Honolulu Senior AdvisorHi'olani Care Center at Kahala Nui is a 20-bed Medicare- and Medicaid-certified nursing home at 4389 Malia Street in Honolulu, Oahu (CMS certification number 125055). CMS gives Hi'olani Care Center at Kahala Nui an overall rating of 5 out of 5 stars, based on CMS Care Compare data as of October 1, 2026.
How does CMS rate Hi'olani Care Center at Kahala Nui in Honolulu, HI?
CMS gives Hi'olani Care Center at Kahala Nui an overall rating of 5 out of 5 stars; its health inspection rating is 3, staffing 5 and quality measures 5, each out of 5.
| Measure | Value |
|---|---|
| Overall rating (CMS) | 5 of 5 |
| Health inspection rating (CMS) | 3 of 5 |
| Staffing rating (CMS) | 5 of 5 |
| Quality measures rating (CMS) | 5 of 5 |
| Certified beds / average residents per day | 20 / 14.5 |
| Ownership type (CMS) | Non profit - Corporation |
| Operator chain (CMS) | Not part of a listed chain |
| First certified for Medicare/Medicaid | November 21, 2005 |
| Located inside a hospital (CMS) | No |
On an average day it cares for about 14 residents, roughly 72% of its certified beds (below the 88% median across Oahu's certified nursing homes).
How did Hi'olani Care Center at Kahala Nui do on its latest inspections?
Inspectors from Hawaii's Office of Health Care Assurance, acting for CMS, last completed a standard health survey at Hi'olani Care Center at Kahala Nui on June 27, 2024; CMS counts 8 health deficiencies in that cycle, 8 from the survey itself and 0 from complaint visits.
The prior rating cycle, with its standard survey on August 10, 2023, recorded 13 deficiencies. Infection-control inspections produced 0 citations. Across Oahu's certified nursing homes the median latest-cycle count is 9, so Hi'olani Care Center at Kahala Nui sits at or below the local middle.
CMS reports no fines and 0 payment denials in its three-year penalty window.
How many nursing hours do residents get at Hi'olani Care Center at Kahala Nui?
CMS's staffing data credits Hi'olani Care Center at Kahala Nui with 6.77 nurse hours per resident day, higher than the Oahu median of 4.65; RN time is 2.32 hours per resident day, higher than the Oahu median of 1.69.
Weekend total nurse staffing runs 6.19 hours per resident per day. Total nursing-staff turnover is 23.1% (lower than the Oahu median of 32.8%), and registered-nurse turnover is 42.9%.
Which nursing homes are closest to Hi'olani Care Center at Kahala Nui?
With 20 certified beds it is smaller than the Oahu median of 96 beds; the closest other certified nursing home is Maunalani Nursing and Rehabilitation Center in Honolulu, about 1.4 miles away in a straight line, rated 5 of 5 by CMS.
| Facility | Miles away | Certified beds | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Maunalani Nursing and Rehabilitation Center 5113 Maunalani Circle, 96816 | 1.4 | 100 | 5 of 5 | August 29, 2024 | 5 |
| Leahi Hospital 3675 Kilauea Avenue, 96816 | 1.4 | 155 | 5 of 5 | July 25, 2025 | 6 |
| Palolo Chinese Home 2459 10th Avenue, 96816 | 1.7 | 113 | 2 of 5 | May 1, 2025 | 19 |
| Hale Ola Kino by Arcadia 1314 Kalakaua Ave Second Floor, 96826 | 3.4 | 32 | 5 of 5 | June 26, 2026 | 1 |
| Oahu Care Facility 1808 South Beretania Street, 96826 | 3.4 | 82 | 4 of 5 | November 18, 2025 | 9 |
What is around Hi'olani Care Center at Kahala Nui in Honolulu?
Hi'olani Care Center at Kahala Nui sits in the Kaimuki, Palolo, Kahala & Aina Haina part of Honolulu; the nearest hospital in CMS's hospital list is The Queen's Medical Center, about 4.9 miles away by straight line.
The next closest is Straub Clinic and Hospital at about 4.9 miles; distances use CMS coordinates and ZIP centroids, not drive times.
The same street address also holds Hi'olani Assisted Living Center at Kahala Nui (state-licensed assisted living, license 10-ALF). CMS marks it as part of a continuing care retirement community.
Within about 2.5 miles there are 12 licensed expanded adult residential care homes, the Hawaii setting where a resident at nursing-facility level of care can live in a small home with a registered nurse case manager. For long-term care that is often the alternative families weigh against a nursing home bed.
What questions does Hi'olani Care Center at Kahala Nui's record raise?
Start with the questions its own CMS record raises: ask how Hi'olani Care Center at Kahala Nui kept its latest inspection at 8 deficiencies, and request the full statement of deficiencies anyway.
- Turnover of 23.1% is at or below the Oahu median; ask who the long-tenured charge nurses are on nights.
- At about 72% occupancy, ask which units have openings and why.
- CMS records a none council here; ask when it meets and whether families can attend.
- If Med-QUEST will pay eventually, confirm Hi'olani Care Center at Kahala Nui accepts QUEST Integration members for long-term stays and which health plans it contracts with.
