These are the lowest-rated nursing homes in Hawaii based on CMS data (2026). The lowest CMS rating in this list is 1 star(s). Combined, these 20 facilities have been fined a total of $662,075. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Kuakini Geriatric Care, INC | Honolulu | $83,236 | |
| 2 | Legacy Hilo Rehabilitation & Nursing Center | Hilo | $16,350 | |
| 3 | Islands Skilled Nursing & Rehabilitation | Honolulu | $89,206 | |
| 4 | Kauai Veterans Memorial Hospital | Waimea | $34,588 | |
| 5 | Hale Malamalama | Honolulu | $87,032 | |
| 6 | The Care Center of Honolulu | Honolulu | $8,018 | |
| 7 | Nuuanu Hale | Honolulu | $27,310 | |
| 8 | Ann Pearl Nursing Facility | Kaneohe | $23,520 | |
| 9 | Palolo Chinese Home | Honolulu | $0 | |
| 10 | Kalakaua Gardens | Honolulu | $55,692 | |
| 11 | Hale Makua - Kahului | Kahului | $170,249 | |
| 12 | Life Care Center of Hilo | Hilo | $13,065 | |
| 13 | Liliha Healthcare Center | Honolulu | $0 | |
| 14 | Ka Punawai Ola | Kapolei | $13,343 | |
| 15 | Life Care Center of Kona | Kailua Kona | $27,612 | |
| 16 | Kauai Care Center | Waimea | $0 | |
| 17 | Kula Hospital | Kula | $0 | |
| 18 | Hale Anuenue Restorative Care | Hilo | $0 | |
| 19 | Hilo Benioff Medical Center | Hilo | $0 | |
| 20 | Arcadia Retirement Residence | Honolulu | $12,854 |
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.