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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.

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Maunalani Nursing and Rehabilitation Center
NH

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

AL

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

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

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

AL

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

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

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

AL

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

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

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

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

Retirement Home

AL

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

RC

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

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

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

AL

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

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

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

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

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

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

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

AL

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

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

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

AL

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

IL

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

RC

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

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

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

IL

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

MC

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

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

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

AL

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

MC

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

N

Nursing

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

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

IL

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

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

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

AL

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

MC

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

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

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

Honolulu (Hawaii Kai)
5No 4 Private Rooms--Ana Jose416
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Overview of 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.

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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Contact Apostol Care Home ARCH

Sweet Haven

98-1274 Hoohuali Place, Pearl City, HI 96782
Overview of Sweet Haven

Ideally situated near delightful recreational sites in Pearl City, HI, Sweet Haven is a blissful retreat that offers assisted living. Alongside intimate and sophisticated accommodations, a kind and highly trained team provides personalized care for up to four residents, ensuring their comfort and convenience. Here, residents enjoy a maintenance-free lifestyle since the community handles the housekeeping and other daily living activities.

Residents meet new friends and have fun with a carefully curated calendar of stimulating programs and engaging activities that highlight their interests and strengths. The community accommodates residents’ special diets with delightful and healthy dining options that satisfy their dietary needs and preferences. With its warm and nurturing environment, residents will surely thrive in retirement.

What does this home offer?

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Total Residents: 4 Residents

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Building Type: 2-story

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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.

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 Oililua Eldercare – Waipahu

Create meaningful moments with Oililua Eldercare – Waipahu, a trusted community in Waipahu, HI, offering assisted living and memory care. Residents can keep their peace of mind with a compassionate and well-trained team attending to their needs 24/7, ensuring their comfort and safety. The community also provides purposefully designed and cozy accommodations in a welcoming and nurturing environment for the finest retirement experience.

For a change of scenery, two exciting trips are conducted, alongside a jam-packed calendar of fun recreational activities for residents’ leisure and wellness. Here, residents do not have to worry about their dietary preferences with delightful and healthy dining options prepared for a satisfactory dining experience. The community also provides physical, occupational, and speech therapy whenever necessary. Residents enjoy the best of their golden years with the community’s charming setting and inviting spaces.

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Housing Options: Private / Semi-Private Rooms

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Building Type: 2-story

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Contact Oililua Eldercare – Waipahu

Overview of The Plaza Moanalualani

Situated at the core of Honolulu, HI, the Plaza Moanalualani greets the seniors and guests with enchanting sceneries of the ocean and the city. The community provides a wide range of living options including independent living, assisted living, Hali’a memory care, short-term respite, and Lamaku extended care. Featuring convenient and well-designed floor plans such as a private studio, private one-bedroom, and shared companion suite, the Plaza Moanalualani ensures a comfortable and safe residence.

The Plaza Moanalualani fosters a vibrant community that provides seniors with opportunities to thrive. With a round-the-clock supportive and caring environment, residents maximize their independence and enjoy a maintenance-free lifestyle. The community is equipped with recreation and game rooms, a fitness and physical therapy center, a full-service salon, a media room, computer stations, a library, living rooms and outdoor sitting areas for the seniors’ enjoyment and welfare.

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Housing Options: Studio / Suite / 1 Bed

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Building Type: Mid-rise

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Contact The Plaza Moanalualani

Overview of Acedo, Melba

Create meaningful moments with Acedo, Melba, a dedicated community located in the harmonious neighborhood of Kinoole Street, Hilo, HI, offering residential care and memory care. The community is committed to enhancing residents’ living experiences, providing top-tier care according to their needs around the clock. Housekeeping and laundry are also taken care of, ensuring residents enjoy a maintenance-free lifestyle.

Stimulating programs and engaging recreational activities are conducted to improve residents’ cognition and quality of life. Mealtimes foster comfort and satisfy dietary needs with delightful and healthy dining options. The community strives to promote a warm and nurturing environment to maintain residents’ independence and dignity.

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Building Type: Single-story

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Contact Acedo, Melba

Overview of Roselani Place

In the captivating landscape of Maui, Hawaii, Roselani Place provides exceptional senior living with specialized memory care and respite care services. For residents facing memory-related challenges, the community offers a supportive and secure environment within its memory care program. Experienced staff members provide personalized care and programming tailored to the unique needs of individuals living with dementia or Alzheimer’s disease, fostering a sense of comfort and familiarity.

Roselani Place also offers respite care services for seniors in need of temporary assistance or recovery. Whether for a short-term stay following a hospitalization or to provide relief for primary caregivers, the community provides a welcoming and nurturing environment where individuals can receive attentive care and support. With access to all the amenities and services available to full-time residents, those in respite care can enjoy peace of mind knowing they are in capable hands. Roselani Place stands as a premier senior living destination dedicated to enhancing the quality of life for older adults in Maui.

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Housing Options: Studio / 1 Bed / 2 Bed

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Building Type: Mid-rise

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Contact Roselani Place

Overview of Fidelibus Cottage

Live a blissful retirement with Fidelibus Cottage, a dependable community situated in the beautiful setting of Ewa Beach, HI, offering assisted living. Residents receive top-tier care from a kind and highly trained team attending to their personal needs around the clock. Beautifully furnished and cozy accommodations in a warm and nurturing environment are provided for residents to feel a sense of belonging.

Residents will not run out of things to do with a carefully curated calendar of fun recreational activities and enriching programs. Here, residents do not have to worry about meal preparation with delightful and healthy dining options that cater to their dietary needs and preferences. Medication management, transfer assistance, and non-ambulatory care are also provided for residents’ comfort and convenience. The community is ideal for those seeking to live comfortably in their golden years, especially with its dedicated services.

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 Fidelibus Cottage

Overview of Waialae Senior Living

Waialae Senior Living is a highly recognized assisted living community in Honolulu, HI, that offers personal care. With its supportive and welcoming environment, the community ensures older adults live to their potential in retirement. Exceptional services, including 24/7 care, well-balanced meals, and telehealth services, are available to enrich residents’ living experiences. The community also strives to adapt to residents’ ever-changing needs and preferences through customized care plans.

Light exercises, social gatherings, and daily walks are among the many activities conducted to help residents stay active and socially connected. Cozy living spaces and accessible communal areas ensure residents’ comfort and safety. With its beautiful setting in the vibrant neighborhood of Honolulu, residents are surrounded by breathtaking views and experience a stress-free retirement. This assisted living community has high standards of care, making it one of the best options for senior living in Hawaii.

What does this home offer?

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Housing Options: Private Rooms

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Building Type: Single-story

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Contact Waialae Senior Living

L&M ARCH

1164 Hind Iuka Dr, Honolulu, HI 96821
Overview of L&m Arch

Peacefully nestled in the harmonious neighborhood of Hind Luka Drive, Honolulu, HI, L&M Arch is a unique community that offers memory care. Residents here receive the highest quality of care for their special needs with a compassioante and well-trained team available around the clock. The community promotes a vibrant and welcoming environment, ensuring residents can feel a sense of belonging during their stay.

Fun recreational activities and engaging programs are conducted to accompany residents and encourage them to live an active lifestyle. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options. Residents can spend their golden years without worries amid the community’s intimate and nurturing setting.

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Housing Options: Private / Shared Rooms

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Building Type: 2-story

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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.