Nursing Homes in Hawaii

Searching for nursing home care in Hawaii—whether on Oahu, Maui, the Big Island, or Kauai—comes with unique challenges. Island geography, limited facilities, and high costs make this transition especially difficult. You might be feeling guilty, worried about limited options, or overwhelmed by the logistics. Please be compassionate with yourself. Seeking professional nursing care when your loved one needs 24/7 medical support is responsible and loving.

Hawaii has approximately 50 skilled nursing facilities, primarily concentrated on Oahu. These facilities are regulated by the Office of Health Care Assurance. Many families on neighbor islands face the heartbreaking reality of moving loved ones to Oahu for care. Hawaii nursing homes serve diverse populations, including Native Hawaiian, Japanese, Filipino, and other Asian and Pacific Islander communities.

Costs in Hawaii are among the highest in the nation, often 40-60% above the national average. Hawaii's Medicaid program (called Med-QUEST) covers nursing home care for eligible individuals, and most facilities accept Med-QUEST. Hawaii's ombudsman program provides advocacy across the islands.