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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 Oahu Care Facility

Nestled in the heart of Honolulu, Hawaii, Oahu Care Facility has been dedicated to serving the needs of Hawaii’s families for nearly three decades. With deep roots in the community, Oahu Care Facility understands precisely what matters to Island families. Whether someone requires short-term assistance after hospital discharge or seeks long-term care with around-the-clock nursing attention, Oahu Care Facility provides care and support.

Understanding the stress and complexity that often accompanies such transitional moments for families, Oahu Care Facility strives to alleviate these burdens. They recognize that one of the most effective ways to make informed decisions is through firsthand experience. As such, they warmly invite families to visit their facility, fostering an environment of trust and reassurance during challenging times. At Oahu Care Facility, the commitment to quality care is unwavering, catering to the needs of individuals on various care journeys.

Contact Oahu Care Facility

Overview of Liliha Healthcare Center

Liliha Healthcare Center is a nursing home in Honolulu, HI, that offers long-term care and rehabilitation. The community’s supportive and welcoming environment creates the ideal setting where older adults can keep their peace of mind in retirement. With 24-hour care, nutritious meals, and therapy services, residents receive the utmost attention and care. Through a holistic approach to care, the community strives to help residents live to their potential.

Light exercises and social events ensure residents stay active and have fun. Residents can also rest and move around without worries, as spacious rooms and accessible communal areas are available. Kuakini Medical Center, bus stops, and parks also surround the area, ensuring accessibility and convenience. With its comprehensive services and top-notch amenities, this nursing home is an ideal choice for senior living in Hawaii.

Contact Liliha Healthcare Center

Overview of Hale O Meleana

Hale O Meleana is a compassionate assisted living community in Honolulu, HI, that offers residential care, memory care, and respite care. With its island-style living, the community is dedicated to providing older adults with a familiar environment. Chef-prepared meals, fun recreational activities, and therapy services are among the community’s high-quality services that aim to keep older adults well taken care of. The community’s dedication to enhancing older adults’ living experiences is anchored to their passion for maintaining their happiness and wellness.

Fitness activities, social events, and various programs tailored to residents’ interests are conducted for residents’ holistic wellness. A movie room, serene walking paths, and Lanai-themed gardens are among the community’s beautiful amenities, ensuring residents have a place to lounge and spend their free time. Located near St. Francis Medical Center and public transportation, the community ensures residents have easy access to their necessities. This senior living community is a trusted choice for retirement in Hawaii, especially with its dedicated services and extensive amenities.

What does this home offer?

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Room Sizes: Studio / 1 Bed

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Building Type: Mid-rise

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Fitness and Recreation

Contact Hale O Meleana

Hale Ola Kino

1314 Kalākaua Ave 2Nd Floor, Honolulu, HI 96826
Overview of Hale Ola Kino

Hale Ola Kino is a nursing home that offers a resort-like lifestyle where its staff and management believe that residents deserve only the best, which is why they also ensure that residents only get the top-level of service and care needed for their healthy recovery. Hale Ola Kino is a wellness-focused home that is dedicated to maintaining a nurturing environment for seniors so that they can have an enhanced life. 
Hale Ola offers a multidisciplinary approach to caregiving offers health care services that plan one’s medical condition or personal preference. Personal care offers assistance with daily living for residents. Lifestyle and health services that are wellness programs scheduled and created by the staff.

Contact Hale Ola Kino

Overview of Aiea Heights Senior Living

Overlooking the picturesque Manoa Stream, Aiea Heights Senior Living is an exceptional senior living community located in the peaceful neighborhood of Kalei Road, Honolulu, HI, that provides assisted living. With the seniors’ welfare in mind, the community offers private rooms. Waialae Senior Living takes pride in a team of compassionate, well-trained nurses and nurse practitioners delivering round-the-clock care and assistance.

Aiea Heights Senior Living fosters a warm and welcoming environment wherein residents receive the attention they need. The community serves three healthy and delicious meals monitored by dietitians to ensure their dietary needs and preferences are satisfied. Experience a worry-free and relaxing lifestyle with the utmost support from the community.

