Hawaii is an excellent location for nursing homes, with many options available for seniors looking for care. The cost of nursing homes in Hawaii is higher than the national average, but the state also has a higher than average median income, which may help offset the costs.
Honolulu, Hilo, and Kailua are the three most popular cities in Hawaii. Each of these cities has a variety of nursing home options available to seniors and their families. Some of the top nursing home facilities in Hawaii include the Avalon Care Center, The Plaza at Waikiki, and Hale Makua.
When choosing a nursing home in Hawaii, it is important to consider the unique needs of the senior in question and the specific services and amenities offered by each facility. It is also important to tour the facility and meet with staff to ensure that it is the right fit for both the senior and their family.
575 Farrington Hwy, Hawaii 96707
Ka Punawai Ola is a skilled nursing and rehabilitation center in Kapolei, run by Life Care Centers of America. They focus on both short-term rehab after surgery or illness, and long-term care for folks who need daily nursing support. Their in-house team—including registered nurses, physical, occupational, and speech therapists—works together to create care plans that actually fit each resident’s needs and goals.
45-545 Kamehameha Hwy, Hawaii 96744
Aloha Nursing and Rehab Center is a larger facility in Kaneohe, offering a mix of nursing home, memory care, and assisted living options. They have about 140 beds, so it's not a small, homey place, but some families appreciate the range of services under one roof. Residents can get help with daily needs, plus access to in-house physical, occupational, and speech therapy. There’s also dental care available, which isn’t always standard elsewhere. Staff reviews and family feedback are mixed.
45-90 Namoku St, Hawaii 96744
The Harry and Jeanette Weinberg Care Center at Pohai Nani offers skilled nursing care, which is a key part of its services. This facility is part of a larger community that provides a range of living options for seniors, including nursing home care. The staff includes trained caregivers and specialized therapy staff, offering services like 24-hour nursing supervision, medication management, physical therapy, occupational therapy, and speech therapy.
45-090 Namoku St, Hawaii 96744
Good Samaritan Society – Pohai Nani is a well-established senior living community on a spacious 16-acre campus in Kaneohe. They offer a full range of care options, including independent living, assisted living, memory care, skilled nursing, and rehabilitation. Residents can choose from studios to two-bedroom apartments, and the campus includes amenities like a heated pool, art studio, walking paths, and a fitness center.
1723 Kalākaua Ave, Hawaii 96826
Kalākaua Gardens stands out for offering nearly every level of senior care under one roof, which makes transitions easier as needs change. Residents can start with independent living and move to assisted living, skilled nursing, or memory care without having to leave the building. The community is known for its 'ohana style' living spaces—designed to encourage socializing and prevent isolation, with shared lounges and activity areas that feel more like a family home than an institution.
1190 Waianuenue Ave, Hawaii 96720
Ka Hale O Na Lima Aloha isn’t the flashiest place in Hilo, but it’s one of the few that covers almost every level of senior care under one roof—assisted living, independent living, skilled nursing, and memory care. That means residents can stay put even as their needs change, which is a relief for families who don’t want to keep moving their loved one around. The facility’s been around since 2001 and employs a large team—over 100 staff, which is more than most in the area.
15 Craigside Pl, Hawaii 96817
15 Craigside isn’t just another senior residence—it’s a place where residents get real choices and support that adapts as their needs change. The building itself is modern, with big windows and open floor plans, and most apartments come with kitchens or kitchenettes. What stands out is the way they blend independent living, assisted living, and memory care under one roof. That means someone can move in while still active and stay even if their health needs increase.
1205 Alexander St, Hawaii 96826
Islands Skilled Nursing & Rehabilitation stands out in East Honolulu for its focus on both medical and emotional care. They’re especially known for handling complex respiratory and post-acute needs—basically, if your parent needs hospital-level attention but doesn’t need to stay in a hospital, this place is equipped to handle it. Their team includes registered nurses, respiratory therapists, physical and speech therapists, and even a nutritionist.
1808 S Beretania St., Hawaii 96826
Oahu Care Facility has been part of Honolulu’s senior care scene for close to thirty years, and you can feel that local experience in how they do things. Families who’ve toured often mention the welcoming vibe—staff encourage in-person visits, and they’re upfront about what day-to-day life looks like.
2035 Kamehameha Ave #2102, Hawaii 96822
Manoa Cottage feels more like a family home than a facility, and that's not just a slogan—it's baked into how they do things. With only eight residents per cottage, everyone gets to know each other, and the staff really notice the little things. The team includes an on-site nurse manager who coordinates with doctors, therapists, and dietitians, so care plans actually get updated as residents' needs change.
