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Other Senior care options in Hawaii:

Best Assisted Living in Hawaii

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 178 homes in Hawaii

Sources: CMS Centers for Medicare and Medicaid Services, and Hawaii Department of Health, Office of Aging and Long Term Care.

Explore home photos

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

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

Compare Assisted Living around Hawaii

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

Click column headers to sort
Maunalani Nursing and Rehabilitation Center
NH

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

AL

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

Honolulu (Kaimuki)
100No 11 ------
Pearl City Nursing Home
NH

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

AL

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

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

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

AL

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

Kaneohe
246No 22 Private Rooms-----
Lunalilo Home
AL

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

Honolulu (Hawaii Kai)
40No 40 Private / Shared Rooms--Ceo Keolamaikalani Dean--
King Lunalilo Trust
RH

Retirement Home

AL

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

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Honolulu (Hawaii Kai)
40No 48 ---Ceo Keolamaikalani Dean4112
Care Homes By Hale Makua
NH

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

AL

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

Kahului (Kaulana Street)
20No 27 Private / Semi-Private / 3 Bed--Trisha Akahi1285
Ka Malama Care Home
AL

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

Kaneohe
5No 6 Private Rooms23-Helen Elizalde436
My Kind Heart
AL

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

Pearl City
5No 65 Private / Shared Rooms--Imelda Hyde480
Arcadia Retirement Residence
NH

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

AL

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

Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
91No 86 --A+-35
The Plaza at Kaneohe
MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

AL

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

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Kaneohe
-No 78 Studio / 1 Bed / Suite6A+-432
The Plaza at Waikiki
AL

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

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Honolulu (Mccully - Moiliili)
153Yes 96 Studio / Suite / 1 Bed13A+-415
Kahala Nui
NH

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

AL

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

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

N

Nursing

Honolulu (Waialae - Kahala)
60No 71 Private / Semi-Private Rooms21A+---
Ilima at Leihano
AL

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

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

Kapolei (City Center)
-No 67 -19----
Kisco Ilima at Leihano
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

AL

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

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Kapolei (City Center)
-No 67 Studio / 1 Bed / 2 Bed19--439
Serenity Care Home Hawaii Kai
AL

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

Honolulu (Hawaii Kai)
5No 4 Private Rooms--Ana Jose416
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Overview of Pālolo Chinese Home

For over 120 years, Palolo Chinese Home has been providing service to many families; however, the current and new Palolo Chinese Home boasts ‘better care’ for ‘better lives’ for its seniors. They are dedicated to delivering continuous top-notch service for skilled nursing and rehabilitation. Palolo approaches senior living in a way that ensures residents are able to relax and recover. 

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Contact Pālolo Chinese Home

Pat’s Arch

91-1029 Hanakahi Street, Ewa Beach, HI 96706
Overview of Pat’s Arch

Enjoy the best of your golden years with Pat’s Care Home, an idyllic retreat in Hanakahi Street, Ewa Beach, HI, offering assisted living. A compassionate and well-trained team provides the highest quality of care tailored to residents’ unique needs 24/7. Here, residents do not have to worry about household chores and daily living activities since the community takes care of them.

A robust calendar of fun recreational activities and enriching programs is conducted so residents can live actively and remain socially connected. Delicious and healthy meals are served to satisfy residents’ dietary needs and preferences. The community also provides transfer assistance and medication management for residents’ comfort. With its intimate and welcoming setting, residents will surely thrive and live a blissful retirement.

What does this home offer?

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Housing Options: Private / Shared Rooms

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Building Type: Single-story

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Contact Pat’s Arch

Overview of Hanami Care Home Kailua

Hanami Care Home Kailua is a blissful retreat set in the quiet residential area of Kalama Street, Kailua, HI, offering assisted living. Dedicated to residents’ well-being, a kind and highly trained team provides top-tier care 24/7 according to their needs and preferences. The community promotes a vibrant and nurturing environment, ensuring residents can feel at ease during their stay.

Stimulating programs and enriching activities are conducted to keep residents active and socially engaged. Delightful and healthy dining options are also served, so residents can enjoy a satisfactory dining experience that satisfies their dietary needs. Here, residents have the finest retirement experience with its specially designed amenities and welcoming setting.

What does this home offer?

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Total Residents: 5 Residents

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Housing Options: Private / Shared Rooms

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Building Type: 2-story

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Overview of Angel Home for Seniors

Cherish every moment with Angel Home for Seniors, a specially designed community in Kailua, HI, offering memory care. The community strives to accommodate up to five residents, providing top-tier care for their memory-related needs with a respectful and well-trained team available 24/7. Residents can keep their peace of mind with the community’s beautifully furnished accommodations in a warm and nurturing environment.

To enhance residents’ cognition, stimulating programs and engaging activities are conducted according to their interests and capabilities. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options. The community is great for those seeking to live their golden years without worries.

What does this home offer?

