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Other Senior care options in Hawaii:

Best Assisted Living in Hawaii

Reviewed by Dr. Jordan Weiss
Updated May 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.

Explore home photos

Video Tour: Top-rated Assisted Living facilities in Hawaii.

Watch this Video to see Hawaii's Top-rated Senior Communities

Compare Assisted Living around Hawaii

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

Click column headers to sort
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)
100No 11 ------
Pearl City Nursing Home
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.

Pearl City (Lehua Avenue)
244No 73 Private / Shared Rooms-----
Harry and Jeanette Weinberg Care 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.

Kaneohe
246No 22 Private Rooms-----
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)
40No 40 Private / Shared Rooms--Ceo Keolamaikalani Dean--
King Lunalilo Trust
RH

Retirement 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.

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)
40No 48 ---Ceo Keolamaikalani Dean4112
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 (Kaulana Street)
20No 27 Private / Semi-Private / 3 Bed--Trisha Akahi1285
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
5No 6 Private Rooms23-Helen Elizalde436
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
5No 65 Private / Shared Rooms--Imelda Hyde480
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)
91No 86 --A+-35
The Plaza at Kaneohe
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.

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.

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 / Suite6A+-432
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)
153Yes 96 Studio / Suite / 1 Bed13A+-415
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)
60No 71 Private / Semi-Private Rooms21A+---
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 (City Center)
-No 67 -19----
Kisco Ilima at Leihano
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.

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.

Kapolei (City Center)
-No 67 Studio / 1 Bed / 2 Bed19--439
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)
5No 4 Private Rooms--Ana Jose416
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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
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.

Contact Sakura House

Na Pu`uwai

604 Maunaloa Hwy, #C, Kaunakakai, HI 96748
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.

Contact Na Pu`uwai

Evergreen ADC Hawaii

1124 Fort Street Mall #200, Honolulu, HI 96813
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.

Contact Evergreen ADC Hawaii

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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Contact Jerez Care Home

Overview of Sera, Aurora

Enjoy the best of your golden years with Sera, Aurora, a distinct community located near Kawainui Marsh Bike Trail and Oneawa Hills, offering assisted living. With a kind and highly skilled team available 24/7, residents experience the highest quality of care for their unique needs. The community also promotes a cozy and nurturing environment for residents to thrive and live up to their potential.

Here, residents meet new friends and gain meaningful experiences with a variety of fun events and engaging programs, highlighting their interests and capabilities. Mealtimes are also something to look forward to, with delightful and healthy meals that cater to their dietary needs and preferences. Residents can maintain their independence without the busy work amidst the community’s exceptional services and welcoming spaces.

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Total Residents: 5 Residents

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Building Type: Single-story

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Contact Sera, Aurora

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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Contact Oililua Eldercare – Kailua

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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Contact Fujii Care Home

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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Contact Pacific Care Home

Valdez Care Home

94-1031 Lumiauau Street, Waipahu, HI 96797
Overview of Valdez Care Home

Peacefully nestled in Lumiauau Street, Waipahu, HI, Valdez Care Home is an idyllic retreat that offers assisted living. Residents can ease their worries with a kind and highly trained team attending to their needs 24/7. With its cozy and specially designed accommodation, residents can rest their worries and feel a sense of belonging during their stay.

A thoughtfully curated calendar of enriching programs and stimulating activities is conducted, encouraging residents to live an active lifestyle and interact with their surroundings. Delicious and well-balanced meals are also served for residents to enjoy hassle-free dining, catering to their dietary needs and preferences. The community also provides move-in coordination, medication management, and transportation services for residents’ convenience. Residents have the finest retirement experience, accompanied by the community’s dedicated care and specially designed 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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Contact Valdez Care Home

Ranking Methodology

How we rank these assisted living communities

Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.

Public data 6 weighted categories Updated quarterly
Full methodology

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
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Frequently Asked Questions about Assisted Living in Hawaii

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 61 assisted living facilities in Hawaii. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Hawaii?

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 Hawaii, 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 Hawaii?

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.