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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.

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Other Senior care options in Hawaii:

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
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
Facility 153
HI AVG 50
Rank #8 / 86
Yes
96
Facility 96
HI AVG 49
Rank #11 / 178
Studio / Suite / 1 Bed
13
Facility 13
HI AVG 19
Rank #31 / 44
A+-
4
Facility 4
HI AVG 3.1
Rank #38 / 57
15
Facility 15
HI AVG 24.7
Rank #28 / 57
3.8
Facility 3.8
HI AVG 6.4
Rank #25 / 57
The Plaza at Kaneohe
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.

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
60
Facility 60
HI AVG 50
Rank #24 / 86
No
78
Facility 78
HI AVG 49
Rank #33 / 178
Studio / 1 Bed / Suite
7
Facility 7
HI AVG 19
Rank #36 / 44
A+-
4
Facility 4
HI AVG 3.1
Rank #38 / 57
32
Facility 32
HI AVG 24.7
Rank #41 / 57
8.0
Facility 8.0
HI AVG 6.4
Rank #38 / 57
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)
-No
71
Facility 71
HI AVG 49
Rank #46 / 178
Private / Semi-Private Rooms
21
Facility 21
HI AVG 19
Rank #17 / 44
A+----
The Plaza at Pearl City
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 (Kuala Street)
158No
69
Facility 69
HI AVG 49
Rank #52 / 178
Studio / 1 Bed / Suite
12
Facility 12
HI AVG 19
Rank #32 / 44
A+-
3
Facility 3
HI AVG 3.1
Rank #16 / 57
12
Facility 12
HI AVG 24.7
Rank #24 / 57
4.0
Facility 4.0
HI AVG 6.4
Rank #26 / 57
The Plaza at Mililani
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.

Mililani (Mililani Mauka - Launani Valley)
-No
12
Facility 12
HI AVG 49
Rank #152 / 178
Studio / Shared Suite
19
Facility 19
HI AVG 19
Rank #20 / 44
A+-
4
Facility 4
HI AVG 3.1
Rank #38 / 57
23
Facility 23
HI AVG 24.7
Rank #33 / 57
5.8
Facility 5.8
HI AVG 6.4
Rank #32 / 57
Pālolo Chinese 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.

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

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 (Palolo)
18
Facility 18
HI AVG 50
Rank #43 / 86
No
10
Facility 10
HI AVG 49
Rank #156 / 178
Private / Semi-Private Rooms-A+Darlene Nakayama---
The Plaza Moanalualani
LSL

Luxury Senior Living

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.

Honolulu (Moanalua)
-No
19
Facility 19
HI AVG 49
Rank #138 / 178
Studio / Suite / 1 Bed
16
Facility 16
HI AVG 19
Rank #27 / 44
A+-
3
Facility 3
HI AVG 3.1
Rank #16 / 57
15
Facility 15
HI AVG 24.7
Rank #28 / 57
5.0
Facility 5.0
HI AVG 6.4
Rank #30 / 57
Roselani Place
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
-No
44
Facility 44
HI AVG 49
Rank #96 / 178
Studio / 1 Bed / 2 Bed
24
Facility 24
HI AVG 19
Rank #11 / 44
A+-
4
Facility 4
HI AVG 3.1
Rank #38 / 57
14
Facility 14
HI AVG 24.7
Rank #27 / 57
3.5
Facility 3.5
HI AVG 6.4
Rank #23 / 57
Holy Family 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
-No
16
Facility 16
HI AVG 49
Rank #147 / 178
Private Rooms
46
Facility 46
HI AVG 19
Rank #1 / 44
A+----
Aina Haina Quality Living
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 (Kuliouou - Kalani Iki)
8
Facility 8
HI AVG 50
Rank #45 / 86
No
49
Facility 49
HI AVG 49
Rank #87 / 178
Private / Couple Room
18
Facility 18
HI AVG 19
Rank #25 / 44
A+Ryan Jabs
3
Facility 3
HI AVG 3.1
Rank #16 / 57
29
Facility 29
HI AVG 24.7
Rank #39 / 57
9.7
Facility 9.7
HI AVG 6.4
Rank #43 / 57
Aiea Heights Senior Living
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.

Aiea (Aiea Heights Drive)
22
Facility 22
HI AVG 50
Rank #41 / 86
No
21
Facility 21
HI AVG 49
Rank #135 / 178
-
39
Facility 39
HI AVG 19
Rank #4 / 44
A+Satoru Izutsu
4
Facility 4
HI AVG 3.1
Rank #38 / 57
61
Facility 61
HI AVG 24.7
Rank #51 / 57
15.3
Facility 15.3
HI AVG 6.4
Rank #52 / 57
Legacy Hilo Rehabilitation & Nursing 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.

Hilo (Kaumana)
100
Facility 100
HI AVG 50
Rank #14 / 86
No
7
Facility 7
HI AVG 49
Rank #166 / 178
-
9
Facility 9
HI AVG 19
Rank #34 / 44
A+----
Caring Manoa
LSL

Luxury Senior Living

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 (Manoa)
8
Facility 8
HI AVG 50
Rank #45 / 86
No
33
Facility 33
HI AVG 49
Rank #115 / 178
-
16
Facility 16
HI AVG 19
Rank #27 / 44
A+Todd Pang---
15 Craigside
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.

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.

N

Nursing

Honolulu (Nuuanu - Punchbowl)
45
Facility 45
HI AVG 50
Rank #30 / 86
No
50
Facility 50
HI AVG 49
Rank #85 / 178
Studio / 1 Bed-A+-
2
Facility 2
HI AVG 3.1
Rank #7 / 57
9
Facility 9
HI AVG 24.7
Rank #19 / 57
2.3
Facility 2.3
HI AVG 6.4
Rank #16 / 57
Avalon Care Center – Honolulu
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.

