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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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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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Overview of The Plaza at Kaneohe

Nestled in the heart of Honolulu, Hawaii, The Plaza At Kaneohe is an assisted living community that offers seniors a rental apartment in a senior community that offers three delicious restaurant-style meals daily, housekeeping & linen services, activities, and scheduled transportation. The licensed nursing staff is available 24 hours per day to provide assistance with bathing, dressing, medication management, incontinence care, and much, much more.

Situated in the heart of Honolulu, Hawaii, The Plaza At Kaneohe is a welcoming assisted living community designed to cater to the unique needs of seniors. Residents can enjoy the convenience of assisted living apartments within a senior community that offers three restaurant-style meals daily, housekeeping and linen services, engaging activities, and scheduled transportation. Their licensed nursing staff is available around the clock, providing personalized assistance with bathing, dressing, medication management, incontinence care, and various other needs. At The Plaza At Kaneohe, residents can rest assured knowing that their well-being is a top priority. 

Contact The Plaza at Kaneohe

Overview of Arcadia Retirement Residence

Arcadia, a cherished haven for Honolulu’s seniors since 1967, is a hidden gem nestled in the heart of Makiki. Spread across three picturesque acres, this vibrant retirement community provides a safe and comfortable sanctuary for the elderly. Its prime location offers easy access to the bustling Downtown district, the sun-soaked Waikiki Beach, and the thriving Ala Moana Center via public transport or car. Additionally, several houses of worship are within walking distance, providing spiritual solace to residents.
Upon entering Arcadia, you’ll be enchanted by its elegance and tranquility. The state-of-the-art facilities cater to all needs, including a well-equipped fitness center, indoor pool, and exquisite restaurant-style dining room, and a spacious lobby. For those seeking solitude and relaxation, the computer and garden areas are the perfect retreats. Residents can shop for basic essentials at the resident store, and ample parking and private group transportation to selected events are available for their convenience. With 24-hour security and linen service, residents can rest assured knowing they’re in good hands. At Arcadia, the cost of living is a mere concern, which is why they offer a one-time entrance fee followed by a monthly service charge that covers all amenities and services. Residents can bask in the joys of life and create beautiful memories that will last a lifetime at Arcadia, the place they can call home.

Contact Arcadia Retirement Residence

Overview of Kisco Ilima at Leihano

Ilima at Leihano, by the premier Kisco community is a distinguished residence offering exceptional independent living with assisted living and memory care support beyond standard senior living. Located in Kapolei, Hawaii, it provides a serene and convenient setting, with access to essential amenities like medical services, shopping centers, the public library, and the expansive 60-acre Kapolei Regional Park.

At Ilima at Leihano, they adhere to the highest independent living retirement experience, ensuring that residents receive the utmost care and attention. The community offers a variety of thoughtfully designed floor plans, including studio, one-bedroom, and two-bedroom units, providing residents with comfortable and well-appointed living spaces. From the moment residents arrive, they are surrounded by a vibrant environment that promotes well-being and engagement.

Contact Kisco Ilima at Leihano

Overview of Ilima at Leihano

There’s no place quite like the Ilima senior living community. It’s an exceptional and unparalleled residence that is nestled in the heart of Oahu’s “Second City.” What sets Ilima apart is its commitment to providing a range of care options, including Independent Living, Assisted Living, and Memory Care. The innovative approach to senior living that is fostered at Ilima is something that you won’t find anywhere else. The community partners with local healthcare specialists, providing residents with dynamic and responsive care, and even transportation to outside appointments. This ensures that residents have the support they need to live life to the fullest, while not having to worry about the logistics.
From housekeeping and laundry to assistance with grocery shopping and errands, the team at Ilima is dedicated to making sure residents have everything they need to feel at home. One of the standout features of Ilima is also the culinary team, who is committed to crafting flavorful and healthy menus for residents. Finally, the recreational areas at Ilima are truly impressive. The community boasts a range of spaces, including a swimming pool, arts and crafts center, fitness center, and movie or theater room, that allow residents to pursue their interests and stay engaged. Whether it’s trying a new hobby or meeting new friends, there’s always something to do at Ilima.

Contact Ilima at Leihano

Furukawa Living Treasure

1449 Brigham St, Honolulu, HI 96817
Overview of Furukawa Living Treasure

Experience a vibrant lifestyle with Furukawa Living Treasure Senior Activity Center, a welcoming community located in the blissful community of Honolulu, HI, At Brigham Street, directly across prominent Bishop Museum location, offering adult day care. Those with dementia and Alzheimer’s are encouraged to live with purpose amid the community’s beautifully designed setting. A compassionate and specially trained team also strives to keep residents comfortable and safe.

