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---
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Overview of Mililani Care Home

Enjoy a glorious retirement at Mililani Care Home, an esteemed community in Mililani, HI, offering assisted living. Committed to enhancing residents’ living experiences, the community provides top-notch care tailored to their unique needs 24/7. There’s no need to worry about housekeeping and laundry with the community handling the busy work so residents can maximize their independence.

Here, residents have the time of their lives with a variety of recreational activities and enriching programs, tailored to their leisure and wellness. Delicious and nutritious meals are also served for residents to experience hassle-free dining. The community’s beautiful amenities and scenic setting entice those looking to live their golden years without worries amid the beautiful island.

Contact Mililani Care Home

Overview of The Plaza at Punchbowl

Located in historic Honolulu near the Punchbowl Crater and National Memorial Cemetery of the Pacific, The Plaza at Punchbowl offers Independent Living, Assisted Living, Haliʻa Memory Care, and Short-Term Respite in a peaceful, established neighborhood rich with history and natural beauty.

Our Haliʻa Memory Care program uses the nationally recognized Best Friends Approach®, providing person-centered care that honors each resident’s life story and preferences. Residents enjoy locally-inspired dining, engaging daily activities, beautifully maintained common areas including a piano lounge, and the warmth of a true ohana environment. With personalized care plans, on-site wellness support, and a dedicated team, The Plaza at Punchbowl gives families peace of mind that their loved ones are cared for with aloha, dignity, and respect for kupuna.

Contact The Plaza at Punchbowl

Overview of Island Care Home

Experience exceptional care from Island Care Home, a dedicated community nestled in the tranquil residential area of Chong Street, Hilo, HI, offering assisted living. Residents enjoy the highest quality of life with a respectful and well-trained team attending to their personal needs 24/7. Purposely crafted and cozy accommodations are provided in a warm and nurturing environment, ensuring residents can feel at ease.

Fun recreational activities and engaging programs are also conducted, encouraging residents to live with purpose and interact with their surroundings. Residents have hassle-free mealtimes with delicious and well-balanced meals served to satisfy their nutritional needs and preferences. The community is great for those seeking assistance to live a blissful retirement, especially with its extensive amenities and friendly setting.

Contact Island Care Home

Overview of Hale Makua Health Services

Wonderfully nestled between Kahului Park and Kahului Disc Golf Course in Kahului, HI, Hale Makua Health Services is an outstanding community offering a wide range of care, including adult day health, residential care, home health, long-term care, and rehabilitation. The community strives to meet residents’ needs with a compassionate and well-trained team attending to their needs around the clock. Whether at home or in our stress-free setting, residents can keep their peace of mind and receive exceptional care.

Aside from their healthcare needs, residents’ leisure and wellness are also taken into consideration, so fun recreational activities and enriching programs are also conducted. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. With continuum of care services, residents age with dignity wherever they prefer.

Contact Hale Makua Health Services

Overview of Ka Malama Care Home

Helen Elizalde operates Ka Malama Care Home, a small senior living property that has served the Heeia neighborhood of Kaneohe, Hawaii, for 24 years. The single-story layout contains five private rooms, keeping the environment small and residential. The daily routine blends room and board with on-site personal care, temporary respite options, and hospice coordination.

The property features a shared living area with Wi-Fi access, an internal hair salon, and daily activities like arts and crafts. Licensed nurses work on-site to handle round-the-clock medication distribution and clinical care, though state oversight reviews show regular citations regarding medication tracking and care paperwork.

The neighborhood carries a walkability score of 6 out of 100, showing that the immediate area is car-dependent and requires a vehicle for standard shopping trips, though the campus sits about 3.6 miles from Adventist Health Castle hospital.

Prospective families looking at residential options on Oahu can contact Ka Malama Care Home and ask about current room vacancies. Setting up an on-site visit is a straightforward way to see the private room setups, discuss state compliance plans with management, and get a clear picture of the monthly care rates.

Contact Ka Malama Care Home

Overview of Ohanalani

Create unforgettable moments with Ohanalani Care Home, a distinguished community situated in the serene setting of Oio Drive, Honolulu, HI, that offers memory care. Those with memory-related needs can ease their worries with a respectful and highly trained helping with their daily living activities around the clock. The community strives to maintain residents’ independence and dignity in its nurturing and welcoming environment.

Residents will not run out of things to do with a jam–packed calendar of engaging programs and exciting recreational activities for their leisure and wellness. There’s no need to hassle with meal preparation with delicious and well-balanced meals that cater to their dietary needs and preferences. With its scenic views and stress-free setting, residents enjoy a worry-free retirement.

Contact Ohanalani

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 Monegas Care Home and Expanded Arch

Cherish every moment with Monegas Care Home and Expanded Arch, a dedicated community situated in the harmonious neighborhood of Kuhaulua Street, Waipahu, HI, offering assisted living. With its beautifully furnished and cozy accommodations, the community is dedicated to improving the quality of life of up to five residents. Here, residents enjoy a maintenance-free lifestyle with a kind and highly trained team helping with their daily living activities and household responsibilities 24/7.

Prioritizing residents’ happiness and wellness, a jam-packed calendar of exciting events and engaging programs to keep them active and socially connected. Delightful and healthy dining options are also served so that residents have the finest dining experience that caters to their dietary needs and preferences. Move-in coordination is also available so that older adults can transition to assisted care easily. The community’s stress-free setting and welcoming environment create the perfect setting for a blissful retirement.

Contact Monegas Care Home And Expanded ARCH

Overview of Esamya Koh Care Home

Esamya Koh Care Home is a stunning nursing home nestled in the picturesque town of Waipahu, Hawaii. They pride themselves on maintaining the highest standards of nursing home care, ensuring that their residents receive exceptional support and attention. With a dedicated team of professionals and an array of offerings, they strive to create a vibrant and thriving community where the elderly can truly flourish, finding comfort, safety, and overall well-being.

Located in the heart of Waipahu, their nursing home not only offers a beautiful setting but also a wide range of amenities and services tailored to meet the unique needs of their residents. From personalized care plans to engaging activities and social programs, they prioritize the holistic well-being of every individual under their specialized nursing home care. When families choose Esamya Koh Care Home, they are choosing a place where seniors can flourish, surrounded by a warm and caring community. They understand the importance of creating a nurturing environment where comfort and safety are paramount.

Contact Esamya Koh Care Home LLC

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

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 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.