Best Assisted Living in Hilo, HI

Why trust this guide? Our editorial team analyzed 9 assisted living communities in Hilo, HI using HI Dept. of Health data, inspection records, complaints, amenities, and facility-level details. How we rank assisted living in HI
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Last updated
We analyzed These are the facilities in Hilo, HI our team has analyzed — not a count of every assisted living provider in Hilo, HI.
9 homes
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Info below is compiled from the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
Name of the licensed owner, operator, or managing entity as filed with the state. Useful for grouping facilities under the same organization.
How many inspections had one or more deficiencies recorded. Compare to total inspections to see how often problems were found on visit.
Total count of deficiencies (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
The average number of deficiencies this facility receives each time it's inspected, calculated as total deficiencies ÷ total inspections. A lower number suggests more consistent compliance with safety and care standards.
Elisa Cabal Care Home
AL
Hilo
5
Facility 5
HI AVG 23
Rank #19 / 57
No
16
Facility 16
HI AVG 43
Rank #79 / 93
Private / Shared RoomsElisa Cabal
2
Facility 2
HI AVG 3.3
Rank #5 / 50
8
Facility 8
HI AVG 25
Rank #11 / 50
2.7
Facility 2.7
HI AVG 6.3
Rank #13 / 50
Cua, Lilia
AL
Hilo
5
Facility 5
HI AVG 23
Rank #19 / 57
No
23
Facility 23
HI AVG 43
Rank #69 / 93
-Lilia Cua
1
Facility 1
HI AVG 3.3
Rank #3 / 50
2
Facility 2
HI AVG 25
Rank #3 / 50
0.7
Facility 0.7
HI AVG 6.3
Rank #4 / 50
Poncethia R. Rambo’s
AL
MC
Hilo
5
Facility 5
HI AVG 23
Rank #19 / 57
No
17
Facility 17
HI AVG 43
Rank #77 / 93
-Poncethia Rambo
3
Facility 3
HI AVG 3.3
Rank #11 / 50
10
Facility 10
HI AVG 25
Rank #14 / 50
3.3
Facility 3.3
HI AVG 6.3
Rank #16 / 50
Island Care Home
AL
Hilo (Akolea Plantation Estates)
5
Facility 5
HI AVG 23
Rank #19 / 57
No
9
Facility 9
HI AVG 43
Rank #86 / 93
Private / Shared RoomsHestia Yi Lee
3
Facility 3
HI AVG 3.3
Rank #11 / 50
29
Facility 29
HI AVG 25
Rank #34 / 50
9.7
Facility 9.7
HI AVG 6.3
Rank #38 / 50
Acedo, Melba
AL
MC
Hilo
4
Facility 4
HI AVG 23
Rank #51 / 57
No
19
Facility 19
HI AVG 43
Rank #72 / 93
-Melba Daak
3
Facility 3
HI AVG 3.3
Rank #11 / 50
11
Facility 11
HI AVG 25
Rank #17 / 50
3.7
Facility 3.7
HI AVG 6.3
Rank #19 / 50
Raza Adult Residential Care Home
AL
RESC
Hilo
5
Facility 5
HI AVG 23
Rank #19 / 57
No
43
Facility 43
HI AVG 43
Rank #44 / 93
Private / Shared RoomsRuth Raza---
Aliga, Nelly
AL
MC
Hilo (Kaumana)
3
Facility 3
HI AVG 23
Rank #56 / 57
No--Nelly Aliga
3
Facility 3
HI AVG 3.3
Rank #11 / 50
10
Facility 10
HI AVG 25
Rank #14 / 50
2.5
Facility 2.5
HI AVG 6.3
Rank #12 / 50
Paranada #2
AL
MC
Hilo
-No
13
Facility 13
HI AVG 43
Rank #81 / 93
-----
Duldulao, Carina
AL
RESC
Hilo
4 ResidentsNo
29
Facility 29
HI AVG 43
Rank #60 / 93
-----

Rank badges are statewide and care-type specific: each assisted living community is ranked against every other HI assisted living community we track that reports that metric, not just the 9 analyzed for Hilo. See how we rank facilities

Overview of Elisa Cabal Care Home

Elisa Cabal Care Home is an assisted living community in Hilo, HI, where residents receive help with daily tasks such as bathing, dressing, and taking medication. Residents can choose between private and shared rooms, with a private room offering individual space and a shared room providing companionship.

