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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.

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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.

Click column headers to sort
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 Aloha Nui Care Home

Peacefully nestled near recreation sites like Waiau Community Park Recreation Center in Pearl City, HI, Aloha Nui Care Home LLC is an idyllic retreat that offers assisted living. Dedicated to improving residents’ quality of life, a respectful and highly qualified team provides top-notch care based on their unique needs 24/7. State-of-the-art security systems and purposely designed accommodations are available in a warm and nurturing environment to ensure residents’ comfort and safety.

Residents will not feel lonely with plenty of enriching recreational activities and engaging programs for their leisure and wellness. Delicious and healthy meals satisfy residents’ dietary needs and preferences. Transportation services are also provided to ensure residents will not miss any of their medical appointments. The community strives to promote the highest quality of life for residents to live a worry-free retirement.

What does this home offer?

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Housing Options: Private / Semi-Private Rooms

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Building Type: 2-story

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Contact Aloha Nui Care Home

Overview of Serenity Barrie

Serenity Barrie is one of the most charming assisted living communities nestled in scenic Hawaii. Here, they offer a range of exceptional services catered specifically to the needs of seniors. The home is designed to provide a perfect balance of independence and assistance, ensuring every resident receives the individualized care they deserve. From daily activities to personal care services, its dedicated team is committed to enhancing the quality of life for every senior in our care.
With a deep focus on assisted living for seniors, Serenity Barrie goes above and beyond to create an atmosphere of comfort and well-being. The community is thoughtfully designed to promote engagement, socialization, and a sense of belonging. Residents can enjoy beautifully appointed living spaces, inviting common areas, and various activities that cater to their interests and preferences.

Contact Serenity Barrie

Overview of Wisdom Home Care

Make the most of your best years with Wisdom Home Care, a trusted community set in the serene neighborhood of Waipahu, HI, offering assisted living. The community provides exceptional care for four residents in its cozy and nurturing setting. Here, residents do not have to worry about household responsibilities and daily living activities, with a compassionate and highly trained team available around the clock.

There’s no dull moment with a jam-packed calendar of engaging activities and enriching programs, highlighting residents’ interests and strengths. Delightful and healthy meals are also served to satisfy residents’ dietary needs and preferences. The community also provides transfer assistance, medication management, and move-in coordination for residents’ convenience. Residents can thrive and live up to their potential amidst the community’s vibrant and friendly environment.

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Total Residents: 4 Residents

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Contact Wisdom Home Care

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.

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Housing Options: Private / Semi-Private Rooms

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Building Type: 2-story

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Contact Mililani Care Home

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.

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 Island Care Home

Overview of Islands Skilled Nursing and Rehab

Islands Skilled Nursing and Rehabilitation Center boasts a warm and inviting atmosphere where residents can enjoy and experience a vibrant lifestyle. The nursing home aims to encourage, enhance, and empower the lives of each resident by promoting the ‘aloha spirit’– balance of heart and mind in offering care and warmth. Islands is the leading respiratory and post-acute community that continues to enrich the holistic wellness of its residents to the highest standard of excellence. 
Islands offers a beautiful and cozy home that has cutting-edge technology that boosts up the recovery of an individual and keeps them safe. The short-term rehabilitative services proudly offer the exclusive Aegis program– a successful rehabilitation wellness program; its extensive training is supported by a well-trained staff.

Contact Islands Skilled Nursing and Rehab

Overview of Hawaii Island Adult Care

Live a vibrant lifestyle with Hawaii Island Adult Care, a welcoming community in Hilo, HI, offering adult day care and caregiver services. Older adults enjoy dedicated care for their unique needs with a compassionate and highly trained team helping with their daily activities. The community promotes a nurturing and friendly environment, encouraging older adults to interact with their surroundings.

A thoughtfully curated calendar of fun recreational activities and exciting events is also conducted, highlighting older adults’ interests and capabilities. Delightful and well-balanced meals are also served to satisfy older adults’ dietary needs and preferences. The community also provides counseling and support groups for caregivers, ensuring they are well cared for. Older adults will surely thrive in the community’s cheerful setting.

Contact Hawaii Island Adult Care

Overview of The Care Center of Honolulu

The Care Center of Honolulu offers respiratory care, skilled nursing, and rehabilitation care; its atmosphere provides graceful living for short-term or long-term residents. The dedicated team of care staff assures residents of all kinds of living options that they receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery. The Care Center boasts its compassionate approach to an enhanced quality of life for all seniors. 
The Care Center offers a range of long-term and short-term rehabilitative services such as wound care, diagnostic radiology, dialysis, therapy (occupational, physical, speech), ventilator service– all being provided with 24-hour nursing. 

Contact The Care Center of Honolulu

Gutierrez ARCH

3374 Maunaloa Ave, Honolulu, Hi 96816, Usa
Overview of Gutierrez Arch

Located in the quiet residential area of Honolulu, HI, Gutierrez Arch is a friendly retreat that offers assisted living. With accessible accommodations and an intimate setting, the community ensures residents are taken care of. Top-tier support is also provided for residents’ daily living activities and household tasks around the clock.

Focusing on residents’ leisure and wellness, fun activities and engaging programs are conducted. Here, residents have a hassle-free dining experience with delicious and healthy meals served to meet their dietary needs and preferences. Medication management is also provided, ensuring residents take their medicines as prescribed. The community strives to help residents live comfortably in retirement, especially with its dedicated services and nurturing environment.

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Building Type: Single-story

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Overview of Aina Haina Quality Living

Experience a better quality of life with Aina Haina Quality Living, a blissful haven located near serene parks like Nehu Park and Kawaikui Beach Park in Honolulu, HI, that offers assisted living. The community also offers memory care, hospice, and respite care, ensuring residents can find the care they need. Committed to enhancing residents’ living experiences, a kind and highly qualified team provides the highest quality of care for their unique needs around the clock. Residents will surely enjoy a worry-free lifestyle, with the community handling household chores and daily living activities.

There’s no dull moment with a robust calendar of fun recreational activities and engaging programs, highlighting their interests and capabilities. Residents enjoy hassle-free dining from breakfast to dinner with delicious and healthy meals that cater to their dietary needs and preferences. Medication management and transportation services are also provided for residents’ comfort and convenience. The community is an enticing option for those who need additional assistance to live comfortably in their golden years, especially with its top-rated services and welcoming spaces.

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Housing Options: Private / Couple Room

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Building Type: Single-story

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Contact Aina Haina Quality Living

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.