Senior Care in Hawaii — Independent Report Cards

71 nursing homes, home-health agencies, hospices and assisted-living communities in Hawaii — 64 graded from public regulatory data. We take $0 from any facility we grade.

How these grades work. Every grade is computed from a fixed public rubric — safety inspections, staffing, clinical outcomes, enforcement actions and financial stability — using government data. No facility can pay to change its grade or placement. Providers with under 30% rubric coverage are shown as "Listed" with no letter grade rather than pretending thin data is comparable. Read the full methodology.

What senior care costs in Hawaii (2025 medians)

Care settingHawaii medianNational median
Assisted living, private one-bedroom$12,096/mo$6,200/mo
Nursing home, semi-private room$509/day$315/day
Nursing home, private room$539/day$355/day
In-home care, non-medical (private pay)$41/hr$35/hr

Hospice isn't priced here: the Medicare hospice benefit covers it for eligible patients, typically at no cost for the care itself. Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.

Nursing Homes (42 graded of 42)

FacilityCityGradePriceRubric coverageBeds
15 Craigside Honolulu A+ $ 75% 45
Samuel Mahelona Memorial Hospital Kapaa A 75% 66
Maluhia Honolulu A $ 75% 158
Honoka'A Hospital & Skilled Nursing Honokaa A 75% 66
Hale Makua - Wailuku Wailuku A $$$$$ 75% 90

All Hawaii nursing homes →

Home Health Agencies (11 graded of 18)

FacilityCityGradeRubric coverageBeds
Bayada Home Health Care Honolulu A- 70%
Adventist Health Home Care Services Kaneohe A- 70%
Bayada Home Health Care Wailuku B+ 70%
Bayada Home Health Care Hilo B+ 70%
Kaiser Home Health Agency - Oahu Honolulu B+ 70%

All Hawaii home health agencies →

Hospice Agencies (11 graded of 11)

FacilityCityGradeRubric coverageBeds
Kaiser Permanente Care At Home, Oahu Hospice Honolulu A 45%
Dba Hawai'I Care Choices Hilo A 90%
North Hawaii Hospice, Inc Kamuela A- 90%
Hospice Maui Wailuku A- 90%
Kauai Hospice Lihue B+ 90%

All Hawaii hospice agencies →

Open the interactive map →