What does this home offer?

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Building Type: Single-story

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Contact Aiea Heights Senior Living

Overview of Esamya Koh Care Home LLC

Esamya Koh Care Home LLC 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 LLC, 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.

What does this home offer?

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Housing Options: Private / Shared Rooms

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Building Type: 2-story

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Dining Services

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Housekeeping Services

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Social and Recreational Activities

Contact Esamya Koh Care Home LLC

Hale Ho Aloha

2670 Pacific Heights Rd, Honolulu, HI 96813
Overview of Hale Ho Aloha

Hale Ho Aloha does their best lives possible in a warm and welcoming home-like setting. The long-term care nursing homes strive in creating a comprehensive individualized care for each senior so that personal care management is confident that their current residents are happy and secure thanks to the dedicated team of care professionals who maintain a level of excellence in a nurturing environment. At Hale Ho Aloha, residents can trust that they are in good hands because of the quality nursing it strives to provide. 
Hale Ho is composed of doctors, licensed nurses, licensed social worker, and a restorative therapy team. Personal care is inclusive of caring for incontinence, assistance with feeding, bathing, dressing, and using the toilet.

Contact Hale Ho Aloha

Overview of Legacy Hilo Rehabilitation & Nursing Center

Live comfortably in your golden years with Legacy Hilo Rehabilitation & Nursing Center, a dependable community located in the peaceful neighborhood along Kaumana Drive, Hilo, HI, that offers rehabilitation and skilled nursing. This 100-bed community strives to provide the highest quality of care tailored to residents’ special needs 24/7 to optimize comfort and independence. Residents keep their peace of mind within the community specially crafted and sophisticated accommodations in a cozy and nurturing environment.

Fun recreational activities and stimulating programs are also conducted, promoting an active lifestyle. Healthy meals are important for residents’ well-being, so delicious and well-balanced dining options are served to satisfy dietary needs and preferences. The community’s wide range of care options and state-of-the-art amenities create the perfect setting for a quick recovery and blissful retirement.

What does this home offer?

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Building Type: Single-story

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On-site Medical Care and Health Services

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Social and Recreational Activities

Contact Legacy Hilo Rehabilitation & Nursing Center

Overview of Hilo Medical Center

Hilo Medical Center is a trusted community located near Wailuku River State Park in Hilo, HI, offering medical and rehabilitation services. Residents do not have to worry about their unique needs with a compassionate and highly trained team providing exceptional care around the clock. The community also promotes a warm and nurturing environment for residents to feel at ease and recover quickly.

Therapy services, including physical, occupational, and speech therapy are provided to enhance residents’ living experiences. The community also collaborates with top-rated organizations like East Hawaii Health for those who need behavioral health care. Residents here have the finest retirement experience with the community’s extensive amenities and wide range of care.

What does this home offer?

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Building Type: Mid-rise

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Dining Services

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Social and Recreational Activities

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On-site Medical Care and Health Services

Contact Hilo Medical Center

Overview of Caring Manoa

Caring Manoa is a family-owned assisted living community in Honolulu, HI, offering assistance with daily living activities. With its intimate, home-like setting, the community ensures older adults experience the utmost comfort throughout their stay. Housekeeping, well-balanced meals, and innovative recreational activities are among the exceptional services provided to help residents live independently. Along with generous caregiver ratios, customized care plans are also provided to meet residents’ needs and preferences.

Daily family visits, fitness programs, and social events provide residents with emotional support and help them maintain holistic wellness. Residents can also relax and make friends with clean and accessible amenities like the garden, spacious rooms, and lively gathering areas. Located near Round Top Forest Reserve in the quiet residential area of Honolulu, the community guarantees a laid-back lifestyle. This assisted living community has high standards of care, making it a good option for senior living in Hawaii.

What does this home offer?

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Building Type: Single-story

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Contact Caring Manoa

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.