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Best Assisted Living in Hawaii

Reviewed by Dr. Jordan Weiss
Updated Apr 2026
We analyzed 178 homes in Hawaii

Sources: CMS Centers for Medicare and Medicaid Services, and Hawaii Department of Health, Office of Aging and Long Term Care.

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Watch this Video to see Hawaii's Top-rated Senior Communities
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Hawaii is one of the most sought-after destinations in the U.S., for its scenic beaches, distinct culture, and pleasant tropical climate. The state is home to over 43 assisted living communities, providing personalized care and purposely designed amenities for those who need it. With a state average cost of $1,906 to $9,000, residents can find the most suitable community for their needs depending on its location, amenities provided, and chosen accommodation. Here, residents will surely flourish and make every moment count with the state’s natural beauty and vibrant community.

Compare Assisted Living around Hawaii

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Maunalani Nursing and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Honolulu (Kaimuki)
100
No
11
-
-
-
-
0
0
Pearl City Nursing Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Pearl City
244
No
73
Private / Shared Rooms
-
-
-
0
0
Harry and Jeanette Weinberg Care Center
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Kaneohe
246
No
22
Private Rooms
-
-
-
0
0
Lunalilo Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Honolulu (Hawaii Kai)
40
No
40
Private / Shared Rooms
-
-
Keolamaikalani Dean, Ceo
0
0
King Lunalilo Trust
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Honolulu (Hawaii Kai)
40
No
48
-
-
-
Keolamaikalani Dean, Ceo
4
112
Care Homes By Hale Makua
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Kahului
254
No
27
Private / Semi-Private / 3 Bed
-
-
Trisha Akahi
12
85
Ka Malama Care Home
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Kaneohe
5
No
6
Private Rooms
23
-
Helen Elizalde
4
36
My Kind Heart
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Pearl City
5
No
65
Private / Shared Rooms
-
-
Imelda Hyde
4
80
Arcadia Retirement Residence
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
91
No
86
-
-
A+
-
3
5
The Plaza at Kaneohe
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Kaneohe
-
No
78
Studio / 1 Bed / Suite
6
A+
-
4
32
The Plaza at Waikiki
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Honolulu (McCully - Moiliili)
153
Yes
96
Studio / Suite / 1 Bed
13
A+
-
4
15
Kahala Nui
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

N

Nursing

Honolulu (Waialae - Kahala)
60
No
71
Private / Semi-Private Rooms
21
A+
-
0
0
Ilima at Leihano
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Kapolei
-
No
67
-
19
-
-
0
0
Kisco Ilima at Leihano
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Kapolei
-
No
67
Studio / 1 Bed / 2 Bed
19
-
-
4
39
Serenity Care Home Hawaii Kai
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Honolulu (Hawaii Kai)
5
No
4
Private Rooms
-
-
Ana Jose
4
16
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View all Nearby Homes
King Lunalilo Adult Day Care Center is located in Honolulu, HI. It provides a welcoming environment for kūpuna, offering meals, engaging activities, and personalized support. Families can have peace of mind knowing their loved ones are cared for in a safe and uplifting setting.
Overview of King Lunalilo Adult Day Care Center
King Lunalilo Adult Day Care Center is located in Honolulu, HI. It provides a welcoming environment for kūpuna, offering meals, engaging activities, and personalized support. Families can have peace of mind knowing their loved ones are cared for in a safe and uplifting setting.
Phone: 395-4065
Contact King Lunalilo Adult Day Care Center

Live Well At Iwilei

888 Iwilei Road, Suite 105, Honolulu, HI 96817
Live Well at Iwilei is a senior wellness center located in Honolulu, Hawaii. It offers a variety of services including recreational activities, dining, medical support, and personal care. The center focuses on promoting healthy aging and providing a supportive community for seniors.
Overview of Live Well at Iwilei
Live Well at Iwilei is a senior wellness center located in Honolulu, Hawaii. It offers a variety of services including recreational activities, dining, medical support, and personal care. The center focuses on promoting healthy aging and providing a supportive community for seniors.
Phone: 218-7777
Contact Live Well At Iwilei
Palolo Chinese Home Adult Day Care Center provides a range of services designed to support the well-being and dignity of seniors. Located in Honolulu, it offers skilled nursing, rehabilitation, senior day care, and in-home services. The center is committed to providing compassionate care and support for seniors and their families.
Overview of Palolo Chinese Home Adult Day Care Center
Palolo Chinese Home Adult Day Care Center provides a range of services designed to support the well-being and dignity of seniors. Located in Honolulu, it offers skilled nursing, rehabilitation, senior day care, and in-home services. The center is committed to providing compassionate care and support for seniors and their families.
Contact Palolo Chinese Home Adult Day Care Center