5113 Maunalani Cir, Hawaii 96816
Maunalani Nursing & Rehab Center isn’t just another care facility in East Honolulu—it’s a place many local families know by name. The first thing that stands out is their strong community roots; they’ve been serving Honolulu’s elders for decades, and that history shows in the way they run things. The center is non-profit, which means their focus is on care, not shareholders.
1930 Kamehameha IV Rd, Hawaii 96819
Avalon Care Center stands out because it offers a mix of skilled nursing, assisted living, memory care, and even some independent living options all in one place. That means families don’t have to move their loved one if their needs change. They have 108 certified beds, and they’re Medicare and Medicaid certified, which can make a big difference for families budgeting long-term care.
944 W Kawailani St, Hawaii 96720
Life Care Center of Hilo is a large, well-established nursing and rehab facility on the east side of Hilo. They’re known locally for serving a wide range of needs – from short-term rehab after surgery or illness, to long-term skilled nursing, and specialized memory care for folks with Alzheimer’s or other types of dementia. What stands out is that they have both inpatient and outpatient rehab, so some people come just for therapy and don’t stay overnight.
1814 Liliha St, Hawaii 96817
Liliha Healthcare Center is a skilled nursing facility that mainly helps older adults who need ongoing medical care or rehab after a hospital stay. They offer 24-hour nursing, help with daily activities like bathing and eating, and physical therapy for folks recovering from illness or surgery. The staff includes registered nurses and certified nursing assistants, but I couldn't find much about specific team members or leadership—no standout names or backgrounds came up in my search.
1027 Hala Dr, Hawaii 96817
Maluhia stands out in East Honolulu for its blend of long-term nursing care, short-term rehab, and a robust adult day health program—all under one roof. Families often mention that Maluhia feels less like an institution and more like an extended family, thanks to the staff’s local roots and genuine aloha spirit. The team includes registered nurses, in-house occupational and physical therapists, dietitians, and social workers who collaborate to build a care plan that fits each resident’s needs.
748 Olokele Ave, Hawaii 96816
Manoa Cottage Kaimuki is a family-run skilled nursing facility that really focuses on dementia and Alzheimer’s care. It’s not a big, impersonal institution—there are only about 27 residents, so the staff can actually get to know each person. The founder, Sandra Shim, started the original Manoa Cottage back in the 90s after caring for her own family, and her family still runs the place. You’ll see a lot of hands-on involvement and continuity, which is rare.
1677 Pensacola St, Hawaii 96822
Hale Nani Rehab & Nursing Center is a large facility that handles both short-term rehab and long-term nursing care for older adults. They have about 288 beds, and on average, most of them are full. The staff includes nurses, physical therapists, and occupational therapists, but reviews are pretty mixed. Some families have had good experiences, saying their loved one got attentive rehab and the place was clean.
1900 Bachelot St, Hawaii 96817
The Care Center of Honolulu is a skilled nursing and rehab facility that stands out for its focus on respiratory care and post-hospital rehabilitation. They provide both short-term and long-term stays, with services like wound care, dialysis, and 24-hour nursing. Residents get access to occupational, physical, and speech therapy, along with ventilator support if needed.
1027 Hala Dr, Hawaii 96817
Maluhia stands out in Honolulu for its blend of long-term care, short-term rehab, and adult day health programs all under one roof. They’re not just a nursing home—they also offer memory care for folks with dementia or Alzheimer’s, plus respite stays if families need a break. The care team includes registered nurses, occupational and physical therapists, nutritionists, and social workers, all working together with your doctor to create a care plan that fits each person’s needs.
5113 Maunalani Cir, Hawaii 96816
Maunalani Nursing & Rehab Center stands out for its hands-on approach to both short-term rehab and long-term nursing care. They have 100 certified beds and offer a mix of skilled nursing, memory care, and even some assisted and independent living options. Families often mention the staff by name—Chona and Robin come up in reviews as especially supportive during tough transitions.
5113 Maunalani Cir, Hawaii 96816
Maunalani Nursing & Rehab Center has been part of Honolulu’s elder care scene for nearly 75 years, which says a lot in a city where word-of-mouth travels fast. Families who’ve had loved ones here mention the place feels more like an old-school community than a big institution. The staff includes registered nurses, certified nursing assistants, and therapists who handle everything from wound care to occupational therapy.
1900 Bachelot St, Hawaii 96817
The Care Center at 1900 Bachelot Street is known locally for its strong focus on skilled nursing and respiratory care, which sets it apart from other facilities in Honolulu. Families who have a loved one needing ventilator support often end up here, since The Care Center runs the largest respiratory unit in the state. You’ll find a diverse, experienced team on site: from Lehua Garcia, an RN and Director of Nursing, to specialists like Rachel Petersen who leads respiratory therapy.
