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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 Poncethia R. Rambo’s

Surrounded by serene parks, including Machado Acres Park and Ainaola Park in Hilo, HI, Poinsettia R, Rambo’s is a dedicated community that offers assisted living. The community strives to accommodate up to five residents, providing top-notch care to optimize comfort and convenience. A respectful and highly trained team helps with daily living activities and household responsibilities 24/7, ensuring a maintenance-free lifestyle.

Residents are encouraged to interact with their surroundings and live an active lifestyle with a variety of fun recreational activities and engaging programs. Mealtimes are also something to look forward to, with delightful and healthy meals that cater to their dietary needs and preferences. The community promotes a vibrant and welcoming environment for residents to live a blissful retirement .

What does this home offer?

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Building Type: 2-story

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Overview of Holy Family Care Home

Nestled in Kaneohe Station, Holy Family Care Home offers assisted living with a focus on community and well-being. Dedicated staff provides 24/7 support, ensuring residents feel safe and cared for. Holy Family promote socialization and an active lifestyle. Residents can enjoy indoor common areas, perfect for socializing or pursuing hobbies. Devotional services held off-site cater to spiritual needs, while delicious meals are provided.

Holy Family recognizes the importance of individual needs. They offer diabetic care, ensuring residents receive the focused attention they require. Ample indoor common areas encourage resident interaction and community building. Situated near various amenities, Holy Family offers easy access to necessities and leisure options. Multiple pharmacies are within a short distance, and residents have a variety of restaurants to choose from. Two beautiful parks provide tranquil escapes, while a nearby hospital ensures peace of mind.

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Housing Options: Private Rooms

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Building Type: Single-story

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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.

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Housing Options: Private / Shared Rooms

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Building Type: Single-story

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Overview of Myles Care Home

Age gracefully with Myles Care Home, a welcoming community nestled in the quiet neighborhood of Kahului, HI, offering assisted living. The community accommodates four residents in its intimate and nurturing setting, providing exceptional care tailored to their unique needs 24/7. Residents enjoy a worry-free retirement with the community handling the housekeeping and maintenance.

Residents will not run out of things to do with exciting events and enriching programs for their leisure and wellness. Mealtimes cater to dietary needs and promote social interactions with delightful and well-balanced dining options. Transfer assistance and coordination with health care providers are available for residents’ comfort and convenience. The community is ideal for those looking to spend their golden years in a specially designed place dedicated to retirement.

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Total Residents: 4 Residents

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Building Type: Single-story

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Overview of Aliga, Nelly

Cherish every moment of your golden years with Aliga, Nelly, a trusted community set in the peaceful residential area of Lukia Street, Hilo, HI, that offers residential care. The community strives to accommodate those with memory-related needs, providing top-tier care for their unique needs 24/7. Residents enjoy a worry-free lifestyle with a kind and highly skilled team helping with household chores and daily living activities.

Residents will not run out of things to do with a jam-packed calendar of fun recreational programs and wellness activities. Delightful and healthy meals are served to satisfy residents’ dietary needs and preferences. The community is great for those seeking a stress-free setting to spend retirement without worries.

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Building Type: Single-story

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Hilario’s

91-1137 Ahona Street, Ewa Beach, HI 96706
Overview of Hilario’s

Peacefully nestled near Pu’uloa Neighborhood Park in Ewa Beach, HI. Hilario’s Care Home is a distinct community that offers assisted living. With its cozy and nurturing environment, the community accommodates five residents and provides them with top-tier care 24/7. Residents can keep their peace of mind with the community handling the busy work, so they can focus on the things they truly enjoy.

Here, residents enjoy a variety of fun recreational activities and engaging programs for leisure and wellness. Delightful and healthy meals are also served, ensuring residents have the finest dining experience that satisfies their dietary needs and preferences. The community is ideal for those seeking exceptional care in their golden years with its purposely designed amenities and friendly setting.

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Total Residents: 5 Residents

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Building Type: Single-story

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Overview of Residential Care of Maui LLC

Conveniently located in the thriving neighborhood of Kahului, HI, Residential Care of Maui LLC is an idyllic retreat that offers assisted living. A respectful and highly trained team provides the highest quality of care 24/7, ensuring residents experience a worry-free retirement. The community also handles housekeeping and maintenance to provide residents more time to do the things they love.

Residents here are encouraged to live actively and maintain social connections with a variety of enriching activities and engaging programs. Delicious and healthy dining options are also served, so residents can have the finest dining experience that satisfies their nutritional needs and preferences. Residents make the most of their best years with the community’s dedicated care and intimate setting.

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Overview of The Paperbark House

Ideally situated in the beautiful setting og Mokapu Boulevard, Kailua, HI, The Paperbark House is a blissful haven that offers assisted living. With its intimate and nurturing setting, the community strives to accommodate up to five residents and provide exceptional care around the clock. Residents enjoy a worry-free retirement with the community handling the housekeeping and other daily living activities.

Exciting recreational activities and engaging programs are conducted for residents to interact with their surroundings and live an active lifestyle. Residents enjoy a delightful dining experience with delicious and well-balanced meals. The community is ideal for those looking to live their golden years without worries, especially with its beautifully maintained amenities and friendly environment.

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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 Legacy Villa

Make the most of your best years with Legacy Villa, a dependable community in Kaneohe, HI, offering assisted living. The community is committed to improving residents’ well-being, providing top-notch care for their unique needs 24/7. Residents do not have to worry about household chores and maintenance since the community handles all the busy work.

Engaging activities and exciting events are conducted to keep residents active and well-connected. Here, mealtimes not only satisfy dietary needs but also foster comfort with delightful and healthy dining options. Residents’ comfort and safety are prioritized, providing assistance with daily living activities and healthcare needs. The community is ideal for those seeking extra hands for their unique needs amidst its vibrant and welcoming environment.

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Total Residents: 5 Residents

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Overview of Aida Care Home

Beautifully set near Loko Waimaluhia Reservoir Fishing Area in Kaneohe, HI, Aide Care Home is a trusted community that offers assisted living and memory care. A respectful and well-trained team cares for residents’ unique needs and preferences 24/7, ensuring the highest quality of life in retirement. The community also handles household chores and maintenance, so residents can experience a worry-free retirement.

Here, residents are encouraged to live actively and remain socially engaged with a thoughtfully curated calendar of fun recreational activities and enriching programs. Delightful and well-balanced dining options are served so residents can enjoy mealtimes that cater to their dietary needs and preferences. Transportation services, medication management, and incontinence care are also provided for residents’ comfort and convenience. Residents enjoy every moment of their golden years amidst the community’s beautifully designed amenities and friendly setting.

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Housing Options: Private / Semi-Private Rooms

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Building Type: Single-story

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Contact Aida Care Home

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.