Sakura House

1666 Mott Smith Drive, Honolulu, HI 96822
Sakura House is a share house and dormitory management company founded in 1992. It provides furnished dormitory, apartments, and share houses for rent in Tokyo, Izu, and Kyoto. The company offers personalized support and service by multilingual staff, with all utility costs included.
Overview of Sakura House
Sakura House is a share house and dormitory management company founded in 1992. It provides furnished dormitory, apartments, and share houses for rent in Tokyo, Izu, and Kyoto. The company offers personalized support and service by multilingual staff, with all utility costs included.
Phone: 536-1112
Contact Sakura House

Na Pu`uwai

604 Maunaloa Hwy, #C, Kaunakakai, HI 96748
Nā Puʻuwai is a health center located in Kaunakakai, HI. It offers an Integrative Fitness Center that promotes health and wellness through various fitness programs. The center aims to provide a culturally grounded environment for its members and their families.
Overview of Na Pu`uwai
Nā Puʻuwai is a health center located in Kaunakakai, HI. It offers an Integrative Fitness Center that promotes health and wellness through various fitness programs. The center aims to provide a culturally grounded environment for its members and their families.
Phone: 560-3653
Contact Na Pu`uwai

Evergreen ADC Hawaii

1124 Fort Street Mall #200, Honolulu, HI 96813
Evergreen Adc Hawaii is the largest adult day care center in Hawaii, located in Honolulu at Fort Street Mall. It serves over 200 seniors each day, providing personalized care and a variety of services including transportation, nutritional assistance, and recreational activities. The center is committed to promoting the health and vitality of its clients.
Overview of Evergreen Adc Hawaii
Evergreen Adc Hawaii is the largest adult day care center in Hawaii, located in Honolulu at Fort Street Mall. It serves over 200 seniors each day, providing personalized care and a variety of services including transportation, nutritional assistance, and recreational activities. The center is committed to promoting the health and vitality of its clients.
Phone: 372-8257
Contact Evergreen ADC Hawaii

Live a worry-free retirement at Jerez Care Home, an idyllic retreat in Puukani Street, Kahului, HI, offering assisted living. Residents can ease their worries with a compassionate and highly trained team helping with their daily living activities 24/7. Promoting a vibrant and welcoming environment, the community has beautifully furnished and cozy accommodations for residents to feel a sense of belonging during their stay.

Here, residents are encouraged to live happily and actively with a fun-filled calendar of recreational activities and engaging programs. Delicious and healthy meals are served to satisfy residents’ nutritional needs and preferences. Medication management and incontinence care are also provided to optimize residents’ comfort and convenience. The community is great for those seeking to maintain independence without the busy work amidst its purposely designed and welcoming amenities.

Overview of Jerez Care Home

Live a worry-free retirement at Jerez Care Home, an idyllic retreat in Puukani Street, Kahului, HI, offering assisted living. Residents can ease their worries with a compassionate and highly trained team helping with their daily living activities 24/7. Promoting a vibrant and welcoming environment, the community has beautifully furnished and cozy accommodations for residents to feel a sense of belonging during their stay.

Here, residents are encouraged to live happily and actively with a fun-filled calendar of recreational activities and engaging programs. Delicious and healthy meals are served to satisfy residents’ nutritional needs and preferences. Medication management and incontinence care are also provided to optimize residents’ comfort and convenience. The community is great for those seeking to maintain independence without the busy work amidst its purposely designed and welcoming amenities.

What does this home offer?

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Housing Options: Private / Shared Rooms

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Building Type: 2-story

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Dining Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

Type of Care Available

Assisted Living
Contact Jerez Care Home

Peacefully nestled near Kalaheo Neighborhood Park and Kawainui Marsh Bike Trail in Kailua, HI, Oililua Senior Care, Inc., #II is an exceptional community that offers memory care. Those with memory-related needs will surely thrive with a compassionate and well-trained team helping with their daily living activities 24/7. Purposely designed and cozy accommodations are provided in a warm and nurturing environment, ensuring residents can feel at ease during their stay.

For a change of scenery, two outings per week are conducted, alongside stimulating activities to improve their mood and quality of life. Mealtimes foster comfort and satisfy nutritional needs with delicious and healthy dining options. Incontinence care, podiatrist, physician visits, and transportation services are available onsite, while therapy services can be arranged if needed. The community strives to maintain residents’ dignity and independence with its exceptional care and inviting spaces.

Overview of Oililua Eldercare – Kailua

Peacefully nestled near Kalaheo Neighborhood Park and Kawainui Marsh Bike Trail in Kailua, HI, Oililua Senior Care, Inc., #II is an exceptional community that offers memory care. Those with memory-related needs will surely thrive with a compassionate and well-trained team helping with their daily living activities 24/7. Purposely designed and cozy accommodations are provided in a warm and nurturing environment, ensuring residents can feel at ease during their stay.

