These are the top 20 highest-rated nursing homes in Hawaii according to the CMS 5-Star Quality Rating System (2026). All facilities listed have an overall rating of 4 stars or higher. The average rating across this list is 4.8/5. 13 of these 20 facilities have no fines on record.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Maluhia | Honolulu | $8,278 | |
| 2 | Maunalani Nursing and Rehabilitation Center | Honolulu | $32,133 | |
| 3 | Harry and Jeanette Weinberg Care Center | Kaneohe | $0 | |
| 4 | Hale Makua - Wailuku | Wailuku | $0 | |
| 5 | 15 Craigside | Honolulu | $0 | |
| 6 | Leahi Hospital | Honolulu | $0 | |
| 7 | Avalon Care Center - Honolulu, LLC | Honolulu | $0 | |
| 8 | Lanai Community Hospital | Lanai City | $0 | |
| 9 | Samuel Mahelona Memorial Hospital | Kapaa | $0 | |
| 10 | Honoka'a Hospital & Skilled Nursing | Honokaa | $0 | |
| 11 | Pearl City Post Acute | Pearl City | $0 | |
| 12 | Kulana Malama | Ewa Beach | $14,069 | |
| 13 | Hale Ola Kino by Arcadia | Hon | $0 | |
| 14 | Garden Isle Healthcare and Rehabilitation Center | Lihue | $0 | |
| 15 | Oahu Care Facility | Honolulu | $8,278 | |
| 16 | Hi'olani Care Center at Kahala Nui | Honolulu | $0 | |
| 17 | Pu'uwai 'o Makaha | Waianae | $65,455 | |
| 18 | Hilo Benioff Medical Center | Hilo | $0 | |
| 19 | Arcadia Retirement Residence | Honolulu | $12,854 | |
| 20 | Aloha Nursing & Rehab Centre | Kaneohe | $36,296 |
Rankings are based on the CMS 5-Star Quality Rating System, which evaluates nursing homes on health inspections, staffing, and quality measures. Ratings range from 1 star (much below average) to 5 stars (much above average). Data is updated monthly by CMS.