Page 5 of Best Assisted Living in Hawaii

Why trust this guide? Our editorial team analyzed 94 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.
94 homes
Other senior care options in Hawaii:

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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.
King Lunalilo Trust
AL
ADC
RESC
RC
Honolulu (Hawaii Kai)
40
Facility 40
HI AVG 23
Rank #8 / 57
No
48
Facility 48
HI AVG 43
Rank #41 / 93
---Ceo Keolamaikalani Dean
4
Facility 4
HI AVG 3.3
Rank #32 / 50
112
Facility 112
HI AVG 25
Rank #50 / 50
28.0
Facility 28.0
HI AVG 6.3
Rank #50 / 50
Kisco Ilima at Leihano
AL
IL
MC
Kapolei (City Center)
-Yes
67
Facility 67
HI AVG 43
Rank #19 / 93
Studio / 1 Bed / 2 Bed
20
Facility 20
HI AVG 20
Rank #11 / 23
--
4
Facility 4
HI AVG 3.3
Rank #32 / 50
39
Facility 39
HI AVG 25
Rank #38 / 50
9.8
Facility 9.8
HI AVG 6.3
Rank #40 / 50
Wisdom Home Care
AL
Waipahu
4
Facility 4
HI AVG 23
Rank #51 / 57
No
76
Facility 76
HI AVG 43
Rank #10 / 93
---Maricor Dela Cruz
3
Facility 3
HI AVG 3.3
Rank #11 / 50
41
Facility 41
HI AVG 25
Rank #40 / 50
13.7
Facility 13.7
HI AVG 6.3
Rank #44 / 50
Apostol Care Home ARCH
AL
Waipahu
5
Facility 5
HI AVG 23
Rank #19 / 57
No
25
Facility 25
HI AVG 43
Rank #67 / 93
Private / Shared Rooms--Edwin Apostol
3
Facility 3
HI AVG 3.3
Rank #11 / 50
6
Facility 6
HI AVG 25
Rank #8 / 50
2.0
Facility 2.0
HI AVG 6.3
Rank #9 / 50
Rose Hwang’s Care Home
AL
MC
Pearl City
4
Facility 4
HI AVG 23
Rank #51 / 57
No
29
Facility 29
HI AVG 43
Rank #60 / 93
---Rose Hwang
4
Facility 4
HI AVG 3.3
Rank #32 / 50
62
Facility 62
HI AVG 25
Rank #46 / 50
15.5
Facility 15.5
HI AVG 6.3
Rank #46 / 50
Caring Manoa
AL
RESC
Honolulu (Manoa)
8
Facility 8
HI AVG 23
Rank #16 / 57
No
33
Facility 33
HI AVG 43
Rank #57 / 93
-
16
Facility 16
HI AVG 20
Rank #17 / 23
A+Todd Pang---
Pālolo Chinese Home
AL
HOS
NH
RESC
RC
SNF
Honolulu (Palolo)
18
Facility 18
HI AVG 23
Rank #15 / 57
No
10
Facility 10
HI AVG 43
Rank #84 / 93
Private / Semi-Private Rooms-A+Darlene Nakayama---
Kahala Nui
AL
CCRC
MC
NH
SNF
Honolulu (Waialae - Kahala)
-No
71
Facility 71
HI AVG 43
Rank #13 / 93
Private / Semi-Private Rooms
21
Facility 21
HI AVG 20
Rank #9 / 23
A+----
Tangonan Adult Residential Care Home
AL
RESC
Waipahu
5
Facility 5
HI AVG 23
Rank #19 / 57
No
52
Facility 52
HI AVG 43
Rank #34 / 93
Private / Shared Rooms--Edna Tangonan
4
Facility 4
HI AVG 3.3
Rank #32 / 50
41
Facility 41
HI AVG 25
Rank #40 / 50
10.3
Facility 10.3
HI AVG 6.3
Rank #41 / 50
Lunalilo Home
AL
ADC
RESC
RC
Honolulu (Hawaii Kai)
40
Facility 40
HI AVG 23
Rank #8 / 57
No
40
Facility 40
HI AVG 43
Rank #49 / 93
Private / Shared Rooms--Ceo Keolamaikalani Dean---

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other HI assisted living community we track that reports that metric, not just the 94 on this page. See how we rank facilities

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Overview of King Lunalilo Trust

King Lunalilo Trust offers assisted living, adult day care, residential care, and respite care in Honolulu, HI. Located in the Hawaii Kai neighborhood, the community has 40 beds, creating a smaller setting where staff and residents may get to know one another. Assisted living provides help with daily tasks such as bathing, dressing, and medication while a resident maintains their own living space. Residential care provides an ongoing care setting, while adult day care gives a person daytime care and supervision before returning home.