There are five beds. Its small size gives staff and residents the chance to get to know each other, making Elisa Cabal Care Home a possible fit for someone who prefers a smaller, more intimate setting.

Contact Elisa Cabal Care Home

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 Poncethia R. Rambo’s

Poncethia R. Rambo’s offers assisted living and memory care in Hilo, HI. Assisted living includes help with daily tasks such as bathing, dressing, and medication while allowing a resident to maintain a private living space.

Memory care provides a secured setting with supervision for someone at risk of wandering. With five beds, the community has a small setting where staff and residents can get to know each other, and Poncethia Rambo operates the community. It may be a good fit for someone living with dementia who needs supervised memory care in a smaller community.

Contact Poncethia R. Rambo’s

Overview of Island Care Home

Island Care Home is an assisted living community in Hilo, Hawaii, in the Akolea Plantation Estates neighborhood. Assisted living includes help with daily tasks such as bathing, dressing, and medication while allowing a resident to maintain a private or shared room. With five beds, the home has a small community setting where staff and residents can get to know one another, which may suit someone who prefers a more intimate environment.

Private and shared rooms are available. A resident can have an individual room or choose to share living space, depending on personal preference. Island Care Home is operated by Hestia Yi Lee.

Contact Island Care Home

Overview of Acedo, Melba

Create meaningful moments with Acedo, Melba, a dedicated community located in the harmonious neighborhood of Kinoole Street, Hilo, HI, offering residential care and memory care. The community is committed to enhancing residents’ living experiences, providing top-tier care according to their needs around the clock. Housekeeping and laundry are also taken care of, ensuring residents enjoy a maintenance-free lifestyle.

Stimulating programs and engaging recreational activities are conducted to improve residents’ cognition and quality of life. Mealtimes foster comfort and satisfy dietary needs with delightful and healthy dining options. The community strives to promote a warm and nurturing environment to maintain residents’ independence and dignity.

Contact Acedo, Melba

Overview of Raza Adult Residential Care Home

Raza Adult Residential Care Home provides assisted living and residential care in Hilo, HI. The home is for residents who need help with daily tasks such as dressing, bathing, or medication while living in a residential environment.

With five beds, Raza Adult Residential Care Home is a small community where staff and residents can get to know one another, making it a potential fit for someone who prefers a smaller setting. Private and shared rooms are available, so residents can choose to live alone or with a companion. Ruth Raza operates the home, and the area’s Walk Score of 43 places it in a car-dependent setting where most errands require a car or a ride for residents who no longer drive.

Contact Raza Adult Residential Care Home

Overview of Aliga, Nelly

Aliga, Nelly provides assisted living and memory care in Hilo, Hawaii, in the Kaumana neighborhood. Assisted living supports residents with daily tasks such as dressing, bathing, and medication, while memory care offers a secured setting with supervision for someone at risk of wandering.

With three beds, the community has a smaller setting where staff and residents can get to know each other. It may suit someone who prefers a more intimate community. Offering both care levels can also support a resident whose needs grow over time, allowing a move between care levels without leaving the community or starting over socially.

Contact Aliga, Nelly

Overview of Paranada #2

Ideally situated in the serene neighborhood of Hoolaulea Street, Hilo, HI, Paranada #2 is a distinguished community that offers residential care. Residents receive top-notch care for their unique needs from a kind and highly trained team avaialble around the clock. With its cozy and welcoming setting, the community strives to accommodate up to five residents and maintain their independence.

There’s no dull moment with a full calendar of exciting events and engaging programs, highlighting their interests and capabilities. Mealtimes promote social interactions and satisfy dietary needs with delightful and healthy dining options. Residents enjoy a worry-free retirement with the community’s exceptional services and stress-free environment.

Contact Paranada #2

Overview of Duldulao, Carina

Duldulao, Carina provides assisted living and Residential Care in Hilo, HI. Assisted living can include help with daily tasks such as bathing, dressing, and medication management, while Residential Care provides support within a residential setting.

Duldulao, Carina may be a good fit for someone who needs ongoing assistance with daily routines in a residential care setting.

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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Assisted Living in Hilo at a glance

Avg Walk Score: 21/ 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
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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 9 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.