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Hawaii

Nursing Home Staffing Profile — 2025Q3

41 facilities3,400 residents4.71 avg HPRD
vs National Average
+0.82 HPRD
National avg: 3.90 · Hawaii: 4.71
📋
Hawaii ranks among the higher-performing states for nursing home staffing, with an average of 4.71 HPRD — 0.82 hours above the national average. Only 90.2% of facilities meet the CMS staffing benchmark of 3.48 HPRD, compared to 65.8% nationally. RN staffing averages 1.63 HPRD, with 95.1% of facilities meeting the 0.75 research recommendation.
4.71
Average Total HPRD
All nursing staff combined
▲ 0.82 vs national
1.63
Average RN HPRD
Recommended: 0.75
▲ 0.95 vs national
90.2%
Meet CMS Benchmark
37 of 41 facilities
15.0%
Avg Weekend Drop-off
Staffing reduction on Sat/Sun
9.1%
Avg Agency Staff
Contractor/temp worker hours
—
Had Zero-RN Days
Data unavailable
4.58
Median HPRD
50th percentile (less skewed by outliers)
1
F-Rated Facilities
Under 2.5 HPRD — critically understaffed

Grade Distribution

How Hawaii's 41 facilities grade out

HPRD Distribution

Where facilities fall across the staffing spectrum

Staffing by Ownership Type

For-profit facilities consistently staff lower than non-profit and government-run homes

F
For-Profit
4.72
avg HPRD
25 facilities (61%)
N
Non-Profit
4.74
avg HPRD
9 facilities (22%)
G
Government
4.64
avg HPRD
7 facilities (17%)
💡 Non-profit facilities in Hawaii average 0.02 more HPRD than for-profit ones — about 0% higher staffing.

▲ Best Staffed in Hawaii

Top 5 by total nurse HPRD

1
A+
Kulana Malama
EWA BEACH
11.11 HPRD
RN: 5.71
2
A+
Islands Skilled Nursing & Rehabilitation
Honolulu
6.45 HPRD
RN: 3.00
3
A+
SAMUEL MAHELONA MEMORIAL HOSPITAL
KAPAA
6.08 HPRD
RN: 2.24
4
A+
THE CHING VILLAS
HONOLULU
6.04 HPRD
RN: 2.50
5
A+
HILO BENIOFF MEDICAL CENTER
HILO
6.01 HPRD
RN: 1.48

▼ Most Understaffed in Hawaii

Bottom 5 by total nurse HPRD

41
F
KAUAI VETERANS MEMORIAL HOSPITAL
WAIMEA
1.57 HPRD
RN: 0.56
40
C
HALE KUPUNA HERITAGE HOME, LLC
KOLOA
3.40 HPRD
RN: 1.35
39
C
KUAKINI GERIATRIC CARE, INC
HONOLULU
3.44 HPRD
RN: 1.33
38
C
NUUANU HALE
HONOLULU
3.47 HPRD
RN: 1.22
37
B
LEGACY HILO REHABILITATION & NURSING CENTER
HILO
3.61 HPRD
RN: 0.96
⚖️

Compare Two Facilities Side by Side

Pick any two Hawaii nursing homes and see how they stack up across every metric

Open Comparison Tool →

County Breakdown

Staffing metrics by county in Hawaii — click a county to see individual facilities

Avg HPRD— total nurse hours per resident per day:≥ 3.48 meets federal benchmark,3.0–3.47 below benchmark,< 3.0 critically low
Meet Benchmark— share of facilities in the county at or above the 3.48 HPRD federal minimum:≥ 50%35–49%< 35%
CountyFacilities ↓Avg HPRD RN HPRDMeet Benchmark Grades
▸Honolulu264.941.8492.3%Mostly A
▸Hawaii74.411.14100.0%Mostly B
▸Kauai53.791.2760.0%Mixed B/A+
▸Maui34.981.57100.0%Mostly A

HPRD Range in Hawaii

The spread between best and worst staffed facilities

4.09
25th pctile
4.58
Median
4.99
75th pctile

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.