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HEALTH RESOURCES - Long-Term Care Facilities
Total Long-Term Care Beds: SHPDA reported 3,940 staffed long-term care beds in Hawai'i in 2006. Of this total, 5 percent were classified as skilled nursing beds,1 8 percent were intermediate care beds,2 87 percent were skilled nursing/intermediate care beds,3 and one percent were acute/skilled nursing swing beds.4 The elderly population-based rate of skilled nursing beds has decreased from 3.2 beds (1990) to 1.2 beds in 2006. While intermediate care beds decreased between 1990 and 2006, this decline is accounted for in part by the substantial increase in beds used for either skilled nursing or intermediate care patients.

Long-Term Care Bed Supply: With an increasing elderly population, the demand for long-term care beds has increased in Hawai'i. The number of long-term care beds in Hawai'i was relatively constant from 1990 through 1995, ranging between 3,400 and 3,500 beds. From 1995 to 2005, the supply increased to over 4,200 beds statewide, an increase of 20 percent. In 2006, the number of beds decreased to 3,940 beds statewide, the lowest number of beds since 1997.

Long-Term Care Beds per 1,000 Population: Hawai'i's bed rate of 22 beds per 1,000 residents aged 65 and older, is almost one-half that of the U.S. rate of 43 beds per 1,000 population aged 65 and older.

Long-Term Care Beds by County: Kaua'i has the highest rate of long-term care beds at 35 per 1,000 population aged 65 and older. Honolulu has the lowest rate at 19. Hawai'i's long-term care occupancy rate ranges between 93 to 94 percent, among the highest of all states. Only 1.7 percent of Hawai'i's population aged 65 and older resides in a nursing home, ranking Hawai'i among the lowest--5th lowest among all states.5 To address the health needs of Hawai'i's growing and aging population, the number of available long-term care beds will need to be expanded.

1. Skilled nursing beds refers to beds used for non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis
2. Intermediate care beds refers to beds used for health-related services to residents with a variety of physical conditions or functional disabilities that require supervision and support services.
3. Skilled nursing/intermediate care beds refers to beds that can be used to provide either skilled nursing care or intermediate care services.
4. Acute/skilled nursing swing beds refers to beds that can be used to provide either acute care or skilled nursing care services.
5. The Kaiser Family Foundation, statehealthfacts.org. Data Source: C. Harrington, H. Carrillo, C. Crawford, and C. LaCava. Table 2, "Nursing, Facilities, Staffing, Residents, and Facility Deficiencies, 1999 Through 2005," Department of Social and Behavioral Sciences, University of California, San Francisco, accessed December 2006. Available at http://www.pascenter.org. Based on the Online Survey, Certification, and Reporting system (OSCAR), Centers for Medicare and Medicaid Services, U.S. Department of Health and Human Services.

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Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category. For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
 		Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.; National Center for Health Statistics, Health, United States.; Health Care State Rankings 2007, Morgan Quitno Press, using data from AHA :Hospital Statistics (2007 edition).
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category. For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.
Source: Hawai`i State Department of Health, State Health Planning and Development Agency, Utilization of Inpatient Facilities by County Report.
Note: Effective CY 2005 the Acute/SNF swing beds were moved from the Long Term Care Beds category and consolidated with the Total Acute Care Beds category. For 2006: Kahuku, Kohala, Kula and Maluhia Hospitals did not report in time for the 2006 publication.