For a change of scenery, two outings per week are conducted, alongside stimulating activities to improve their mood and quality of life. Mealtimes foster comfort and satisfy nutritional needs with delicious and healthy dining options. Incontinence care, podiatrist, physician visits, and transportation services are available onsite, while therapy services can be arranged if needed. The community strives to maintain residents’ dignity and independence with its exceptional care and inviting spaces.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

Type of Care Available

Memory Care Assisted Living
Contact Oililua Eldercare – Kailua

Tucked between the beautiful Kailua Beach Park and Kailua District Park in Kailua, HI, Fujii Care Home is a blissful retreat that offers assisted living. Residents can ease their worries with a kind and highly trained team attending to their needs 24/7. The community also handles daily chores and maintenance, ensuring residents can maintain their independence without the busy work.

A carefully curated calendar of fun recreational activities and engaging programs is conducted so residents can live actively and remain socially connected. There’s no need to worry about meal preparation, with delightful and healthy meals that cater to their dietary needs and preferences. With its intimate and welcoming setting, residents will surely thrive and live up to their potential.

Overview of Fujii Care Home

Tucked between the beautiful Kailua Beach Park and Kailua District Park in Kailua, HI, Fujii Care Home is a blissful retreat that offers assisted living. Residents can ease their worries with a kind and highly trained team attending to their needs 24/7. The community also handles daily chores and maintenance, ensuring residents can maintain their independence without the busy work.

A carefully curated calendar of fun recreational activities and engaging programs is conducted so residents can live actively and remain socially connected. There’s no need to worry about meal preparation, with delightful and healthy meals that cater to their dietary needs and preferences. With its intimate and welcoming setting, residents will surely thrive and live up to their potential.

What does this home offer?

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Total Residents: 5 Residents

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Building Type: Single-story

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Dining Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

Type of Care Available

Memory Care Assisted Living
Contact Fujii Care Home

Ideally situated near Lanikai Pillbox Trail in Kailua, HI, Pacific Care Home is a distinguished community that offers assisted living. Residents enjoy the best of their golden years with a compassionate and highly skilled team attending to their needs 24/7. This community is founded by a nurse couple with a combined experience of over 50 years, dedicated to providing the highest quality of life in its cozy and nurturing environment.

Residents enjoy plenty of recreational activities and enriching programs curated for their leisure and wellness. Mealtimes foster comfort and satisfy dietary needs with delicious and healthy dining options. The community also features comfort dogs to uplift residents’ moods. Here, residents make the most of their best years with the community’s exceptional services and friendly setting.

Overview of Pacific Care Home

Ideally situated near Lanikai Pillbox Trail in Kailua, HI, Pacific Care Home is a distinguished community that offers assisted living. Residents enjoy the best of their golden years with a compassionate and highly skilled team attending to their needs 24/7. This community is founded by a nurse couple with a combined experience of over 50 years, dedicated to providing the highest quality of life in its cozy and nurturing environment.

Residents enjoy plenty of recreational activities and enriching programs curated for their leisure and wellness. Mealtimes foster comfort and satisfy dietary needs with delicious and healthy dining options. The community also features comfort dogs to uplift residents’ moods. Here, residents make the most of their best years with the community’s exceptional services and friendly setting.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Dining Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

Type of Care Available

Assisted Living
Contact Pacific Care Home

Assisted Living Magazine Ranking Methodology

View Full Ranking Methodology

How We Score & Rank Senior Living Communities

Assisted Living Magazine ranks nursing homes using a rigorous, data-driven scoring model built specifically for skilled nursing.
Because this care level is regulated, clinical outcomes and compliance carry significantly more weight than transparency or digital presence. Each community receives a ranking based on the factors below, weighted according to their importance in predicting resident safety, care quality, and long-term stability.

Update cadence: Reviewed quarterly, with prompt updates when new reviews, reports, or complaints are filed.

What We Prioritize Most

The largest portion of every community’s score comes from resident feedback and online reputation (40%), which reflects real experiences shared by families and caregivers.

An additional 45% of the score comes from a combination of transparency and operational quality signals, including:

  • Photos, videos, and virtual tours (visual transparency)
  • Website quality and digital trust indicators
  • Occupancy levels and number of units (community scale & stability)

These factors help us evaluate how well a community presents itself and how consistently it meets resident needs.

Balancing Additional Factors

The final 15% of the score comes from supportive context data, including: walkability and local accessibility, estimated property value, and pricing information.

These elements provide helpful context but carry less weight because our rankings prioritize real-world satisfaction and care consistency first.

The result is a fair, clear, and data-driven ranking system for families researching senior living options.

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

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.