1677 Pensacola St, Hawaii 96822
Hale Nani Rehab & Nursing Center is one of the biggest nursing facilities in Honolulu, with nearly 300 beds and a long history in the Makiki neighborhood. Folks here get everything from short-term rehab after a hospital stay to long-term nursing care, plus some memory care options for elders with dementia. The place is certified for both Medicare and Medicaid, which makes it accessible for many local families.
4389 Malia St, Hawaii 96821
Kahala Nui is one of those places that people talk about when they want something more than just a place to live – it’s almost like a tight-knit neighborhood where folks look out for each other. They offer independent living, assisted living, memory care, and skilled nursing, so your parent could stay in one community even if their needs change.
1723 Kalākaua Ave, Hawaii 96826
Kalākaua Gardens is one of those rare places in Honolulu where everything a senior might need is under one roof. If you’ve ever worried about having to move your loved one as their needs change, this community’s setup is a big relief. They offer independent living, assisted living, memory care, and skilled nursing – so residents can stay put even if their health needs shift.
1027 Hala Dr, Hawaii 96817
Maluhia stands out in Honolulu for its blend of medical expertise and a genuinely local approach to elder care. It’s not just a nursing home—you’ll find long-term care, short-term rehab, and a well-regarded adult day health program all in one place. What’s unique is how Maluhia adapts to the needs of kūpuna with memory loss, offering specialized programming and therapies like music and even pet therapy.
1314 Kalākaua Ave, Hawaii 96826
One Kalakaua Senior Living is a high-rise community where most residents actually own their condos, which is pretty unique for senior living in Honolulu. The building feels more like a local apartment than a typical care home, and it's right in the middle of town, so folks can stay close to family and their favorite spots. Residents can live independently, but if they need a hand with daily tasks—like medication, bathing, or getting around—they can pay for those services as needed.
1900 Bachelot St, Hawaii 96817
The Care Center of Honolulu is a busy, hands-on facility that handles everything from long-term nursing care to short-term rehab and memory support. Most folks here are on Medicaid, and the building itself is older—though they’ve made some recent upgrades like new AC and spruced-up hallways. What stands out is the staff: you’ll find RNs, CNAs, respiratory therapists, doctors, social workers, and activity coordinators on-site.
15 Craigside Pl, Hawaii 96817
15 Craigside is a senior living community in Honolulu that offers a full range of care, from independent apartments to skilled nursing and memory support. The community is operated by the Arcadia Family of Companies, a local nonprofit with a long history in elder care. Residents can move in independently and, if their health needs change, transition to assisted living, memory care, or nursing care without leaving the property.
1434 Punahou St, Hawaii 96822
Arcadia Retirement Residence has a long-standing reputation in Honolulu for being more than just a place to live—it's a real community where people seem to stay active and connected. Residents talk about the variety of activities, from music performances to yoga classes, and even computer lessons. Meals are flexible: you can eat in your room or join others downstairs, and the menu offers choices instead of a fixed plan.
1930 Kamehameha IV Rd, Hawaii 96819
Avalon Care Center at 1930 Kamehameha IV Rd is a skilled nursing and rehab facility that also provides memory care and assisted living. They have about 108 beds, and families use them for both short-term rehab after hospital stays and longer-term nursing care. The team includes registered nurses, LPNs, certified nurse aides, and in-house occupational therapists.
1930 Kamehameha IV Rd, Hawaii 96819
Avalon Care Center on Kamehameha IV Road is a well-known spot for families looking for nursing care, rehab, or memory support in Honolulu. The facility has 108 certified beds and is Medicare and Medicaid approved, which helps with affordability for many local families. Avalon isn’t just a traditional nursing home—they also offer assisted living, memory care for folks with Alzheimer’s or other dementias, and even short-term rehab for people recovering from surgery or illness.
2670 Pacific Heights Rd, Hawaii 96813
Hale Ho Aloha feels less like an institution and more like a close-knit community, thanks to a core team that’s been together for years. You’ll notice right away that many of the nurses and aides have decades of experience, and some have been with the facility since it opened. The staff includes registered nurses, licensed practical nurses, and certified nurse assistants, so there’s always someone qualified to handle complex care needs.
1677 Pensacola St, Hawaii 96822
Hale Nani Rehab & Nursing Center is one of the larger skilled nursing facilities in Honolulu, with nearly 300 certified beds and a steady census of over 250 residents most days. The center focuses on short-term rehab after surgery or illness, as well as long-term nursing care. Families often mention the physical and occupational therapy teams, who work with residents daily to help them regain strength and mobility.
1205 Alexander St, Hawaii 96826
Islands Skilled Nursing & Rehabilitation stands out in Honolulu for its strong focus on hospital-level care, especially for people who need more than the basics. They’re known for their advanced respiratory and post-acute medical services—this is not something you find at every nursing home. If your loved one has complex medical needs, like ventilator support or needs close monitoring after a hospital stay, this place is equipped for it.
