These are the lowest-rated nursing homes in Hawaii based on CMS data (2026). All facilities listed have an overall rating of 1 star(s) or lower. Combined, these 20 facilities have been fined a total of $494,174. 1 have abuse flags. This ranking is based solely on official CMS data and does not represent editorial opinion.
| # | Name | City | Overall | Fines |
|---|---|---|---|---|
| 1 | Nuuanu Hale | Honolulu | $27,310 | |
| 2 | Kuakini Geriatric Care, INC | Honolulu | $83,236 | |
| 3 | Hale Nani Rehabilitation and Nursing Center | Honolulu | $27,885 | |
| 4 | Kauai Veterans Memorial Hospital | Waimea | $33,916 | |
| 5 | Hale Malamalama | Honolulu | $87,032 | |
| 6 | Liliha Healthcare Center | Honolulu | $11,170 | |
| 7 | Oahu Care Facility | Honolulu | $8,278 | |
| 8 | Palolo Chinese Home | Honolulu | $12,735 | |
| 9 | Islands Skilled Nursing & Rehabilitation | Honolulu | $89,206 | |
| 10 | Kula Hospital | Kula | $0 | |
| 11 | Avalon Care Center - Honolulu, LLC | Honolulu | $12,838 | |
| 12 | Aloha Nursing & Rehab Centre | Kaneohe | $36,296 | |
| 13 | Life Care Center of Hilo | Hilo | $0 | |
| 14 | Hale Anuenue Restorative Care | Hilo | $0 | |
| 15 | Life Care Center of Kona | Kailua Kona | $27,612 | |
| 16 | The Care Center of Honolulu | Honolulu | $8,018 | |
| 17 | Ann Pearl Nursing Facility | Kaneohe | $15,593 | |
| 18 | Yukio Okutsu State Veterans Home | Hilo | $13,049 | |
| 19 | Kauai Care Center | Waimea | $0 | |
| 20 | Hale Kupuna Heritage Home, LLC | Koloa | $0 |
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.