Other senior care options in Hawaii:

Best Assisted Living in Hawaii

Why trust this guide? Our editorial team analyzed 100 assisted living communities in Hawaii using State of Hawaii Department of Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in HI
Reviewed by
Last updated
Jun 2026
We analyzed
100 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: 49/ 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: 43The average licensed bed capacity across facilities in Hawaii. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Hawaii

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

Good Samaritan Society – Pohai Nani
AL
IL
NH
RC
SNF
Kaneohe
44
Facility 44
HI AVG 43
Rank #27 / 87
No
18
Facility 18
HI AVG 49
Rank #141 / 178
Studio / 1 Bed / 2 Bed---
3
Facility 3
HI AVG 3.3
Rank #15 / 61
19
Facility 19
HI AVG 25
Rank #30 / 61
4.8
Facility 4.8
HI AVG 6.3
Rank #29 / 61
15 Craigside
AL
ADC
HC
IL
NH
SNF
Honolulu (Nuuanu - Punchbowl)
45
Facility 45
HI AVG 43
Rank #26 / 87
No
50
Facility 50
HI AVG 49
Rank #85 / 178
Studio / 1 Bed-A+-
4
Facility 4
HI AVG 3.3
Rank #38 / 61
14
Facility 14
HI AVG 25
Rank #25 / 61
2.0
Facility 2.0
HI AVG 6.3
Rank #13 / 61
Kahala Nui
AL
MC
NH
SNF
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
HMC
IL
SR
Pearl City (Kuala Street)
158
Facility 158
HI AVG 43
Rank #5 / 87
No
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 3.3
Rank #15 / 61
12
Facility 12
HI AVG 25
Rank #22 / 61
4.0
Facility 4.0
HI AVG 6.3
Rank #25 / 61
The Plaza at Waikiki
AL
HMC
IL
SR
Honolulu (Mccully - Moiliili)
153
Facility 153
HI AVG 43
Rank #6 / 87
Yes
96
Facility 96
HI AVG 49
Rank #11 / 178
Studio / Suite / 1 Bed
14
Facility 14
HI AVG 19
Rank #31 / 44
A+-
4
Facility 4
HI AVG 3.3
Rank #38 / 61
15
Facility 15
HI AVG 25
Rank #27 / 61
3.8
Facility 3.8
HI AVG 6.3
Rank #24 / 61
The Plaza at Kaneohe
AL
NH
HMC
IL
LEC
Kaneohe
36
Facility 36
HI AVG 43
Rank #35 / 87
No
78
Facility 78
HI AVG 49
Rank #33 / 178
Studio / 1 Bed / Suite
7
Facility 7
HI AVG 19
Rank #36 / 44
A+-
9
Facility 9
HI AVG 3.3
Rank #60 / 61
57
Facility 57
HI AVG 25
Rank #54 / 61
6.3
Facility 6.3
HI AVG 6.3
Rank #35 / 61
Pālolo Chinese Home
AL
HOS
NH
RESC
RC
SNF
Honolulu (Palolo)
18
Facility 18
HI AVG 43
Rank #44 / 87
No
10
Facility 10
HI AVG 49
Rank #156 / 178
Private / Semi-Private Rooms-A+Darlene Nakayama---
Roselani Place
AL
IL
MC
RC
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 3.3
Rank #38 / 61
14
Facility 14
HI AVG 25
Rank #25 / 61
3.5
Facility 3.5
HI AVG 6.3
Rank #22 / 61
The Plaza at Mililani
AL
NH
HMC
LEC
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 3.3
Rank #38 / 61
23
Facility 23
HI AVG 25
Rank #32 / 61
5.8
Facility 5.8
HI AVG 6.3
Rank #32 / 61
Aina Haina Quality Living
AL
Honolulu (Kuliouou - Kalani Iki)
8
Facility 8
HI AVG 43
Rank #46 / 87
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 3.3
Rank #15 / 61
29
Facility 29
HI AVG 25
Rank #40 / 61
9.7
Facility 9.7
HI AVG 6.3
Rank #45 / 61
The Plaza at Punchbowl
AL
HMC
IL
SR
Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
-No
88
Facility 88
HI AVG 49
Rank #24 / 178
Studio / Suite / 1 Bed / 2 Bed
27
Facility 27
HI AVG 19
Rank #9 / 44
A+-
3
Facility 3
HI AVG 3.3
Rank #15 / 61
8
Facility 8
HI AVG 25
Rank #15 / 61
2.7
Facility 2.7
HI AVG 6.3
Rank #17 / 61
Wilson Senior Living
AL
HC
HOS
NH
RESC
SNF
Kailua
-No
50
Facility 50
HI AVG 49
Rank #85 / 178
Private Rooms
18
Facility 18
HI AVG 19
Rank #25 / 44
A+----
The Plaza at Moanalua
AL
HMC
IL
LEC
RC
Honolulu (Moanalua)
-No
19
Facility 19
HI AVG 49
Rank #138 / 178
Studio / 1 Bed / Companion Suite
16
Facility 16
HI AVG 19
Rank #27 / 44
A+----
Aiea Heights Senior Living
AL
RESC
Aiea (Aiea Heights Drive)
22
Facility 22
HI AVG 43
Rank #41 / 87
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 3.3
Rank #38 / 61
61
Facility 61
HI AVG 25
Rank #55 / 61
15.3
Facility 15.3
HI AVG 6.3
Rank #56 / 61
Caring Manoa
AL
RESC
Honolulu (Manoa)
8
Facility 8
HI AVG 43
Rank #46 / 87
No
33
Facility 33
HI AVG 49
Rank #115 / 178
-
16
Facility 16
HI AVG 19
Rank #27 / 44
A+Todd Pang---
Rows per page:
View all Nearby Homes
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

