Page 5 of Best Assisted Living in Hawaii

Why trust this guide? Our editorial team analyzed 95 assisted living communities in HI using HI Dept. of Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in HI
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Last updated
We analyzed These are the facilities in Hawaii our team has analyzed — not a count of every assisted living provider in Hawaii.
95 homes
Other senior care options in Hawaii:
Avg Monthly Cost: $12,000The average monthly cost across facilities in Hawaii. Reflects published or estimated base rates and can vary with care level, room type, and amenities. Individual facilities can vary widely from this average.
National Average: $5,600
Avg Walk Score: 50/ 100The average Walk Score across facilities in Hawaii. A third-party neighborhood walkability score (0–100) measuring convenience and context, not healthcare quality. Individual facilities can vary widely from this average.
National Average: 50/ 100
Avg No. of Beds: 30The average licensed bed capacity across facilities in Hawaii. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Hawaii

Info below is compiled from the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
How many inspections had one or more deficiencies recorded. Compare to total inspections to see how often problems were found on visit.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
R.K.C. Arch
AL
Ewa Beach (Ewa)
3
Facility 3
HI AVG 30
Rank #67 / 68
No
38
Facility 38
HI AVG 50
Rank #98 / 156
Private / Shared Rooms--Josephine Fitzgerald
3
Facility 3
HI AVG 3.3
Rank #15 / 56
24
Facility 24
HI AVG 25
Rank #32 / 56
8.0
Facility 8.0
HI AVG 6.3
Rank #39 / 56
Kisco Ilima at Leihano
AL
IL
MC
Kapolei (City Center)
-Yes
67
Facility 67
HI AVG 50
Rank #48 / 156
Studio / 1 Bed / 2 Bed
19
Facility 19
HI AVG 19
Rank #18 / 40
--
4
Facility 4
HI AVG 3.3
Rank #36 / 56
39
Facility 39
HI AVG 25
Rank #43 / 56
9.8
Facility 9.8
HI AVG 6.3
Rank #46 / 56
King Lunalilo Trust
AL
ADC
RESC
RC
Honolulu (Hawaii Kai)
40
Facility 40
HI AVG 30
Rank #16 / 68
No
48
Facility 48
HI AVG 50
Rank #82 / 156
---Ceo Keolamaikalani Dean
4
Facility 4
HI AVG 3.3
Rank #36 / 56
112
Facility 112
HI AVG 25
Rank #56 / 56
28.0
Facility 28.0
HI AVG 6.3
Rank #56 / 56
Wisdom Home Care
AL
Waipahu
4
Facility 4
HI AVG 30
Rank #62 / 68
No
76
Facility 76
HI AVG 50
Rank #35 / 156
---Maricor Dela Cruz
3
Facility 3
HI AVG 3.3
Rank #15 / 56
41
Facility 41
HI AVG 25
Rank #45 / 56
13.7
Facility 13.7
HI AVG 6.3
Rank #50 / 56
Rose Hwang’s Care Home
AL
MC
Pearl City
4
Facility 4
HI AVG 30
Rank #62 / 68
No
29
Facility 29
HI AVG 50
Rank #110 / 156
---Rose Hwang
4
Facility 4
HI AVG 3.3
Rank #36 / 56
62
Facility 62
HI AVG 25
Rank #52 / 56
15.5
Facility 15.5
HI AVG 6.3
Rank #52 / 56
Apostol Care Home ARCH
AL
Waipahu
5
Facility 5
HI AVG 30
Rank #30 / 68
No
25
Facility 25
HI AVG 50
Rank #118 / 156
Private / Shared Rooms--Edwin Apostol
3
Facility 3
HI AVG 3.3
Rank #15 / 56
6
Facility 6
HI AVG 25
Rank #12 / 56
2.0
Facility 2.0
HI AVG 6.3
Rank #13 / 56
Caring Manoa
AL
RESC
Honolulu (Manoa)
8
Facility 8
HI AVG 30
Rank #27 / 68
No
33
Facility 33
HI AVG 50
Rank #106 / 156
-
16
Facility 16
HI AVG 19
Rank #24 / 40
A+Todd Pang---
Pālolo Chinese Home
AL
HOS
NH
RESC
RC
SNF
Honolulu (Palolo)
18
Facility 18
HI AVG 30
Rank #26 / 68
No
10
Facility 10
HI AVG 50
Rank #141 / 156
Private / Semi-Private Rooms-A+Darlene Nakayama---
Kahala Nui
AL
CCRC
MC
NH
SNF
Honolulu (Waialae - Kahala)
-No
71
Facility 71
HI AVG 50
Rank #41 / 156
Private / Semi-Private Rooms
21
Facility 21
HI AVG 19
Rank #16 / 40
A+----
Tangonan Adult Residential Care Home
AL
RESC
Waipahu
5
Facility 5
HI AVG 30
Rank #30 / 68
No
52
Facility 52
HI AVG 50
Rank #75 / 156
Private / Shared Rooms--Edna Tangonan
4
Facility 4
HI AVG 3.3
Rank #36 / 56
41
Facility 41
HI AVG 25
Rank #45 / 56
10.3
Facility 10.3
HI AVG 6.3
Rank #47 / 56