Respite care supports a short stay, which can suit a family whose usual caregiver needs time to travel or recover. The range of care types can suit a resident whose needs change over time, as well as families seeking short-term support through respite care. A Walk Score of 48 places the area in a car-dependent setting, so most errands require a car or a ride.

Contact King Lunalilo Trust

Overview of Kisco Ilima at Leihano

Kisco Ilima at Leihano offers independent living, assisted living, and memory care in Kapolei, HI. Independent living means private living with community services and no daily care, while assisted living includes help with dressing, bathing, medication, and other daily tasks while the resident keeps an apartment. Memory care provides a secured setting with supervision for someone who may be at risk of wandering, and the range of care levels can support a resident whose needs grow over time.

In the City Center neighborhood, the community has studio, one bedroom, and two bedroom residences, including layouts for one person or a couple moving together. Respite care offers a short stay when a resident’s usual caregiver needs to travel or recover. Pets are allowed.

A pool, salon and spa, gardens, courtyards, and walking paths give residents places for recreation, personal care, and time outdoors on the property. The Art of Living Well signature program, wellness programming, rehabilitation services, and transportation provide structured activities, health related support, and rides for scheduled needs. With a Walk Score of 67, the area is somewhat walkable, so some errands are possible on foot and a resident who no longer drives may be able to reach select destinations independently.

Contact Kisco Ilima at Leihano

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 Apostol Care Home Arch

Apostol Care Home Arch is an assisted living community in Waipahu, HI. Residents can receive help with daily tasks such as dressing, bathing, and medication while living in a private or shared room.

The home has five beds, creating a small setting where staff and residents can get to know each other. It may be a good fit for someone who prefers a smaller community. Apostol Care Home Arch is operated by Edwin Apostol.

Contact Apostol Care Home ARCH

Overview of Rose Hwang’s Care Home

Rose Hwang’s Care Home offers assisted living and memory care in Pearl City, HI. Assisted living provides help with daily tasks such as dressing, bathing, and medication, while memory care provides a secured setting with supervision for a resident at risk of wandering. With four beds, the home may be a good fit for someone who prefers a smaller community. Rose Hwang operates the home.

Contact Rose Hwang’s Care Home

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

From its address in Honolulu, HI, Kahala Nui provides memory care, assisted living, continuing care retirement services, nursing home care, and skilled nursing. Memory care starts with the need to address a wandering risk, and it addresses it with a secured area for the resident and staff on watch. Assisted living is a lower level than that, covering help with daily tasks like taking medication, bathing, and getting dressed.

Private pay, Medicare, and Medicaid are all accepted here. Two of those three payment routes are up to someone else to determine and have their own limits and restrictions. Private pay is what has to cover whatever the first two won’t.

Kahala Nui is in the Waialae-Kahala Neighborhood of Honolulu. Rooms here come either private or semi-private. Continuing care retirement is a program that means the whole range of care is licensed at this one site, and the deep end of that care is held under the nursing home and skilled nursing care designations.

The area’s Walk Score puts the address at a very walkable 71, meaning most errands can be managed without a car.

The range on offer here suits someone who either needs memory care or daily assistance with routine tasks. And it also suits a family planning further out than the immediate need, looking at needs that may still be some way off.

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

Overview of Lunalilo Home

Operated by CEO Keolamaikalani Dean, Lunalilo Home is an assisted living community in the Hawaiʻi Kai neighborhood of Honolulu, about 1.8 miles from the city center. It offers assisted living, adult day care, residential care, and respite care under one roof, and has served Oahu’s kūpuna for over a century. The 40-bed community is licensed as a Type II Expanded Adult Residential Care Home in a two-story building. Residents can select from private or shared rooms, including single, double, or multi-person occupancy. The somewhat walkable neighborhood carries a Walk Score of 40. A few nearby errands can be done on foot, with most trips needing transportation.

With staff available to help with personal care, medication management, and first aid, Care at Lunalilo Home is built around ambulatory residents. Special dietary needs are handled, and meals and snacks are served from a set sample menu, alongside a meals-to-go option for added flexibility. Recreational, cultural, and spiritual programming is rooted in native Hawaiian culture and values, giving daily life here a distinct local character. Practical support transcends direct care. The home provides transportation to medical appointments, along with housekeeping and laundry services, so occupants and their families have fewer logistics to manage on their own. Between its cultural programming and its set of care levels, from residential care to respite stays, Lunalilo Home is tailored to support kūpuna at more than one stage of need.

Contact Lunalilo 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.
How we're paid: If we help you find a community and you move in, that community may pay us a referral fee. This never affects where they rank or what you pay. Learn more
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Assisted Living in Hawaii at a glance

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: 43/ 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: 23The average licensed bed capacity across facilities in Hawaii. Individual facilities can vary widely from this average.
National Average: 90
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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 94 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.