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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.

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Maunalani Nursing and Rehabilitation Center
NH

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

AL

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

Honolulu (Kaimuki)
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 The Plaza at Mililani

The Plaza at Mililani is not only renowned for its stunning natural surroundings, but also for its exceptional memory care qualifications and senior apartments designed for independent living. With a dedicated focus on providing specialized care for individuals with memory-related conditions, this community ensures that residents receive the utmost support and attention tailored to their unique needs.

The home provides a comfortable and enriching living space for seniors who value their independence but also appreciate the convenience and support of a vibrant community. With a range of floor plans and amenities, seniors can choose the apartment that best suits their preferences and lifestyle. At The Plaza at Mililani, residents have the opportunity to embrace an engaging and fulfilling retirement lifestyle, surrounded by beautiful landscapes and a caring community.

What does this home offer?

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Housing Options: Studio / Shared Suite

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Building Type: Mid-rise

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Contact The Plaza at Mililani

Overview of Yamashiro Care Home

Beautifully set near the Parkway Recreation Center and Loko Waimaluhia Reservoir Fishing Area in Kaneohe, HI, Yamashiro Care Home is an idyllic retreat that offers assisted living and memory care. Residents receive top-tier care from a kind and highly trained team attending to their needs around the clock. With its cozy and inviting environment, residents can keep their peace of mind and thrive.

The community also conducts fun recreational activities and stimulating programs to improve residents’ cognition and quality of life. Residents enjoy a delightful dining experience with delicious and healthy meals that satisfy their nutritional needs and preferences. There’s no need to worry about daily living activities with the community’s dedicated services and exceptional care.

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Total Residents: 5 Residents

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Building Type: 2-story

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Overview of Kaimuki Care Home

Experience the best of your golden years with Kaimuki Care Home, a dedicated community set in the harmonious neighborhood of 18th Avenue, Honolulu, HI, that offers assisted living. Dedicated to improving residents’ quality of life, a compassionate and well-trained team provides top-tier care according to their’ needs around the clock. The community promotes accessibility and comfort with its purposely designed and cozy accommodations.

Residents will not feel lonely with a jam-packed calendar of engaging activities and enriching programs, highlighting their interests and strengths. Mealtimes are also something to look forward to, with delicious and healthy meals that cater to dietary needs and preferences. With its nurturing and welcoming setting, residents will surely enjoy the highest quality of life in retirement.

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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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.

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 Lanihale

Overview of Kīnā ‘ole Estate

Located on the Windward side of Oahu,  Kīnā ‘ole Estate provides its residents with a secure, cozy, and enjoyable environment created to give them both the independence they want and the support they might need. This community offers the highest level of senior care across its 5 fully licensed care homes. Their dedicated staff adapts to each resident’s needs and can care for their residents through the end stage of life.

Kīnā ‘ole Estate offers a special combination of senior housing, personalized supportive services, memory care, expanded care, and adult health care designed to respond to the individual needs of our residents who require help with activities of daily living. The suites are always your private retreat and come partially furnished. The interior design of Kīnā ‘ole Estate has been pre planned using neutral colors, and it is now just waiting for the finishing touches and priceless possessions that make a house a home.

Contact Kīnā ‘Ole Estate

Overview of The Plaza at Moanalua

The Plaza at Moanalua is a premier assisted living home 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 Moanalua 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 Moanalua

Overview of Good Samaritan Society – Pohai Nani

The Good Samaritan Society in Pohai Nani is one of the trusted senior living communities in Hawaii. They provide a range of comprehensive care that focuses on assisted living levels of care which include independent living and nursing care services. Many families have trusted the quality service the community has continuously provided for many seniors over the years. As a Good Samaritan Society, seniors can expect a worry-free lifestyle during their stay and bask in the Hawaiian sun.

The Good Samaritan’s all-inclusive services and amenities include home-cooked meals, maintenance-free living, and housekeeping; social activities include gatherings at the community room, dining room, or chapel; wellness programs, religious services, an emergency response system, housekeeping services, skilled nursing care, and rehabilitation therapies are also offered.

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: High-rise

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Contact Good Samaritan Society – Pohai Nani

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.

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Housing Options: Private Rooms

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Building Type: Single-story

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Contact Knight’s Victoria House

Overview of Rose Hwang’s Care Home

Cherish every moment with Rose Hwang’s Care Home, a trusted community located in the quiet setting of Palamoi Street, Pearl City, HI, offering assisted living. The community provides exceptional care for up to four residents, ensuring their comfort and safety. Residents enjoy a worry-free lifestyle with a kind and highly trained team attending to their personal needs and household responsibilities.

Here, residents elevate retirement with a jam-packed calendar of fun activities and engaging programs that highlight their interests and strengths. There’s no need to hassle with meal preparation with delightful and healthy dining options that satisfy their dietary needs and preferences. The community also provides medication management and transportation services for residents’ comfort and convenience. With its cozy and nurturing environment, residents experience the best of their golden years.

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Total Residents: 4 Residents

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Building Type: Single-story

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Contact Rose Hwang’s Care Home

Overview of Lani’olu Hale at Hawai’i Kai Senior Care

Peacefully nestled in the beautiful setting of Lunalilo Home Road, Honolulu, HI, Lani’oli Hale at Hawai’i Kai Senior Care is a blissful retreat that offers assisted living. Residents here enjoy the highest quality of life with a compassionate and well-trained team attending to their needs around the clock. Purposely designed and sophisticated accommodations in a cozy and friendly setting are available to accommodate up to five residents and optimize their independence.

With a thoughtfully curated calendar of enriching activities and stimulating programs, residents are encouraged to interact with their surroundings and live an active lifestyle. Three delicious and well-balanced meals with delightful snacks are served daily to satisfy residents’ dietary needs and preferences. Medication administration and incontinence management are also provided for residents’ independence. The community is ideal for those seeking assistance to spend their golden years without worries, especially with its intimate and welcoming spaces.

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Housing Options: Private Rooms

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Building Type: 2-story

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Contact Lani’olu Hale at Hawai’i Kai Senior Care

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.