Honolulu Senior AdvisorWhere are Hawaii care home inspection reports posted?
The Office of Health Care Assurance posts state licensing inspection reports for ARCHs, expanded ARCHs, assisted living facilities, foster family homes, adult day care centers and other state-licensed settings on its Healthcare Facilities Inspection Reports page, as required by HRS 321-1.8, for inspections on or after January 1, 2015.
The page is a long searchable table: type the facility's name, then open the report for each year. For Medicare-certified nursing homes the state sends you to CMS Care Compare, where the federal inspection reports and star ratings live.
When we matched OHCA's index to the April 2026 roster, 412 of Oahu's 455 licensed care homes and all 14 assisted living facilities had at least one posted report from 2023 to 2026.What does Hawaii law require an inspection report to include?
HRS 321-1.8 requires each posted report to include the date of the inspection, a description of any violations of state law or rules, the facility's plan of correction and the status of corrective actions, any corrective actions the facility later submits, and other information the department considers appropriate.
Resident-identifying details are redacted. Some facilities are licensed for two years, and the years when an inspection was not required are labelled “Not Required” on the index rather than left blank.
How should a family read a statement of deficiencies?
Read each cited rule, the inspector's finding underneath it and the facility's plan of correction beside it, and judge the pattern rather than the count: a medication error repeated across two years matters more than five paperwork citations fixed on the spot.
- Look up the rule number cited (for example HAR 11-100.1 for care homes) to see what the requirement actually is.
- Check whether the same rule appears again in the next year's report.
- Note whether the finding involved a resident's care (medications, falls, care plans) or the building and paperwork.
- Read the plan of correction: a specific fix with a date is better than a general promise.
- Many reports are scanned images; some file names say “no deficiencies”, but open the file to be sure.
Why might a care home have no report for a year?
A care home may show no report for a year because its license ran for two years and no inspection was required, because the home was newly licensed or closed, or because the report has not yet been posted; the index labels these years Not Required, Initial or Closed where it can.
Our care home roster shows the most recent report we could match to each license by name. Where we could not match a license, ask the home for its last report; the rules require facilities to keep inspection summaries on file and show them on request.
At a glance
| An OHCA report tells you | An OHCA report does not tell you | |
|---|---|---|
| Dates | When inspectors visited and what kind of visit it was | What happened between visits |
| Findings | Which rules were cited and the plan of correction | A star rating or a score |
| Coverage | State-licensed ARCH, E-ARCH, ALF, CCFFH and ADCC settings | Medicare nursing home surveys (those are on Care Compare) |
| Privacy | Facility-level facts with resident details redacted | Who the residents are |
Sources include Hawaii Administrative Rules chapters 11-100.1, 11-90 and 11-800, HRS 321-481 and 321-1.8, Office of Health Care Assurance rosters and pages, the 2026 HHS poverty guidelines, CMS, CareScout and VA rate tables as cited above; see our editorial standards.
