Page 7 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. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. 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.
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.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
Manoa Senior Care
AL
NH
RESC
Honolulu (Kaimuki)
-No
78
Facility 78
HI AVG 43
Rank #8 / 93
-
24
Facility 24
HI AVG 20
Rank #6 / 23
-
Aliga, Nelly
AL
MC
Hilo (Kaumana)
3
Facility 3
HI AVG 23
Rank #56 / 57
No---Nelly Aliga
Kailua Ohana Adult Residential Care Home
AL
RESC
Kailua (Enchanted Lake)
-No
45
Facility 45
HI AVG 43
Rank #42 / 93
-
19
Facility 19
HI AVG 20
Rank #11 / 23
-
Hale Nohea
AL
HOS
MC
RESC
Honolulu (Kaimuki)
8
Facility 8
HI AVG 23
Rank #16 / 57
No
9
Facility 9
HI AVG 43
Rank #86 / 93
--Patricia Mosher
Lani’olu Hale at Hawai’i Kai Senior Care
AL
RESC
Honolulu (Hawaii Kai)
5
Facility 5
HI AVG 23
Rank #19 / 57
No-Private Rooms-Anthony Defiesta
Ilima at Leihano
AL
IL
MC
Kapolei (City Center)
-Yes
67
Facility 67
HI AVG 43
Rank #19 / 93
-
20
Facility 20
HI AVG 20
Rank #11 / 23
-
Paranada #2
AL
MC
Hilo
-No
13
Facility 13
HI AVG 43
Rank #81 / 93
-
44
Facility 44
HI AVG 20
Rank #1 / 23
-
Jerez Care Home
AL
Kahului
-No
58
Facility 58
HI AVG 43
Rank #26 / 93
Private / Shared Rooms--
Kaimuki Care Home
AL
Honolulu (Kaimuki)
-No
66
Facility 66
HI AVG 43
Rank #21 / 93
Private Rooms--
Fidelibus Cottage
AL
Ewa Beach (Ewa)
-No
57
Facility 57
HI AVG 43
Rank #27 / 93
Private / Shared Rooms--

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 Manoa Senior Care

Manoa Senior Care is a trusted assisted living community in Honolulu, HI, that offers personal care. Promoting a warm and home-like environment, the community ensures older adults can keep their peace of mind during their stay. Exceptional services, including three home-cooked meals daily, housekeeping services, and medication preparation, are also provided to enrich residents’ living experiences. Focusing on residents’ holistic well-being, the community provides personalized care tailored to their unique needs and habits.

Ikebana classes, yoga, and pet therapy are just some of the activities dedicated to helping residents learn and gain meaningful memories. Residents can also rest and move around comfortably, with wheelchair-accessible rooms and cozy communal spaces. Set near restaurants, shops, public transportation, and the Kaimuki Public Library, the community ensures residents have convenient access to their necessities and leisure. This assisted living community has high standards of care, making it one of the best options for senior living in Hawaii.

Contact Manoa Senior Care

Overview of Aliga, Nelly

Aliga, Nelly provides assisted living and memory care in Hilo, Hawaii, in the Kaumana neighborhood. Assisted living supports residents with daily tasks such as dressing, bathing, and medication, while memory care offers a secured setting with supervision for someone at risk of wandering.

With three beds, the community has a smaller setting where staff and residents can get to know each other. It may suit someone who prefers a more intimate community. Offering both care levels can also support a resident whose needs grow over time, allowing a move between care levels without leaving the community or starting over socially.

Contact Aliga, Nelly

Overview of Kailua Ohana Adult Residential Care Home

Kailua Ohana Adult Residential Care Home, nestled in the enchanting neighborhood of Kailua, Hawaii, offers a haven for assisted senior living. This remarkable community combines the comforts of home with the support and care needed to enhance the lives of its residents. With its idyllic setting and genuine aloha spirit, it stands as one of the finest assisted living places on the island. Here, residents experience the best of both worlds – a peaceful retreat that feels like home and a supportive environment that ensures their well-being.
Beyond the comfortable living spaces and welcoming ambiance, Kailua Ohana offers a range of amenities and services designed to enrich the lives of its residents. Engaging activities, vibrant social events, and access to local attractions create a dynamic and fulfilling lifestyle. Whether it’s exploring the nearby beaches or participating in stimulating group activities, there is always something exciting happening at Kailua Ohana. The breathtaking surroundings of Kailua serve as the backdrop for this exceptional community. With its picturesque landscapes, gentle ocean breezes, and stunning natural beauty, residents can enjoy the serenity and tranquility that come with living in such a captivating location.

Contact Kailua Ohana Adult Residential Care Home

Hale Nohea

5071 Maunalani Cir, Honolulu, HI 96816
Overview of Hale Nohea

Situated in Honolulu, Hawaii, Hale Nohea is an exclusive memory care residence, setting the standard for personalized care in an intimate setting. This luxury Expanded Care Type II Adult Residential Care Home, with a capacity for 8 residents, is dedicated to fostering a compassionate and nurturing environment. With an Expanded Care license, Hale Nohea extends its services to provide end-of-life care. Collaborating closely with families and hospice aims to ensure a comfortable and peaceful environment during this transition.