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

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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 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 King Lunalilo Trust

With its historical roots, King Lunalilo Trust is an exceptional senior living community settling at Kekauluohi Street, Honolulu, HI, that offers residential care, respite care, adult day center, and meals-to-go. Originally providing care for Hawaiians, the community has begun to extend its top-tier care and assistance to seniors who would love to live on its premises. The community features beautifully made accommodations including single, double, or multi-person occupancy rooms. King Lunalilo Trust graces its residents with a peaceful environment to ensure they live a comfortable and worry-free lifestyle.

The community fosters a nurturing environment, delivering the highest quality care and assistance with a friendly and dedicated team 24/7. Featuring its very own Kauhale Kupuna Strategic Plan, the community aims to extend its quality care and residence to more seniors. Residents enjoy balanced meals daily, alongside recreational, cultural, and spiritual activities. King Lunalilo Trust provides an unforgettable retirement experience filled with inspiration and warmth.

Contact King Lunalilo Trust

Overview of Wisdom Home Care

Wisdom Home Care is an adult residential care home located on Waikele Road in Waipahu, Hawaii. Run by operator Maricor Dela Cruz, this licensed, two-story house accommodates up to four residents, providing a small-scale living arrangement as an alternative to large senior living complexes.

The surrounding neighborhood features a walkability score of 76 out of 100, which allows visitors and families to complete most daily errands entirely on foot. Caregivers remain on-site 24 hours a day to assist with bathing, grooming, cooking, light housekeeping, and personal companionship.

The staff also provides hospital accompaniment to help coordinate logistics during medical transfers or external doctor appointments.

Prospective residents can contact the administrator directly to ask about current room vacancies and monthly fees.

Contact Wisdom Home Care

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.

Contact Rose Hwang’s Care Home

Overview of Apostol Care Home Arch

Experience a better quality of life with Apostol Care Home Arch, an outstanding community nestled in the thriving neighborhood of Hinaea Street, Waipahu, HI, offering assisted living. Accommodating up to five residents, the community features cozy and specially designed accommodations to optimize comfort and familiarity. A compassionate and highly trained team also provides top-notch care and support tailored to residents’ special needs 24/7.

Here, residents will not run out of things to do with a jam-packed calendar of fun recreational activities and enriching programs, highlighting their interests and strengths. Delightful and well-balanced meals are also served to satisfy residents’ dietary needs and preferences. The community also offers move-in services to ensure residents enjoy a hassle-free transition to assisted care. Residents experience the best of their golden years with the community’s specially designed amenities and friendly setting.

Contact Apostol Care Home ARCH

Overview of Caring Manoa

Caring Manoa is a family-owned assisted living community in Honolulu, HI, offering assistance with daily living activities. With its intimate, home-like setting, the community ensures older adults experience the utmost comfort throughout their stay. Housekeeping, well-balanced meals, and innovative recreational activities are among the exceptional services provided to help residents live independently. Along with generous caregiver ratios, customized care plans are also provided to meet residents’ needs and preferences.

Daily family visits, fitness programs, and social events provide residents with emotional support and help them maintain holistic wellness. Residents can also relax and make friends with clean and accessible amenities like the garden, spacious rooms, and lively gathering areas. Located near Round Top Forest Reserve in the quiet residential area of Honolulu, the community guarantees a laid-back lifestyle. This assisted living community has high standards of care, making it a good option for senior living in Hawaii.

Contact Caring Manoa

Overview of Pālolo Chinese Home

Eighteen beds, more than 120 years in operation. Pālolo Chinese Home is one of the smaller nursing homes in Honolulu, and one of the oldest. Located at 2459 10th Ave in the Pālolo neighborhood, the single-story facility sits about 3.4 miles from the city center in a car-dependent area (Walk Score 10). The intimate scale is the defining physical fact here.

Care options span nursing home, assisted living, hospice, and respite care. The average resident stay runs 82 days, which puts this facility squarely in the transitional and short-term care range rather than long-haul residential placement. Private and semi-private rooms are the available configurations.

Staffing runs around the clock, with total nursing care at 4 hours and 32 minutes per resident per day. Registered nurses account for 1 hour and 23 minutes of that figure. Rehabilitation services and short-term rehab are available on-site, consistent with the facility’s short average stay.

The service model reaches well beyond the building. Alongside residential care, Pālolo Chinese Home operates Senior Day Care, In-Home Services, Home Cleaning, Chore Services, Meals to Go, and an Older Adult Home Modification Program. Overnight Respite Care is available for families who need a temporary bridge. The facility accepts Medicare, Medicaid, and private pay.

