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Other Senior care options in Hilo:

Best Assisted Living in Hilo, HI

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 5 homes in Hilo, HI

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 Hilo, Hawaii.

Watch this Video to see Hilo's Top-rated Senior Communities

Compare Assisted Living around Hilo

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

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Island 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.

Hilo (Akolea Plantation Estates)
5No 9 Private / Shared RoomsHestia Yi Lee329
Elisa Cabal 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.

Hilo
5No 16 Private / Shared RoomsElisa Cabal28
Cua, Lilia
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.

Hilo
5No 23 -Lilia Cua12
Raza Adult Residential 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.

Hilo
5No 43 Private / Shared RoomsRuth Raza--
Duldulao, Carina
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.

Hilo
4 ResidentsNo 29 ----
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 Raza Adult Residential Care Home

Peacefully set in the quiet residential area of Kehaulani Street, Hilo, HI, Raza Adult Residential Care Home is an astounding community that offers assisted living. The community is committed to improving residents’ well-being, providing top-tier care tailored to their needs 24/7. Alongside specially designed and spacious accommodations, a compassionate and well-trained team handles household chores and maintenance to optimize residents’ comfort and convenience.

There’s no dull moment with a thoughtfully curated calendar of recreational activities and engaging programs, encouraging residents to live actively and socially engaged. Accommodating residents’ special diets, delightful and well-balanced meals are served to ensure residents have the nutrients they need for their well-being. The community also provides medication management and transportation services for residents’ comfort and convenience. Residents can keep their peace of mind with the community’s beautiful setting and exceptional care.

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Housing Options: Private / Shared Rooms

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Building Type: Single-story

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Contact Raza Adult Residential Care Home

Overview of Cua, Lilia

Maintain dignity in retirement with Cua, Lilia, a dependable community nestled near serene parks in Heahea Street, Hilo, HI, that offers residential care. With its intimate and nurturing setting, the community features beautifully furnished and spacious accommodations to optimize residents’ comfort and convenience. Residents can rest their worries with a respectful and highly trained team attending to their personal needs and household responsibilities around the clock.

A robust calendar of engaging activities and fun recreational programs is conducted for residents’ leisure and wellness. Residents can look forward to mealtimes with delicious and healthy meals that satisfy their dietary needs and preferences. The community is ideal for those seeking to spend their golden years in a cozy and welcoming environment dedicated to their welfare and comfort.

What does this home offer?

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Total Residents: 5 Residents

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Building Type: Single-story

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Overview of Elisa Cabal Care Home

Spend your golden years comfortably with Elisa Cabal Care Home, a trusted community located in the serene neighborhood of Hilo, HI, offering assisted living. The community is dedicated to residents’ welfare, providing top-tier care tailored to their unique needs 24/7. Residents can maintain their independence without the busy work, especially with a compassionate and highly trained team that helps with household chores and maintenance.

Engage in fun recreational activities and enriching programs conducted for residents’ enjoyment and wellness. Delightful and healthy meals are also served so that residents can enjoy a satisfactory dining experience that caters to their nutritional needs and preferences. The community also provides medication management, transfer assistance, and transportation services for residents’ convenience and safety. With its well-maintained amenities and exceptional services, residents will surely enjoy a blissful retirement.

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 Elisa Cabal Care Home

Overview of Duldulao, Carina

Beautifully nestled near Ainaola Park in Hilo, HI, Duldulao, Carina Care Home is a distinct community that offers assisted living and memory care. Dedicated to improving the quality of life of those with memory-related needs, the community provides top-tier care and support 24/7. With specially designed and spacious accommodations in a warm and nurturing environment, residents can rest their worries and live up to their potential.

Residents will not run out of things to do with a thoughtfully crafted calendar of recreational activities and well programs that aim to enhance their cognition. Mealtimes are something to look forward to, with delicious and healthy meals that cater to their dietary needs and preferences. The community promotes a vibrant lifestyle, encouraging residents to live up to their potential and make the most of their best years.

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Total Residents: 4 Residents

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Building Type: Single-story

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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 Hilo, HI

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 5 assisted living facilities in Hilo, HI. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right assisted living facility in Hilo, HI?

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 Hilo, HI, 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 Hilo, HI?

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.