R.K.C. Arch

91-938 Hanakahi Street, Ewa Beach, HI 96706
Overview of R.k.c. Arch

Receive exceptional care from R.k.c. Arch, an astounding community in Ewa Beach, HI, offering assisted living. Residents can ease their worries with a kind and highly skilled team attending to their needs around the clock. The community also handles household chores and maintenance, so residents enjoy hassle-free living.

Fun recreational activities and engaging programs are also conducted, promoting social interactions and an active lifestyle. Mealtimes are also something to anticipate, with delightful and well-balanced meals that cater to residents’ dietary needs and preferences. The community also provides medication management, non-ambulatory care, and transportation services for residents’ convenience and safety. Residents enjoy the highest quality of life amidst the community’s welcoming spaces.

Contact R.K.C. Arch

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 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

Overview of The Plaza at Mililani

Situated in the Mililani Mauka – Launani Valley neighborhood of central Oahu, The Plaza at Mililani has been operating for 19 years on Ukuwai Street in Mililani. The mid-rise building is about 8.0 miles from the city center, and the surrounding area scores a 12 on the Walk Score scale, so on-site transportation is a practical necessity rather than a luxury. The community makes it available, and Medicare is accepted.

The care model here spans a meaningful range; assisted living and nursing home care sit alongside two named specialty programs: Haliʻa Memory Care and Lamakū Extended Care, the latter designed for residents whose needs increase over time without requiring a facility transfer. Rehabilitation services are available on-site. Housing runs from private studios to shared suites. The Plaza Life Protocol, a Wellness Program, and Volunteer Programs are all listed as active offerings.

Dining is restaurant-style, three meals a day; housekeeping and linen service are included. Grab bars and emergency systems are in place. Visitations are open to families, including children.

Hawaii’s Department of Health, Office of Health Care Assurance oversees inspections here, with reviews tending to address medication management, care planning, and documentation.

At 19 years of operation with a tiered care model that includes dedicated memory care and extended care programs, The Plaza at Mililani is a long-established Oahu community built around the idea that residents should be able to stay as their needs change.

Contact The Plaza at Mililani

Sakura House

1666 Mott Smith Drive, Honolulu, HI 96822
Overview of Sakura House

Sakura House is a 35-bed adult day care facility at 1666 Mott Smith Drive in Honolulu, Hawaii. Operating for approximately 17 years, the program serves seniors who are mostly independent but benefit from structured daytime supervision. The facility is licensed through February 2028 and operates Monday through Friday from 8:00 am to 5:00 pm. Its urban location carries a Walk Score of 81, providing convenient proximity to local transit and downtown essentials.