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.

Honolulu (Kalihi Valley)
108
Facility 108
HI AVG 50
Rank #11 / 86
No
47
Facility 47
HI AVG 49
Rank #93 / 178
-
21
Facility 21
HI AVG 19
Rank #17 / 44
A+----
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View all Nearby Homes
Overview of The Plaza at Punchbowl

The Plaza at Punchbowl is one of the trusted assisted living communities in the heart of Honolulu because of its approach to luxury care. Residents can receive a more modernized and holistic approach to senior care. They ensure that residents can have a balanced well-being regarding a healthy lifestyle. The community boasts astonishing and pleasing interiors that make it a resort-like facility that keeps everyone busy. The Plaza at Punchbowl is an ideal place to reside because it doesn’t only offer luxurious service but it celebrates every resident.

The Plaza provides extensive amenities and services that ensure a comfortable and easy living experience for seniors; these include their restaurant-style dining with special dining programs, a restaurant, private dining room, fitness center, meeting room, game room, library, and beauty salon. The apartments include air conditioning, cable, housekeeping, and laundry services; some essential services include transportation, religious services, educational programs, and activities to keep them active.

Contact The Plaza at Punchbowl

Overview of 15 Craigside

Burrowed at the heart of downtown Honolulu, 15 Craigside enchants with a picturesque view of the mountains and valleys near Craigside Place, Honolulu, HI providing independent living. The community features well-lit and spacious floor plans including studio and one-bedroom apartments with den and private lanais. With the seniors’ welfare in mind, 15 Craigside strives to deliver care and assistance tailored to their unique needs and preferences.

The community fosters a friendly and vibrant environment, providing seniors with activities and programs for learning and enjoyment. Satisfying its residents’ dietary needs and preferences, the community serves delicious and healthy meals three times a day. Amenities include a fitness center, an indoor pool, a spacious lobby, a library, a chapel, a resident store, and a beautiful solarium.

Contact 15 Craigside

Overview of Manoa Senior Care

Manoa Senior Care is a trusted assisted living community in Honolulu, HI, that offers personal care. Promoting a warm and home-like environment, the community ensures older adults can keep their peace of mind during their stay. Exceptional services, including three home-cooked meals daily, housekeeping services, and medication preparation, are also provided to enrich residents’ living experiences. Focusing on residents’ holistic well-being, the community provides personalized care tailored to their unique needs and habits.

Ikebana classes, yoga, and pet therapy are just some of the activities dedicated to helping residents learn and gain meaningful memories. Residents can also rest and move around comfortably, with wheelchair-accessible rooms and cozy communal spaces. Set near restaurants, shops, public transportation, and the Kaimuki Public Library, the community ensures residents have convenient access to their necessities and leisure. This assisted living community has high standards of care, making it one of the best options for senior living in Hawaii.

Contact Manoa Senior Care

Overview of Avalon Care Center – Honolulu

For the past three decades, Avalon Health Care in Honolulu has been showing an unwavering commitment to providing top-notch healthcare services. It has been a source of solace and comfort to patients and residents alike. With a wide array of programs that cater to different needs, including Long-Term Care, Skilled Nursing, Rehabilitation, Memory Care, Assisted Living, Senior Living, Independent Living, and Healthcare, Avalon Health Care has proven to be a reliable partner in health and wellness.
Their services are exceptional, ranging from skilled nursing and assisted living to hospice/home health, therapy services, physicians/medical providers, and care coordination services. This comprehensive approach to healthcare ensures that patients and residents receive the best possible care and assistance with daily living. In Hawaii’s serene and calming environment, Avalon Health Care’s compassionate and dedicated team of healthcare professionals have made it their life’s work to provide excellent care while preserving the dignity and independence of their patients and residents.

Contact Avalon Care Center – Honolulu

Overview of Aged to Perfection

Aged to Perfection, situated in Waipahu, Hawaii, is a home that holds a deep-rooted connection to faith and carries a rich historical legacy. With its origins dating back to 1929, when it catered to Filipino immigrant sugar plantation workers, this establishment has been providing exceptional adult day services. Approved by Medicaid, it boasts a team of professionally trained staff who are dedicated to the well-being of their residents.

They understand the importance of individualized care and offer specialized accommodations for seniors with varying levels of mobility, including ambulatory individuals, walkers, and those using wheelchairs. Their range of activities is both engaging and enriching, reflecting the home’s distinct charm and character that uplifts the senior living experience. Beyond physical care, Aged to Perfection recognizes the significance of spiritual well-being. They curate spiritually focused activities to nourish the soul, fostering a sense of fulfillment and tranquility among residents. Additionally, the home provides access to pet therapy, a licensed music therapist, and an activity specialist, ensuring a holistic approach to senior care.

Contact Aged to Perfection

Right at Home Aiea

98-021 Kamehameha Hwy Ste 207, Aiea, HI 96701
Overview of Right at Home Aiea

Right at Home Aiea is not just an ordinary home; it specializes in providing compassionate assisted living for dementia patients. Situated in the beautiful surroundings of Hawaii, this facility is dedicated to creating a supportive and nurturing environment where seniors can receive the highest level of care and attention. This senior living community has been honored with multiple prestigious senior living awards, recognizing their commitment to excellence in caring for seniors and their dedication to improving the lives of those with dementia.

With a team of highly skilled and compassionate caregivers, Right at Home Aiea ensures that each resident receives personalized care tailored to their specific needs. The staff members are extensively trained in dementia care, allowing them to provide the specialized assistance and support that dementia patients require. Through their expertise, compassionate approach, and commitment to quality, families can have peace of mind knowing that their loved ones are in capable hands.

Contact Right at Home Aiea

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.