Promoting social interactions and better cognition, fun exercise, and enriching programs are conducted, including music therapy and arts and crafts. Delightful and well-balanced meals, alongside snacks, are served daily for residents’ dietary needs and preferences. The community is ideal for those seeking to live blissfully despite their cognitive conditions, especially with its dedicated services and friendly setting.

Contact Furukawa Living Treasure

The Ivy at Hawaii Kai

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

The Ivy at Hawaii Kai promotes flexibility with helpful services that help assisted living residents live a fun, fulfilling, and freeing lifestyle. Management and staff strive to create an environment where seniors feel comfortable thriving in a community that puts them first. The Ivy at Hawaii Kai has gotten the trust of families with the service and compassionate care that the community has devoted itself to doing.

The Ivy at Hawaii Kai aims to help residents live a meaningful life every day, which is why their comprehensive amenities and services allow each individual to grow and enjoy their golden years. From creating arts and crafts projects to receiving transportation to events and appointments, these amenities and services help residents live a life of ease with their daily activities.

Contact The Ivy at Hawaii Kai

Overview of Kalākaua Gardens

Kalākaua Gardens, located in Honolulu, HI, is a senior living community primarily offering independent living, assisted living, memory care, and skilled nursing services. Their independent living option provides residents with studio-style and one bedroom accommodations featuring emergency alert systems, and personalized climate control. All utilities are also already covered except for telephone, and in room wifi and cable services are also available.

This senior living community’s amenities provides residents with so many things to enjoy; from their chef-prepared meals in a restaurant style dining room, to their housekeeping services, and scheduled transportation. Additionally, the residents may also participate in fitness classes as well as social and cultural outings, providing opportunities to create new relationships in their retirement years, as well as memories to look back on.

Contact Kalākaua Gardens

Overview of Serenity Care Home Hawaii Kai

Serenity Care Home Hawaii Kai, nestled in the beautiful surroundings of Honolulu, Hawaii, is a dedicated senior community that prioritizes the well-being and comfort of its residents. A nutritious diet is central to the care offered, with residents enjoying three well-balanced meals each day. The team goes the extra mile to accommodate special dietary needs and individual food preferences. Maintaining a clean and hygienic environment is a top priority. The staff diligently attends to resident laundry requirements, ensuring fresh and tidy surroundings. In addition to essential medical care, transportation services to and from doctor’s appointments are provided, with close communication maintained with physicians to guarantee the best care plans are followed.

At Serenity Care Home Hawaii Kai, the professional staff takes pride in carefully managing residents’ medications, ensuring they are administered promptly and correctly. Assistance is readily available for tasks related to dressing, bathing, and personal hygiene, promoting residents’ independence and dignity. Furthermore, Serenity Care Home Hawaii Kai values residents’ participation in outside activities and provides convenient transportation for scheduled events. The community is dedicated to creating a safe and enriching environment for seniors in the heart of Honolulu.

Contact Serenity Care Home Hawaii Kai

Overview of Hale Ku‘ike Pali

Hale Ku‘ike Pali is where seniors can discover a truly exceptional memory care senior living experience. This community is dedicated to providing unparalleled memory care services, offering a nurturing environment designed for individuals with dementia-related illnesses. At Hale Ku‘ike Pali, they believe in the power of memory care therapy to enhance the lives of their residents. The team of compassionate professionals is well-versed in specialized memory care techniques and therapies. They strive to promote cognitive function, engagement, and overall well-being through personalized programs tailored to individual needs.

With spacious and well-lit interiors, the community boasts a warm and inviting ambiance that promotes peace and security. The circular pathways ensure easy navigation, while the carefully selected furniture and design elements create a soothing and homelike atmosphere. From stimulating games to creative pursuits, the dedicated team aims to provide meaningful experiences that spark joy and foster cognitive abilities. Caregivers and therapists work closely with residents, tailoring activities to their interests and abilities, ensuring a fulfilling and enriching experience.

Contact Hale Ku‘ike Pali

Overview of The Plaza at Pearl City

The Plaza at Pearl City is not only a premier destination for senior living but also a trusted provider of memory care in your area. Situated in the picturesque Pearl City, Hawaii, this community offers a comprehensive range of services, including assisted senior living, to meet the unique needs of each resident. Choosing The Plaza at Pearl City means gaining access to top-notch senior living services in a beautiful and vibrant setting.

With a dedicated focus on memory care, The Plaza at Pearl City provides specialized support for individuals living with memory-related challenges. The compassionate team is trained to provide personalized care and create a safe, nurturing environment where residents can thrive. From structured activities to therapeutic interventions, every aspect of memory care is thoughtfully designed to enhance cognitive abilities and promote overall well-being. From medication management to personal care, the compassionate staff is dedicated to meeting the unique needs of each individual.

Contact The Plaza at Pearl City

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.