Hale Nohea is driven by the vision of enabling residents to “age in place,” recognizing the significance of familiar surroundings. Here, the philosophy revolves around creating a space that promotes well-being and joy. As a private facility, it accommodates both private pay and long-term care Insurance, subject to eligibility requirements. However, it’s important to note that the community doesn’t accept Medicare or Medicaid, maintaining its commitment to delivering exclusive and tailored memory care services. Their goal is to offer the highest level of care to individuals grappling with Alzheimer’s or dementia-related disabilities. The facility diligently monitors and assesses the various stages of dementia that residents may experience. This commitment is reflected in understanding, safety, acceptance, and respect.

Contact Hale Nohea

Overview of Lani’olu Hale at Hawai’i Kai Senior Care

Peacefully nestled in the beautiful setting of Lunalilo Home Road, Honolulu, HI, Lani’oli Hale at Hawai’i Kai Senior Care is a blissful retreat that offers assisted living. Residents here enjoy the highest quality of life with a compassionate and well-trained team attending to their needs around the clock. Purposely designed and sophisticated accommodations in a cozy and friendly setting are available to accommodate up to five residents and optimize their independence.

With a thoughtfully curated calendar of enriching activities and stimulating programs, residents are encouraged to interact with their surroundings and live an active lifestyle. Three delicious and well-balanced meals with delightful snacks are served daily to satisfy residents’ dietary needs and preferences. Medication administration and incontinence management are also provided for residents’ independence. The community is ideal for those seeking assistance to spend their golden years without worries, especially with its intimate and welcoming spaces.

Contact Lani’olu Hale at Hawai’i Kai Senior Care

Overview of Ilima at Leihano

Offering assisted living, independent living, and memory care under one roof, Ilima at Leihano is a senior living community on the island of Oahu in Kapolei, Hawaii. Operating for 19 years, it sits in Kapolei’s City Center neighborhood, an area of the island often called its “Second City.” It’s a short 0.6 miles from the city center, and the nearest hospital, Pali Momi Medical Center, is about 9.46 miles away.

Residents here can access transportation for outside appointments, and the community partners with local healthcare specialists to help coordinate care. Daily support comprises housekeeping, laundry, and help with grocery shopping and errands, so occupants can rely on the team for daily life logistics. An in-house culinary team prepares meals for residents as part of the community’s dining program. For recreation and socializing, Ilima at Leihano offers a swimming pool, an arts and crafts center, a fitness center, and a movie or theater room, giving occupants an array of ways to stay active and engaged. The moderately walkable surrounding area carries a Walk Score of 67, so some errands are doable on foot, with a mix of nearby amenities within reach.

Families navigating memory care, assisted living, or independent living options in Kapolei may find it beneficial to inquire directly about which of the home’s three care types would best fit their loved one’s current needs.

Contact Ilima at Leihano

Overview of Paranada #2

Ideally situated in the serene neighborhood of Hoolaulea Street, Hilo, HI, Paranada #2 is a distinguished community that offers residential care. Residents receive top-notch care for their unique needs from a kind and highly trained team avaialble around the clock. With its cozy and welcoming setting, the community strives to accommodate up to five residents and maintain their independence.

There’s no dull moment with a full calendar of exciting events and engaging programs, highlighting their interests and capabilities. Mealtimes promote social interactions and satisfy dietary needs with delightful and healthy dining options. Residents enjoy a worry-free retirement with the community’s exceptional services and stress-free environment.

Contact Paranada #2

Overview of Jerez Care Home

Live a worry-free retirement at Jerez Care Home, an idyllic retreat in Puukani Street, Kahului, HI, offering assisted living. Residents can ease their worries with a compassionate and highly trained team helping with their daily living activities 24/7. Promoting a vibrant and welcoming environment, the community has beautifully furnished and cozy accommodations for residents to feel a sense of belonging during their stay.

Here, residents are encouraged to live happily and actively with a fun-filled calendar of recreational activities and engaging programs. Delicious and healthy meals are served to satisfy residents’ nutritional needs and preferences. Medication management and incontinence care are also provided to optimize residents’ comfort and convenience. The community is great for those seeking to maintain independence without the busy work amidst its purposely designed and welcoming amenities.

Contact Jerez Care Home

Overview of Kaimuki Care Home

Kaimuki Care Home provides assisted living in Honolulu, HI. Residents receive help with daily tasks and medication administration in private rooms, which may suit someone who needs ongoing assistance and prefers a private living space.

Care and staffing are available around the clock. A resident can receive support throughout the day and night, including overnight. Transportation is provided for medical appointments, so residents have a ride for those visits.

The Kaimuki neighborhood has a Walk Score of 66, making it somewhat walkable. Some errands can be done on foot, so a resident who no longer drives may still be able to manage certain nearby errands independently.

Contact Kaimuki Care Home

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.

Contact Fidelibus Cottage

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.