Regulatory monitoring by the Hawaii Department of Health indicates a record of high compliance. The most recent inspection in November 2025 resulted in a citations-per-inspection rate of zero. While a 2023 review identified two administrative deficiencies regarding expired staff TB clearances and physical exam documentation, the facility successfully resolved these items without incurring fines or enforcement actions. Total deficiencies over the last several years remain more than 90% below the state average.

Supervision is provided by a multilingual team that includes licensed practical nurses and trained caregivers. Professional services focus on maintaining residents’ physical and cognitive abilities through structured socialization and health monitoring. The program is designed to support aging-in-place, offering families daytime relief while residents remain in their own homes. Staffing oversight is managed by Community Ties of America, ensuring adherence to state administrative rules.

The daytime environment features a calm, engaging setting with dedicated spaces for social activities and rest. Daily programming includes exercise, crafts, and cognitive games tailored to the participants’ interests. While primarily a day care, the management has historically offered multilingual support for diverse resident populations. The facility is wheelchair accessible and prioritizes a secure, home-like atmosphere during operational hours.

Families seeking a highly-rated daytime program in a central Honolulu location may find this facility appropriate. Interested individuals should ask about current enrollment openings and request a copy of the daily activity schedule before making a final participation decision.

Contact Sakura House

Overview of Cua, Lilia

Maintain dignity in retirement with Cua, Lilia, a dependable community nestled near serene parks in Heahea Street, Hilo, HI, that offers residential care. With its intimate and nurturing setting, the community features beautifully furnished and spacious accommodations to optimize residents’ comfort and convenience. Residents can rest their worries with a respectful and highly trained team attending to their personal needs and household responsibilities around the clock.

A robust calendar of engaging activities and fun recreational programs is conducted for residents’ leisure and wellness. Residents can look forward to mealtimes with delicious and healthy meals that satisfy their dietary needs and preferences. The community is ideal for those seeking to spend their golden years in a cozy and welcoming environment dedicated to their welfare and comfort.

Contact Cua, Lilia

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 Aina Haina Quality Living

Experience a better quality of life with Aina Haina Quality Living, a blissful haven located near serene parks like Nehu Park and Kawaikui Beach Park in Honolulu, HI, that offers assisted living. The community also offers memory care, hospice, and respite care, ensuring residents can find the care they need. Committed to enhancing residents’ living experiences, a kind and highly qualified team provides the highest quality of care for their unique needs around the clock. Residents will surely enjoy a worry-free lifestyle, with the community handling household chores and daily living activities.

There’s no dull moment with a robust calendar of fun recreational activities and engaging programs, highlighting their interests and capabilities. Residents enjoy hassle-free dining from breakfast to dinner with delicious and healthy meals that cater to their dietary needs and preferences. Medication management and transportation services are also provided for residents’ comfort and convenience. The community is an enticing option for those who need additional assistance to live comfortably in their golden years, especially with its top-rated services and welcoming spaces.

Contact Aina Haina Quality Living

Overview of Aina Haina Arch

Make the most of your best years with Aina Haina Arch, a distinct community set near the beautiful Nehu Park in Honolulu, HI, that offers assisted living. The community also features different levels of care, including memory care, hospice, and respite care, so residents can age with dignity. A compassionate and well-trained team also cares for residents’ daily living activities and household responsibilities 24/7, ensuring residents enjoy a maintenance-free lifestyle.

A fun-packed calendar of engaging recreational activities and enriching programs is conducted, encouraging residents to interact with their surroundings and create meaningful moments. Three delicious and well-balanced meals are served to satisfy residents’ dietary needs and preferences. The community also provides medication management and transportation services for residents’ comfort and convenience. Residents will surely enjoy every moment of their best years with the community’s exceptional services and stress-free setting.

Contact Aina Haina ARCH

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
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

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 100 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.