Page 2 of Best Assisted Living in Hawaii

Why trust this guide? Our editorial team analyzed 95 assisted living communities in HI using HI Dept. of Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in HI
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Last updated
We analyzed These are the facilities in Hawaii our team has analyzed — not a count of every assisted living provider in Hawaii.
95 homes
Other senior care options in Hawaii:
Avg Monthly Cost: $12,000The average monthly cost across facilities in Hawaii. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 50/ 100The average Walk Score across facilities in Hawaii. 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: 30The average licensed bed capacity across facilities in Hawaii. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Hawaii

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-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
How many inspections had one or more deficiencies recorded. Compare to total inspections to see how often problems were found on visit.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Ka Malama Care Home
AL
Kaneohe
5
Facility 5
HI AVG 30
Rank #30 / 68
No
6
Facility 6
HI AVG 50
Rank #151 / 156
Private Rooms
24
Facility 24
HI AVG 19
Rank #11 / 40
-Helen Elizalde
4
Facility 4
HI AVG 3.3
Rank #36 / 56
36
Facility 36
HI AVG 25
Rank #42 / 56
9.0
Facility 9.0
HI AVG 6.3
Rank #43 / 56
Knight’s Victoria House
AL
HC
RESC
Honolulu (Kuliouou - Kalani Iki)
5
Facility 5
HI AVG 30
Rank #30 / 68
No
25
Facility 25
HI AVG 50
Rank #118 / 156
Private Rooms--Maeann Arciaga
1
Facility 1
HI AVG 3.3
Rank #4 / 56
2
Facility 2
HI AVG 25
Rank #5 / 56
0.5
Facility 0.5
HI AVG 6.3
Rank #5 / 56
One Kalakaua Senior Living
AL
Honolulu
-Yes
98
Facility 98
HI AVG 50
Rank #3 / 156
-
28
Facility 28
HI AVG 19
Rank #7 / 40
A+-
2
Facility 2
HI AVG 3.3
Rank #7 / 56
3
Facility 3
HI AVG 25
Rank #9 / 56
0.8
Facility 0.8
HI AVG 6.3
Rank #9 / 56
Aiea Heights Senior Living
AL
RESC
Aiea
22
Facility 22
HI AVG 30
Rank #23 / 68
No
21
Facility 21
HI AVG 50
Rank #123 / 156
-
39
Facility 39
HI AVG 19
Rank #4 / 40
A+Satoru Izutsu
4
Facility 4
HI AVG 3.3
Rank #36 / 56
61
Facility 61
HI AVG 25
Rank #51 / 56
15.3
Facility 15.3
HI AVG 6.3
Rank #51 / 56
Palolo Chinese Home Adult Day Care Center
AL
ADC
HOS
NH
RESC
RC
SNF
Honolulu
40
Facility 40
HI AVG 30
Rank #16 / 68
No
10
Facility 10
HI AVG 50
Rank #141 / 156
-
1
Facility 1
HI AVG 19
Rank #37 / 40
--
0
Facility 0
HI AVG 3.3
Rank #1 / 56
0
Facility 0
HI AVG 25
Rank #1 / 56
0.0
Facility 0.0
HI AVG 6.3
Rank #1 / 56
Elisa Cabal Care Home
AL
Hilo
5
Facility 5
HI AVG 30
Rank #30 / 68
No
16
Facility 16
HI AVG 50
Rank #134 / 156
Private / Shared Rooms--Elisa Cabal
2
Facility 2
HI AVG 3.3
Rank #7 / 56
8
Facility 8
HI AVG 25
Rank #15 / 56
2.7
Facility 2.7
HI AVG 6.3
Rank #17 / 56
Roselani Place
AL
IL
MC
RC
Kahului
-Yes
44
Facility 44
HI AVG 50
Rank #87 / 156
Studio / 1 Bed / 2 Bed
24
Facility 24
HI AVG 19
Rank #11 / 40
A+-
4
Facility 4
HI AVG 3.3
Rank #36 / 56
14
Facility 14
HI AVG 25
Rank #25 / 56
3.5
Facility 3.5
HI AVG 6.3
Rank #22 / 56
Aloha Nui Care Home
AL
RESC
Pearl City
5
Facility 5
HI AVG 30
Rank #30 / 68
No
29
Facility 29
HI AVG 50
Rank #110 / 156
Private / Semi-Private Rooms--Min Hye Takamatsu
3
Facility 3
HI AVG 3.3
Rank #15 / 56
8
Facility 8
HI AVG 25
Rank #15 / 56
2.7
Facility 2.7
HI AVG 6.3
Rank #17 / 56
Ohanalani
AL
MC
Honolulu (Kuliouou - Kalani Iki)
5
Facility 5
HI AVG 30
Rank #30 / 68
No
49
Facility 49
HI AVG 50
Rank #79 / 156
Private / Shared Rooms--Nora Soriano-Trias
2
Facility 2
HI AVG 3.3
Rank #7 / 56
12
Facility 12
HI AVG 25
Rank #22 / 56
6.0
Facility 6.0
HI AVG 6.3
Rank #32 / 56
Lanihale
AL
RESC
Honolulu (Kuliouou - Kalani Iki)
5
Facility 5
HI AVG 30
Rank #30 / 68
No
69
Facility 69
HI AVG 50
Rank #46 / 156
Private Rooms--Lani Moore
3
Facility 3
HI AVG 3.3
Rank #15 / 56
34
Facility 34
HI AVG 25
Rank #41 / 56
8.5
Facility 8.5
HI AVG 6.3
Rank #42 / 56

