Best Assisted Living in Hawaiʻi Kai, HI

Why trust this guide? Our editorial team analyzed 5 assisted living communities in Hawaiʻi Kai, HI using HI Dept. of Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in HI
Reviewed by
Last updated
Jul 2026
We analyzed
5 homes
Avg Walk Score: 28/ 100The average Walk Score across facilities in Hawaiʻi Kai, HI. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 14The average licensed bed capacity across facilities in Hawaiʻi Kai, HI. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around the area

Info below is compiled from the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

Lunalilo Home
AL
ADC
RESC
RC
Honolulu (Hawaii Kai)
40
Facility 40
HI AVG 43
Rank #29 / 84
No
40
Facility 40
HI AVG 49
Rank #104 / 177
Private / Shared RoomsCeo Keolamaikalani Dean
The Ivy at Hawaii Kai
AL
Honolulu (Hawaii Kai)
-Yes
6
Facility 6
HI AVG 49
Rank #168 / 177
Studio / 1 Bed / 2 Bed / 3 Bed-
Overview of Pualei Care Home

Ideally located near Hanauma Bay Nature Preserve and Marshalls Beach in Anakua Street, Honolulu, HI, Pualei Care Home is a distinct community that offers assisted living. A respectful and well-trained team provides top-notch care for residents to enjoy a worry-free lifestyle. Specially designed and wheelchair- accessible amenities are available to optimize residents’ comfort and independence.

Here, residents will not run out of things to do with a jam-packed calendar of fun recreational activities and engaging programs conducted according to their interests and capabilities. Mealtimes are also carefully prepared to ensure residents get the nutrients they need. The community also provides hospice care for residents to age comfortably. Residents spend their golden years with ease amid the community’s beautifully maintained amenities and friendly setting.

Contact Pualei Care Home

Overview of Lunalilo Home

Operated by CEO Keolamaikalani Dean, Lunalilo Home is an assisted living community in the Hawaiʻi Kai neighborhood of Honolulu, about 1.8 miles from the city center. It offers assisted living, adult day care, residential care, and respite care under one roof, and has served Oahu’s kūpuna for over a century. The 40-bed community is licensed as a Type II Expanded Adult Residential Care Home in a two-story building. Residents can select from private or shared rooms, including single, double, or multi-person occupancy. The somewhat walkable neighborhood carries a Walk Score of 40. A few nearby errands can be done on foot, with most trips needing transportation.

With staff available to help with personal care, medication management, and first aid, Care at Lunalilo Home is built around ambulatory residents. Special dietary needs are handled, and meals and snacks are served from a set sample menu, alongside a meals-to-go option for added flexibility. Recreational, cultural, and spiritual programming is rooted in native Hawaiian culture and values, giving daily life here a distinct local character. Practical support transcends direct care. The home provides transportation to medical appointments, along with housekeeping and laundry services, so occupants and their families have fewer logistics to manage on their own. Between its cultural programming and its set of care levels, from residential care to respite stays, Lunalilo Home is tailored to support kūpuna at more than one stage of need.

Contact Lunalilo Home

Overview of Serenity Care Home Hawaii Kai

Operated by Ana Jose, Serenity Care Home Hawaii Kai is a small assisted living and residential care home in the Hawaii Kai neighborhood of Honolulu. The community has 5 beds in a single-story building with private rooms. The smaller size can support closer relationships between residents and caregivers while providing a quieter, more personal living environment.

Daily care focuses on medication management and assistance with dressing, bathing, and personal hygiene. At the same time, residents can stay as independent as possible. Transportation is provided to residents with medical appointments. The home’s physicians communicates with residents to keep care plans up to date. Housekeeping and laundry services are also included, allowing residents to spend less time on daily chores.

Residents receive three meals daily. There are kitchen accommodations for special diets and individual food preferences. Social and recreational activities are part of everyday life. Transportation is provided for outings and community events so residents can remain active beyond the home.

State inspections have most often focused on medication administration and documentation practices, along with routine requirements involving food handling and fire drill compliance. The home is located in a car-dependent part of Hawaii Kai, so families and visitors should expect to drive for most errands and appointments.

Contact Serenity Care Home Hawaii Kai

Overview of Lani’olu Hale at Hawai’i Kai Senior Care

Peacefully nestled in the beautiful setting of Lunalilo Home Road, Honolulu, HI, Lani’oli Hale at Hawai’i Kai Senior Care is a blissful retreat that offers assisted living. Residents here enjoy the highest quality of life with a compassionate and well-trained team attending to their needs around the clock. Purposely designed and sophisticated accommodations in a cozy and friendly setting are available to accommodate up to five residents and optimize their independence.

With a thoughtfully curated calendar of enriching activities and stimulating programs, residents are encouraged to interact with their surroundings and live an active lifestyle. Three delicious and well-balanced meals with delightful snacks are served daily to satisfy residents’ dietary needs and preferences. Medication administration and incontinence management are also provided for residents’ independence. The community is ideal for those seeking assistance to spend their golden years without worries, especially with its intimate and welcoming spaces.

Contact Lani’olu Hale at Hawai’i Kai Senior Care

The Ivy at Hawaii Kai

428 Kawaihae St, Honolulu, HI 96825
Overview of The Ivy at Hawaii Kai

Located on Kawaihae Street in Honolulu, The Ivy at Hawaii Kai is an assisted living community offering studio, one-bedroom, two-bedroom, and three-bedroom floor plans. The variety of layouts gives older adults flexibility in choosing the amount of living space and privacy that best fits their needs.

The surrounding neighborhood has a walkability score of 6, so most errands and visits require a vehicle rather than traveling on foot. Families planning to spend time with loved ones should expect to drive to the community.
Touring the community in person is the best way to explore the available residences, learn about care services and staffing, and experience the daily atmosphere. A visit also helps families decide whether the community is the right fit for their loved one’s needs.

Contact The Ivy at Hawaii Kai

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
Submit a correction
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Assisted Living in Hawaiʻi Kai, HI

What's the difference between assisted living and memory care in Hawaii?

Assisted living in Hawaii supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Hawaii?

Assisted living in Hawaii is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Hawaii Medicaid cover assisted living?

Hawaii Medicaid does not directly pay room-and-board for assisted living, but most states (including Hawaii) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 5 assisted living facilities in Hawaiʻi Kai, HI. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Hawaiʻi Kai, HI?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Hawaiʻi Kai, HI, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Hawaiʻi Kai, HI?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.