 | 4 | 2 | 5 | 28 | 23.3 | — | 2 Feb 2024 |
| Hilo Benioff Medical Center | Hilo | 52 | 4 | 3 | 5 | 23 | 44.2 | — | 7 Feb 2025 |
| Yukio Okutsu State Veterans Home | Hilo | 95 | 4 | 3 | 4 | 39 | 41.1 | $13K | 15 Nov 2024 |
| Life Care Center of Hilo | Hilo | 252 | 3 | 2 | 4 | 41 | 16.3 | $8K | 1 Apr 2026 |
| Life Care Center of Kona | Kailua Kona | 94 | 3 | 2 | 4 | 44 | 46.8 | $28K | 25 Sep 2024 |
| Legacy Hilo Rehabilitation & Nursing Center | Hilo | 100 | 1 | 1 | 3 | 34 | 34.0 | $16K | 27 Feb 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 13 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 13 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 13 |
| F0880 | Provide and implement an infection prevention and control program. | 11 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | 10 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 4 |
| Government | 3 |
Chains present: Life Care Centers Of America (3), Hawaii Health Systems Corporation (3), Ohana Pacific Management Co. (1).
Questions and answers
How many nursing homes are in Hawaii County, Hawaii?
7 Medicare-certified nursing homes with 779 certified beds.
Which nursing homes in Hawaii County have the highest CMS ratings?
Honoka'A Hospital & Skilled Nursing (5 stars), Hale Anuenue Restorative Care (4 stars), Hilo Benioff Medical Center (4 stars)
How do Hawaii County nursing homes compare with Hawaii?
14% are rated 1–2 stars overall against 28% statewide; citations run at 28.6 per 100 beds against 35.2 statewide.