State officials reported 41 new cases on Tuesday, the highest single-day increase since the start of the pandemic.
A dozen residents of Hale Nani have been infected so far, along with six staff members.
The proposal requires travelers get a COVID-19 test before departure to Hawaii to bypass quarantine, creating concerns about who would provide the testing.
A new study says a similar approach could save the state money by providing a place where the homeless, the mentally ill and others can get help without going to the ER.
The string of cases related to Oahu’s largest nursing facility totals 16.
Gov. David Ige said officials expect to see a rise in virus cases, but Hawaii hospitals are equipped with the capacity to handle new infections.