Rank badges are statewide: each community is ranked against every HI community we track that reports that metric, not just the 95 on this page. See how we rank facilities

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Overview of Ka Malama Care Home

Helen Elizalde operates Ka Malama Care Home, a small senior living property that has served the Heeia neighborhood of Kaneohe, Hawaii, for 24 years. The single-story layout contains five private rooms, keeping the environment small and residential. The daily routine blends room and board with on-site personal care, temporary respite options, and hospice coordination.

The property features a shared living area with Wi-Fi access, an internal hair salon, and daily activities like arts and crafts. Licensed nurses work on-site to handle round-the-clock medication distribution and clinical care, though state oversight reviews show regular citations regarding medication tracking and care paperwork.

The neighborhood carries a walkability score of 6 out of 100, showing that the immediate area is car-dependent and requires a vehicle for standard shopping trips, though the campus sits about 3.6 miles from Adventist Health Castle hospital.

Prospective families looking at residential options on Oahu can contact Ka Malama Care Home and ask about current room vacancies. Setting up an on-site visit is a straightforward way to see the private room setups, discuss state compliance plans with management, and get a clear picture of the monthly care rates.

Contact Ka Malama Care Home

Overview of Knight’s Victoria House

Beautifully located near Paiko Beach in Panio Street, Honolulu, HI, Knight’s Victoria House is a blissful haven that offers assisted living. Committed to improving residents’ quality of life, a respectful and highly trained team provides top-tier care tailored to their needs 24/7. Here, residents enjoy a worry-free lifestyle with the community’s specially designed accommodations.

Engaging exercises and a variety of fun recreational activities are conducted to encourage residents to live actively and meet new friends. Three delicious and healthy meals, alongside delightful snacks, are served daily to satisfy residents’ dietary needs and preferences. Medication assistance and transportation to doctor appointments are available for residents’ convenience and safety. The community strives to promote a nurturing and welcoming environment for residents to spend their golden years without worries.

Contact Knight’s Victoria House

Overview of One Kalakaua Senior Living

One Kalakaua Senior Living provides assisted living in Honolulu, HI, with help available for medication, bathing, meals, shopping, and companion care. A resident can receive support with several daily needs while continuing to live in the community. This setting may be a good fit for someone who needs help with several routine tasks but does not require a different care type.

The area has a Walk Score of 98 out of 100, making it a walker’s paradise. Daily errands do not require a car, and a resident who no longer drives can still get out independently.

Residents have access to a dining facility, exercise facilities, wellness and leisure programs, a pool, and a spa, with on site options for meals, activity, and recreation. Rehabilitation services are available for residents who need therapy, and pets are allowed.

Contact One Kalakaua Senior Living

Overview of Aiea Heights Senior Living

Overlooking the picturesque Manoa Stream, Aiea Heights Senior Living is an exceptional senior living community located in the peaceful neighborhood of Kalei Road, Honolulu, HI, that provides assisted living. With the seniors’ welfare in mind, the community offers private rooms. Waialae Senior Living takes pride in a team of compassionate, well-trained nurses and nurse practitioners delivering round-the-clock care and assistance.

Aiea Heights Senior Living fosters a warm and welcoming environment wherein residents receive the attention they need. The community serves three healthy and delicious meals monitored by dietitians to ensure their dietary needs and preferences are satisfied. Experience a worry-free and relaxing lifestyle with the utmost support from the community.