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Total Residents: 5 Residents

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Building Type: Single-story

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Contact Angel Home For Seniors

Zen Residences

432 Hoomalu St, Pearl City, Hi 96782, Usa
Overview of Zen Residences

Beautifully nestled in the harmonious setting of Hoomalu Street, Pearl City, HI, Zen Residences is a blissful retreat that offers assisted living. Accommodating up to five residents, the community provides top-tier care 24/7, alongside intimate and purposely designed accommodations, for a better quality of life. A compassionate and well-trained team also helps with daily living activities and household chores for a worry-free lifestyle.

Fun recreational activities and engaging programs encourage residents to live happily and remain socially engaged. Delicious and healthy meals are served to satisfy residents’ dietary needs and preferences. Residents will surely thrive in the community’s vibrant and nurturing environment, especially with its exceptional care and dedicated services.

What does this home offer?

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Building Type: 2-story

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Contact Zen Residences

Overview of Simpliciano’s Arch

Enjoy the highest quality of life with Simpliciano’s ARCH, a distinct community set in the historic Waipahu, HI, offering assisted living. Alongside beautifully furnished and cozy accommodations, top-tier care and assistance from a compassionate and highly trained team are provided to optimize residents’ comfort and convenience. Residents can ease their worries with the community’s 24-hour care and assistance with housekeeping and daily living activities.

Residents will not run out of things to do with a full calendar of exciting programs and engaging events for their enjoyment and wellness. Mealtimes foster comfort and satisfy dietary needs with delicious and healthy dining options. Medication management and transportation services are also provided for residents’ healthcare needs. The community is ideal for those seeking a place to spend their golden years, especially with its warm and nurturing environment.

What does this home offer?

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Housing Options: Private / Shared Rooms

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Building Type: 2-story

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Contact Simpliciano’s ARCH

Overview of Pualei Care Home

Ideally located near Hanauma Bay Nature Preserve and Marshalls Beach in Anakua Street, Honolulu, HI, Pualei Care Home is a distinct community that offers assisted living. A respectful and well-trained team provides top-notch care for residents to enjoy a worry-free lifestyle. Specially designed and wheelchair- accessible amenities are available to optimize residents’ comfort and independence.

Here, residents will not run out of things to do with a jam-packed calendar of fun recreational activities and engaging programs conducted according to their interests and capabilities. Mealtimes are also carefully prepared to ensure residents get the nutrients they need. The community also provides hospice care for residents to age comfortably. Residents spend their golden years with ease amid the community’s beautifully maintained amenities and friendly setting.

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Housing Options: Private / Shared Rooms

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Building Type: Single-story

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Alexander Manor

1559 Thurston Ave #201, Honolulu, HI 96822
Overview of Alexander Manor

A worry-free living awaits. Alexander Manor is a senior living community centrally located in Honolulu, on the beautiful island of Oahu. This assisted living community features a small, family-style building with 24 apartments, complete with elevator and parking. Here, residents enjoy the convenience of a flat rate that covers all amenities and services with no additional charges.

Alexander Manor offers a range of amenities, including three daily meals served in the dining room, daily exercises, an entertainment area, and complimentary on-call transportation. Utilities, including cable, are included, and residents benefit from daily laundry and maid service, as well as 24-hour staff availability. With a serene location and an array of inclusive services, this senior living community is a perfect choice for those seeking comfort and convenience on Oahu. 

Contact Alexander Manor

Overview of Hawaii Loa Care Services LLC

An esteemed community situated near recreation sites, including Paiko Beach in Panio Street, Honolulu, HI, Hawaii Loa Care Services LLC, offers assisted living. The community features intimate and beautifully furnished accommodations alongside top-tier care around the clock to optimize residents’ comfort and safety. Residents can ease their worries with a kind and highly skilled team helping with their daily living activities and household chores.

There’s no dull moment with a carefully curated calendar of engaging recreational programs and enriching activities that highlight residents’ interests and strengths. Residents delight with delicious and healthy meals that satisfy their dietary needs and preferences. Mobility assistance and medication management are also provided for residents’ convenience. The community is great for those seeking to retain their independence without the busy works in its cozy and nurturing environment.

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Housing Options: Private Rooms

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Building Type: Single-story

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Overview of Charity Adult Residential Care

Charity Adult Residential Care is a haven of assisted senior living, offering a nurturing and supportive environment for older adults in Waipahu, Hawaii. As a premier facility, it caters to the diverse needs of its residents, whether they require assistance with daily activities or seek a higher level of care typically found in a nursing home or assisted living setting.

With a team of dedicated professionals, including registered nurses, caregivers at Charity Adult Residential Care provide personalized support, ensuring that each resident receives the attention and care they deserve. The facility goes above and beyond to create a warm and engaging atmosphere, promoting overall well-being and enriching the lives of their residents. Whether it’s assistance with daily tasks, medication management, or specialized care for those with more complex needs, Charity Adult Residential Care is committed to providing comprehensive services. Their focus on assisted senior living ensures that residents can maintain their independence while receiving the support they require to thrive.

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Housing Options: 1 Bed

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Building Type: 2-story

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Contact Charity Adult Residential 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.