1205 Alexander St, Hawaii 96826
Islands Skilled Nursing & Rehabilitation isn’t the biggest place in Honolulu, but that’s actually part of its appeal. Families say it feels more personal here, and you get to know the staff by name. They’re known for helping folks who need a lot of medical attention, especially people recovering from surgery or illness, and they have a strong reputation for short-term rehab.
1814 Liliha St, Hawaii 96817
Liliha Healthcare Center has been part of Honolulu’s elder care landscape since 1991, tucked just off Liliha Street. It’s a locally owned spot, not part of a big chain, and it’s licensed by the state Department of Health. They’re certified for both Medicare and Medicaid, which is a relief for families navigating payment options. The center focuses on both short-term rehab and long-term stays, so you’ll find folks recovering after a hospital visit alongside residents who call it home.
501 Kekauluohi St, Hawaii 96825
Lunalilo Home feels more like a family gathering than a facility. They’re known for weaving Hawaiian values—like aloha and laulima—into daily life, so residents don’t just get care, they get community. The staff includes long-timers who know the residents by name and story, and you’ll often see them sharing a laugh or helping with a craft. They offer 24-hour supervision, help with personal care, medication management, and even transportation to appointments.
748 Olokele Ave, Hawaii 96816
Manoa Cottage Kaimuki is a locally owned care home that feels more like a family-run house than a big facility. They specialize in caring for seniors who need anything from light help with daily routines to full nursing support. The staff includes a full-time nurse manager who coordinates with doctors, therapists, and dietitians, so residents get care that's actually tailored to their needs.
748 Olokele Ave, Hawaii 96816
Manoa Cottage Kaimuki isn’t your typical large-scale nursing home. It’s a family-run spot, started by Sandra Shim back in the ‘90s when she turned her own house into a care home. Over the years, it’s grown, but it still feels personal. The Kaimuki location, opened in 2012, is set up for folks who need more advanced help—think skilled nursing, especially for people with dementia or Alzheimer’s.
1280 Moanalualani Pl, Hawaii 96819
The Plaza at Moanalua stands out for how it organizes care by floor—each level is set up for a different type of support, so as your parent's needs change, their living situation adapts too. Some families like this because it means care gets more specialized, but others mention it can be tough if a loved one has to move floors as their needs increase. The building itself feels more like a modern condo than a typical care home, with lots of natural light, high ceilings, and big windows.
2670 Pacific Heights Rd, Hawaii 96813
Hale Ho Aloha has been caring for Honolulu’s seniors since 1968, so they’re not new to this. They focus on nursing home-level care, but the place doesn’t feel cold or clinical. The staff includes doctors, registered nurses, a licensed social worker, a certified dietary manager, and an activities director. They meet often to talk about each resident’s needs, which means your parent won’t get lost in the shuffle.
1808 S Beretania St., Hawaii 96826
Oahu Care Facility has been around for almost 30 years, which says a lot about how much local families rely on them. They offer both assisted living and full nursing care, so it's an option whether your parent just needs a little help or more hands-on support. One thing that stands out is their flexibility—short-term stays are available if your loved one is recovering from a hospital visit, but they also handle long-term care for folks who need ongoing nursing.
1808 S Beretania St., Hawaii 96826
Oahu Care Facility is the kind of place you look at when your parent needs more help than you can give at home, especially after a hospital stay or if they need ongoing medical care. The staff includes registered nurses, certified nursing assistants, and therapists who are around 24/7, so there’s always someone to help with things like medication, wound care, or just getting around safely.
Kaumana Springs Wilderness, Hawaii 96720
Hale Anuenue Restorative Care Center is one of those places that’s known around Hilo for helping folks bounce back after surgery, illness, or a hospital stay. They’re not just a nursing home—they do a lot of short-term rehab, especially for people who need physical, occupational, or speech therapy before heading home. Their staff includes on-site doctors, nurses, and therapists, so you’re not waiting days to see someone if you need help.
2670 Pacific Heights Rd, Hawaii 96813
Hale Ho Aloha has been part of Honolulu’s elder care landscape for over 50 years, quietly tucked up in Pacific Heights. Locals know it for its plantation-style building and those wide views over Punchbowl and Diamond Head. It’s not a massive, institutional-feeling place—there are just 59 beds, which means staff actually get to know residents and their families. The care team is a mix of doctors, licensed nurses, a social worker, dietary manager, activities director, and therapists.
563 Kaumana Dr, Hawaii 96720
Legacy Hilo Rehabilitation & Nursing Center is a 100-bed skilled nursing and rehab facility that mainly serves folks who need extra support after a hospital stay or for longer-term care. They work with people recovering from surgery, illness, or injury, and also provide long-term nursing care for those who need it. Their therapy team offers physical, occupational, and speech therapy right on-site.