Contact Aiea Heights Senior Living

Overview of Palolo Chinese Home Adult Day Care Center

Palolo Chinese Home Adult Day Care Center in Honolulu, Hawaii, offers adult day care, assisted living, hospice care, nursing home and skilled nursing care, residential care, and respite care. It has 40 beds and 24 hour staffing.

Respite care may be a good fit for families needing short term support while a primary caregiver travels or recovers. Services include rehabilitation, in home services, Meals to Go, and the Older Adult Home Modification Program. State inspections have reviewed the center’s routine care and safety standards.

Contact Palolo Chinese Home Adult Day Care Center

Overview of Elisa Cabal Care Home

Spend your golden years comfortably with Elisa Cabal Care Home, a trusted community located in the serene neighborhood of Hilo, HI, offering assisted living. The community is dedicated to residents’ welfare, providing top-tier care tailored to their unique needs 24/7. Residents can maintain their independence without the busy work, especially with a compassionate and highly trained team that helps with household chores and maintenance.

Engage in fun recreational activities and enriching programs conducted for residents’ enjoyment and wellness. Delightful and healthy meals are also served so that residents can enjoy a satisfactory dining experience that caters to their nutritional needs and preferences. The community also provides medication management, transfer assistance, and transportation services for residents’ convenience and safety. With its well-maintained amenities and exceptional services, residents will surely enjoy a blissful retirement.

Contact Elisa Cabal Care Home

Overview of Roselani Place

Serving older adults in Kahului, Hawaii, for 24 years, Roselani Place is an assisted living community that offers studio, one-bedroom, and two-bedroom apartments to accommodate a variety of lifestyles and care needs. The mid-rise community provides an established residential setting in Central Maui, where the surrounding neighborhood is somewhat walkable, allowing access to a few nearby services on foot while most destinations require transportation.

Additionally, the community is subject to regular inspections under Hawaii’s residential care licensing requirements. Recent reviews have identified areas requiring continued attention, particularly in medication management and clinical documentation. In response, corrective action plans have been submitted.

Contact Roselani Place

Overview of Aloha Nui Care Home

Peacefully nestled near recreation sites like Waiau Community Park Recreation Center in Pearl City, HI, Aloha Nui Care Home LLC is an idyllic retreat that offers assisted living. Dedicated to improving residents’ quality of life, a respectful and highly qualified team provides top-notch care based on their unique needs 24/7. State-of-the-art security systems and purposely designed accommodations are available in a warm and nurturing environment to ensure residents’ comfort and safety.

Residents will not feel lonely with plenty of enriching recreational activities and engaging programs for their leisure and wellness. Delicious and healthy meals satisfy residents’ dietary needs and preferences. Transportation services are also provided to ensure residents will not miss any of their medical appointments. The community strives to promote the highest quality of life for residents to live a worry-free retirement.

Contact Aloha Nui Care Home

Overview of Ohanalani

Create unforgettable moments with Ohanalani Care Home, a distinguished community situated in the serene setting of Oio Drive, Honolulu, HI, that offers memory care. Those with memory-related needs can ease their worries with a respectful and highly trained helping with their daily living activities around the clock. The community strives to maintain residents’ independence and dignity in its nurturing and welcoming environment.

Residents will not run out of things to do with a jam–packed calendar of engaging programs and exciting recreational activities for their leisure and wellness. There’s no need to hassle with meal preparation with delicious and well-balanced meals that cater to their dietary needs and preferences. With its scenic views and stress-free setting, residents enjoy a worry-free retirement.

Contact Ohanalani

Overview of Lanihale

Surrounded by scenic parks, including Nehu Park and Kawaikui Beach Park in Nenue Street, Honolulu, HI, Lanihale Adult Residential Care Home is a blissful retreat that offers assisted living. Residents do not have to worry about their personal needs and daily living activities with a compassionate and highly trained team available around the clock. Purposely designed and well-lit accommodations are provided in a cozy and nurturing environment, ensuring residents can feel at ease during their stay.

Encouraging residents to meet new friends and live actively, a jam-packed calendar of fun recreational activities and engaging programs is conducted for leisure and wellness. Three delicious and healthy meals are served for residents to enjoy a satisfactory dining experience that caters to their dietary needs and preferences. Medication management and transportation to medical appointments are provided for residents’ comfort and convenience. The community is ideal for those looking to live their golden years without worries, especially with its dedicated care and exceptional services.

Contact Lanihale

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.
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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 95 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.