Pālolo Chinese Home is a small, deeply rooted institution that has oriented itself toward community-based care as much as residential placement. Families working through a short-term recovery or exploring in-home support alongside nursing care will find more options here than the bed count alone suggests.

Contact Pālolo Chinese Home

Overview of Kahala Nui

Experience an island-like living with Kahala Nui located at Malia Street, Honolulu, HI. A one-of-a-kind senior living community offering independent living, assisted living, memory support, and comprehensive nursing. With its in-campus Hi’olani Care Center, the community ensures seniors’ needs are heard and well-taken care of. Providing aesthetic and warm floor plans including one-bedroom, two-bedroom, and three-bedroom units, residents enjoy relaxing and safe accommodation.

The community focuses on the wellness of the seniors, utilizing a holistic view in conducting activities and programs related to arts, dance, entertainment, education, and fitness. As a person-centered life plan community, Kahala Nui fosters a family-like environment centered on its core belief ‘ohana. Residents enjoy island-style cuisine and casual dining with flexible meal plans three times daily. Sitting on an aesthetically landscaped land, the community includes a variety of fabulous amenities including a jacuzzi, a pool, a fitness center, Hatsunes garden, and spacious common areas for the seniors’ leisure and wellness.

Contact Kahala Nui

Overview of Tangonan Adult Residential Care Home

Ideally nestled near Bill Balfour Jr. Waipahu District Park in Waipahu, HI, Tangonan Adult Residential Care Home is a dependable community that offers assisted living. The community is dedicated to improving residents’ well-being, providing top-notch care for their unique needs 24/7. Here, residents can keep their peace of mind with the community’s cozy and nurturing environment.

Residents have fun and meet new friends with a full calendar of fun recreational activities and engaging programs for leisure and wellness. Delightful and healthy meals are served to cater to residents’ dietary needs and preferences. The community also provides medication management, transportation services, and non-ambulatory care for residents’ comfort and convenience. With its vibrant and welcoming environment, residents will surely enjoy every moment of their golden years.

Contact Tangonan Adult Residential Care Home

Weighting overview

  • 35%
    Resident Experience
  • 25%
    Regulatory
  • 15%
    Visual Media
  • 10%
    Website
  • 10%
    Stability
  • 5%
    Environment
01

Resident & Family Experience 35%

The single largest share of every ranking. Aggregated review sentiment and volume from major platforms — the closest signal to real resident experience.

  • Includes
  • Review Sentiment
  • Review Volume
02

Regulatory & Safety Record 25%

State inspection records, citations, and complaint visits. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • State Inspections
  • Citations/Inspection
  • % Inspections w/ Citations
  • Complaint Visits
  • Accreditations
  • BBB Rating
03

Visual Media & Transparency 15%

Communities that publish high-quality visuals give families a real preview. No photos or tours = a negative transparency signal.

  • Includes
  • Video Tours
  • Virtual Walkthroughs
  • Photo Quantity
  • Photo Quality
04

Website & Operator Transparency 10%

Site quality and whether the operator publishes basic accountability information — staff names, contact details, ownership.

  • Includes
  • Website Content
  • Mobile Usability
  • Staff Info Available
  • Owner Info Available
05

Community Stability 10%

Operational signals indicating whether a community is well-run and meeting demand.

  • Includes
  • Occupancy Rate
  • Bed Options
06

Environment & Pricing 5%

Walkability and pricing transparency. Walk Score is weighted higher for Independent Living than for Memory Care, where most residents do not leave unaccompanied.

  • Includes
  • Walk Score
  • Pricing Transparency
No paid rankings Communities cannot pay to influence placement.
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Frequently Asked Questions about Assisted Living in Hawaii

What's the difference between assisted living and memory care in Hawaii?

Assisted living in Hawaii supports residents with daily activities (bathing, dressing, medication management) while preserving independence. Memory care is a specialized form of assisted living for residents living with Alzheimer's or dementia, and adds 24/7 secured environments, dementia-trained staff, and structured routines designed to reduce confusion and wandering.

What's the difference between assisted living and a nursing home in Hawaii?

Assisted living in Hawaii is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Hawaii Medicaid cover assisted living?

Hawaii Medicaid does not directly pay room-and-board for assisted living, but most states (including Hawaii) offer Home and Community-Based Services (HCBS) waivers that can offset the cost of care services delivered inside a licensed community. Eligibility, waitlists, and covered services vary — check directly with the state Medicaid agency.

What is assisted living?

Assisted living combines private or semi-private apartments with help on activities of daily living (meals, bathing, dressing, medication management) and a social calendar — for residents who need some support but do not need 24/7 medical care.

How many assisted living facilities are listed on this page?

This page features 95 assisted living facilities in Hawaii. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Hawaii?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Hawaii, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting assisted living facilities in Hawaii?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.