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Best Assisted Living in Honolulu, HI

Reviewed by Dr. Jordan Weiss
Updated Jan 2026
We analyzed 5 homes in Honolulu, 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 Honolulu, Hawaii.

Watch this Video to see Honolulu's Top-rated Senior Communities
Avg. Monthly cost: $5,300
National average: $5,600
Monthly cost range: $4,800–$7,400
National average: $3,400 – $8,200
Avg. Staff-to-Resident ratio: 1:6 to 1:12
National average: 1:6
Overview of Kahala Nui

Experience an island-like living with Kahala Nui located at Malia Street, Honolulu, HI. A one-of-a-kind senior living community offering independent living, assisted living, memory support, and comprehensive nursing. With its in-campus Hi’olani Care Center, the community ensures seniors’ needs are heard and well-taken care of. Providing aesthetic and warm floor plans including one-bedroom, two-bedroom, and three-bedroom units, residents enjoy relaxing and safe accommodation.

The community focuses on the wellness of the seniors, utilizing a holistic view in conducting activities and programs related to arts, dance, entertainment, education, and fitness. As a person-centered life plan community, Kahala Nui fosters a family-like environment centered on its core belief ‘ohana. Residents enjoy island-style cuisine and casual dining with flexible meal plans three times daily. Sitting on an aesthetically landscaped land, the community includes a variety of fabulous amenities including a jacuzzi, a pool, a fitness center, Hatsunes garden, and spacious common areas for the seniors’ leisure and wellness.

What does this home offer?

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Minimum Age: 62 Years Old

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Housing Options: Private / Semi-Private Rooms

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Building Type: Mid-rise

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Dining Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

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On-site Medical Care and Health Services

Contact Kahala Nui

Overview of Ilima at Leihano

There’s no place quite like the Ilima senior living community. It’s an exceptional and unparalleled residence that is nestled in the heart of Oahu’s “Second City.” What sets Ilima apart is its commitment to providing a range of care options, including Independent Living, Assisted Living, and Memory Care. The innovative approach to senior living that is fostered at Ilima is something that you won’t find anywhere else. The community partners with local healthcare specialists, providing residents with dynamic and responsive care, and even transportation to outside appointments. This ensures that residents have the support they need to live life to the fullest, while not having to worry about the logistics.
From housekeeping and laundry to assistance with grocery shopping and errands, the team at Ilima is dedicated to making sure residents have everything they need to feel at home. One of the standout features of Ilima is also the culinary team, who is committed to crafting flavorful and healthy menus for residents. Finally, the recreational areas at Ilima are truly impressive. The community boasts a range of spaces, including a swimming pool, arts and crafts center, fitness center, and movie or theater room, that allow residents to pursue their interests and stay engaged. Whether it’s trying a new hobby or meeting new friends, there’s always something to do at Ilima.

Contact Ilima at Leihano

The Ivy at Hawaii Kai

428 Kawaihae St, Honolulu, HI 96825
Overview of The Ivy at Hawaii Kai

The Ivy at Hawaii Kai promotes flexibility with helpful services that help assisted living residents live a fun, fulfilling, and freeing lifestyle. Management and staff strive to create an environment where seniors feel comfortable thriving in a community that puts them first. The Ivy at Hawaii Kai has gotten the trust of families with the service and compassionate care that the community has devoted itself to doing.

The Ivy at Hawaii Kai aims to help residents live a meaningful life every day, which is why their comprehensive amenities and services allow each individual to grow and enjoy their golden years. From creating arts and crafts projects to receiving transportation to events and appointments, these amenities and services help residents live a life of ease with their daily activities.

What does this home offer?

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Pets Allowed

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Room Sizes: 369 / 527 / 865 / 1,293 sq. ft

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Housing Options: Studio / 1 Bed / 2 Bed / 3 Bed

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Dining Services

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Beauty Services

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Transportation Services

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Housekeeping Services

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Social and Recreational Activities

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Exercise Programs

Contact The Ivy at Hawaii Kai

Overview of Kīnā ‘ole Estate

Located on the Windward side of Oahu,  Kīnā ‘ole Estate provides its residents with a secure, cozy, and enjoyable environment created to give them both the independence they want and the support they might need. This community offers the highest level of senior care across its 5 fully licensed care homes. Their dedicated staff adapts to each resident’s needs and can care for their residents through the end stage of life.

Kīnā ‘ole Estate offers a special combination of senior housing, personalized supportive services, memory care, expanded care, and adult health care designed to respond to the individual needs of our residents who require help with activities of daily living. The suites are always your private retreat and come partially furnished. The interior design of Kīnā ‘ole Estate has been pre planned using neutral colors, and it is now just waiting for the finishing touches and priceless possessions that make a house a home.

Contact Kīnā ‘Ole Estate

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.

What does this home offer?

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Building Type: Single-story

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Social and Recreational Activities

Contact Gutierrez ARCH

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 Honolulu, HI

What is the average cost of assisted living in Honolulu, HI?

The average monthly cost of assisted living in Honolulu, HI is approximately $5,300. Actual rates vary by community, level of care, and floorplan.

What is the price range for assisted living in Honolulu, HI?

Assisted living in Honolulu, HI typically ranges from $4,800–$7,400 per month, depending on the community, room type, and care needs.

What is the typical staff-to-resident ratio at assisted living facilities in Honolulu, HI?

Assisted living facilities in Honolulu, HI typically operate with a staff-to-resident ratio in the range of 1:6 to 1:12.

How many licensed assisted living facilities are there in Honolulu, HI?

According to state licensing records, there are approximately ~100–120 licensed assisted living facilities in Honolulu, 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.