Staff turnover at Hawaii nursing homes
In a typical Hawaii nursing home, 32% of nursing staff left within a year. Turnover matters because residents do best with caregivers who know them.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings. Homes averaging under 20 residents a day, such as short-stay hospital units, are left out because their numbers swing widely.
Highest nursing staff turnover in Hawaii
High turnover can mean less familiarity with each resident. Ask how long the aides on your floor have worked there.
| Nursing home | City | Nursing staff who left | Registered nurses who left | Administrators who left |
|---|---|---|---|---|
| Kalakaua gardens | Honolulu | 100% | 100% | n/a |
| Maunalani nursIng and rehabilitation center | Honolulu | 97% | 94% | n/a |
| Legacy hilo rehabilitation & nursIng center | Hilo | 62% | 46% | 0 |
| Yukio okutsU sTate veterans home | Hilo | 60% | 54% | n/a |
| Kula hosPital | Kula | 54% | 31% | 0 |
| Hale malamalama | Honolulu | 51% | 30% | 0 |
| Palolo chinesE home | Honolulu | 49% | 55% | 0 |
| Oahu care facility | Honolulu | 48% | 50% | 0 |
| Ann pearl nursIng facility | Kaneohe | 46% | 24% | 0 |
| Kauai care center | Waimea | 46% | 17% | 0 |
| Kulana malama | Ewa beach | 41% | 37% | 0 |
| Avalon care center - honolulu, llc | Honolulu | 40% | 43% | 0 |
| IsLands sKilled nursIng & rehabilitation | Honolulu | 40% | 45% | 0 |
| The care center of honolulu | Honolulu | 39% | 42% | 0 |
| Aloha nursIng & rehab centre | Kaneohe | 39% | 27% | 0 |
Lowest nursing staff turnover in Hawaii
Stable teams are a good sign, best confirmed on a visit.
| Nursing home | City | Nursing staff who left | Registered nurses who left | Administrators who left |
|---|---|---|---|---|
| Samuel mahelona memorial hosPital | Kapaa | 8% | 10% | n/a |
| Kauai veterans memorial hosPital | Waimea | 10% | 13% | n/a |
| 15 craigsIde | Honolulu | 13% | 6% | 0 |
| Hale ola kino by arcadia | Hon | 13% | 10% | 0 |
| Hale anuenue resTorative care | Hilo | 16% | 20% | 0 |
| Leahi hosPital | Honolulu | 18% | 15% | 0 |
| Nuuanu hale | Honolulu | 21% | 24% | 0 |
| Hale makua - wailuku | Wailuku | 24% | 25% | 0 |
| Honoka'a hosPital & sKilled nursIng | Honokaa | 24% | 32% | n/a |
| Arcadia retirement resIdence | Honolulu | 25% | 18% | 0 |
Source: CMS Nursing Home Provider Information (total nursing staff turnover, from Payroll-Based Journal data). A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.