Best Assisted Living in Hilo, HI

Why trust this guide? Our editorial team analyzed 5 assisted living communities in Hilo, HI using State of Hawaii Department of Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in HI
Reviewed by
Last updated
Jul 2026
We analyzed
5 homes
Avg Walk Score: 24/ 100The average Walk Score across facilities in Hilo, HI. 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: 5The average licensed bed capacity across facilities in Hilo, HI. Individual facilities can vary widely from this average.
National Average: 90

Compare Assisted Living around Hilo

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

Cua, Lilia
AL
Hilo
5
Facility 5
HI AVG 43
Rank #46 / 84
No
23
Facility 23
HI AVG 49
Rank #131 / 177
-Lilia Cua
1
Facility 1
HI AVG 3.3
Rank #4 / 56
2
Facility 2
HI AVG 25
Rank #5 / 56
0.7
Facility 0.7
HI AVG 6.3
Rank #6 / 56
Island Care Home
AL
Hilo (Akolea Plantation Estates)
5
Facility 5
HI AVG 43
Rank #46 / 84
No
9
Facility 9
HI AVG 49
Rank #157 / 177
Private / Shared RoomsHestia Yi Lee
3
Facility 3
HI AVG 3.3
Rank #15 / 56
29
Facility 29
HI AVG 25
Rank #39 / 56
9.7
Facility 9.7
HI AVG 6.3
Rank #44 / 56
Elisa Cabal Care Home
AL
Hilo
5
Facility 5
HI AVG 43
Rank #46 / 84
No
16
Facility 16
HI AVG 49
Rank #146 / 177
Private / Shared RoomsElisa Cabal
2
Facility 2
HI AVG 3.3
Rank #7 / 56
8
Facility 8
HI AVG 25
Rank #15 / 56
2.7
Facility 2.7
HI AVG 6.3
Rank #17 / 56
Raza Adult Residential Care Home
AL
RESC
Hilo
5
Facility 5
HI AVG 43
Rank #46 / 84
No
43
Facility 43
HI AVG 49
Rank #98 / 177
Private / Shared RoomsRuth Raza---
Duldulao, Carina
AL
Hilo
4 ResidentsNo
29
Facility 29
HI AVG 49
Rank #119 / 177
-----
Overview of Cua, Lilia

Cua, Lilia operates a small, single-story adult residential care home on Heahea Street in Hilo, Hawaii. Managed directly by owner Lilia Cua, this private residence accommodates up to five individuals, offering an intimate, household-scale alternative to multi-level commercial facilities.

A walkability score of 23 out of 100 indicates that the surrounding residential neighborhood is car-dependent, requiring a vehicle for family visits and local errands. Residents can move through the home without navigating stairs because the property layout is limited to a single floor.

Prospective representatives can reach out directly to the home to inquire about current room vacancies and daily care routines. Contacting the administrator is a straightforward way to discuss custom dietary preferences and outline required personal care assistance.

Contact Cua, Lilia

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.

Contact Island Care Home

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.

Contact Elisa Cabal 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.

Contact Raza Adult Residential 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.

Contact Duldulao, Carina

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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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.