About Hi’Olani Care Center At Kahala NuiHi’Olani Care Center At Kahala Nui is located at 4389 Malia Street, Honolulu, HI, reachable at (808) 218-7052. This Non profit – Corporation facility operates 20.0 certified beds and serves an average of 17 residents per day. Medicare and Medicaid services have been provided since 2005-11-21. Notably, Hi’Olani Care Center At Kahala Nui has maintained a perfect 5-star overall rating for all five years from 2022 to 2026, placing it among the top-performing facilities in HI.
Hi’Olani Care Center At Kahala Nui offers a mid-range care option in Honolulu, HI. It scores well for both long-term residents and short-stay rehabilitation patients. Above-average staffing levels make it a good option for residents needing intensive nursing care.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★5 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★5 / 5
Quality Measures (QM)
★★★★★5 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
★★★★★5 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightHi’Olani Care Center At Kahala Nui currently provides 5 hours 45 minutes of total nurse staffing per resident per day, including 1 hour 55 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 5 out of 5 reflects strong nurse coverage. RN hours per resident have declined from 158 min/day (2022) to 115 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is 22.9%, near the national average.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing5 hours 45 minutes
Nurse Aide Hours3 hours 33 minutes
Licensed Practical Nurse (LPN) Hours17 minutes
Registered Nurse (RN) Hours1 hour 55 minutes
Physical Therapist Hours34 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryThe facility has received 1 fine(s) over the 5-year period, totaling $8,875. No substantiated complaints have been recorded in the available data.
Nationally, Hi’Olani Care Center At Kahala Nui ranks 123rd out of 14,703 facilities (composite score: 96.4/100), placing it in the top 5% nationwide. Within HI, it ranks 4th out of 42 nursing homes. In Honolulu, it ranks 1st out of 18 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #492 nationally and RN hours rank #257 nationally (#9 in HI).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
HI State Rank
Note
2022
7.96
#87 / 14,703
#3 / 42
Top 5%
2023
6.56
#216 / 14,703
#3 / 42
Top 5%
2024
6.17
#310 / 14,703
#4 / 42
Top 5%
2025
5.37
#751 / 14,703
#8 / 42
Top 10%
2026
5.75
#492 / 14,703
#7 / 42
Top 5%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
HI State Rank
Note
2022
2.63
#127 / 14,703
#5 / 42
Top 5%
2023
2.21
#163 / 14,703
#5 / 42
Top 5%
2024
2.18
#186 / 14,703
#5 / 42
Top 5%
2025
1.86
#276 / 14,703
#10 / 42
Top 5%
2026
1.91
#257 / 14,703
#9 / 42
Top 5%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Hi’Olani Care Center At Kahala Nui is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2005-11-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (808) 218-7052 or your local Medicaid office to verify current eligibility.
Hi’Olani Care Center At Kahala Nui holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 5 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (5★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 96.4/100, placing it #123 of 14703 facilities nationally and #4 of 42 in Hawaii. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Hi’Olani Care Center At Kahala Nui receives a reported average of 5 hours 45 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 55 minutes; Licensed Practical Nurse (LPN) — 17 minutes; Nurse Aide — 3 hours 33 minutes. On weekends, total nurse staffing is 5 hours 19 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 22.9%. Families are encouraged to ask about current staffing schedules during their facility visit.
The facility has received 1 fine(s) over the 5-year period, totaling $8,875. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 48.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Hi’Olani Care Center At Kahala Nui ranks 123rd out of 14,703 facilities (composite score: 96.4/100), placing it in the top 5% nationwide. Within HI, it ranks 4th out of 42 nursing homes. In Honolulu, it ranks 1st out of 18 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #492 nationally and RN hours rank #257 nationally (#9 in HI). Our composite quality score of 96.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Honolulu, visit: https://nursinghomesnearme.org/hawaii/honolulu/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.