Page 2 of Best Assisted Living in Honolulu, HI

Why trust this guide? Our editorial team analyzed 18 assisted living communities in Honolulu, 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 Honolulu, HI our team has analyzed — not a count of every assisted living provider in Honolulu, HI.
18 homes
Other senior care options in Honolulu:

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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. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. RESC (Residential Care): Personal care and daily-living support in a smaller, more intimate residential setting. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. CCRC (Continuing Care Retirement Community): A campus with multiple care levels so residents can age in place without moving.
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.
Number of years the company has been in operation.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
Kahala Nui
AL
CCRC
MC
NH
SNF
Honolulu (Waialae - Kahala)
-No
71
Facility 71
HI AVG 43
Rank #13 / 93
Private / Semi-Private Rooms
21
Facility 21
HI AVG 20
Rank #9 / 23
A+
Kīnā ‘Ole Estate
AL
HOS
MC
NH
RC
SNF
Kaneohe
-No
56
Facility 56
HI AVG 43
Rank #30 / 93
---
Hale Nohea
AL
HOS
MC
RESC
Honolulu (Kaimuki)
8
Facility 8
HI AVG 23
Rank #16 / 57
No
9
Facility 9
HI AVG 43
Rank #86 / 93
---
Wilson Home Care Honolulu
AL
HC
HOS
NH
RESC
SNF
Honolulu
-No
96
Facility 96
HI AVG 43
Rank #3 / 93
-
30
Facility 30
HI AVG 20
Rank #3 / 23
A+
Manoa Senior Care
AL
NH
RESC
Honolulu (Kaimuki)
-No
78
Facility 78
HI AVG 43
Rank #8 / 93
-
24
Facility 24
HI AVG 20
Rank #6 / 23
-
Ilima at Leihano
AL
IL
MC
Kapolei (City Center)
-Yes
67
Facility 67
HI AVG 43
Rank #19 / 93
-
19
Facility 19
HI AVG 20
Rank #11 / 23
-
Alexander Manor
AL
IL
Honolulu
-No
76
Facility 76
HI AVG 43
Rank #10 / 93
---
L&M ARCH
AL
MC
Honolulu (Kuliouou - Kalani Iki)
-No
5
Facility 5
HI AVG 43
Rank #92 / 93
Private / Shared Rooms--

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 18 analyzed for Honolulu. See how we rank facilities

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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.

Contact Kahala Nui

Wilson Home Care Honolulu

711 Kapiolani Blvd Suite 450, Honolulu, HI 96813
Overview of Wilson Home Care Honolulu

A one-of-a-kind home care provider situated in Kapiolani Boulevard, Honolulu, HI, Wilson Home Care offers a variety of care services including skilled nursing, incontinence care, companionship, personal care, and assistance with daily living. As one of the largest and most trusted home health care agencies, Wilson Home Care promotes a compassionate and professional environment for seniors to age comfortably at their homes. Moreover, the homecare strives to provide the best care and assistance suited to the client’s needs and desires.

Wilson Home Care values respect and independence, ensuring that its caregivers provide enough space for seniors and their families to live freely and with dignity. Fostering trusting bonds and connections with the seniors, children, and families, the home health care provider respects their boundaries and privacy. Empowering the individuals in need to live confidently and independently, the homecare provider strives to help them maximize their full potential.

Contact Wilson Home Care Honolulu

Overview of Manoa Senior Care

Manoa Senior Care is a trusted assisted living community in Honolulu, HI, that offers personal care. Promoting a warm and home-like environment, the community ensures older adults can keep their peace of mind during their stay. Exceptional services, including three home-cooked meals daily, housekeeping services, and medication preparation, are also provided to enrich residents’ living experiences. Focusing on residents’ holistic well-being, the community provides personalized care tailored to their unique needs and habits.

Ikebana classes, yoga, and pet therapy are just some of the activities dedicated to helping residents learn and gain meaningful memories. Residents can also rest and move around comfortably, with wheelchair-accessible rooms and cozy communal spaces. Set near restaurants, shops, public transportation, and the Kaimuki Public Library, the community ensures residents have convenient access to their necessities and leisure. This assisted living community has high standards of care, making it one of the best options for senior living in Hawaii.

Contact Manoa Senior Care

Hale Nohea

5071 Maunalani Cir, Honolulu, HI 96816
Overview of Hale Nohea

Situated in Honolulu, Hawaii, Hale Nohea is an exclusive memory care residence, setting the standard for personalized care in an intimate setting. This luxury Expanded Care Type II Adult Residential Care Home, with a capacity for 8 residents, is dedicated to fostering a compassionate and nurturing environment. With an Expanded Care license, Hale Nohea extends its services to provide end-of-life care. Collaborating closely with families and hospice aims to ensure a comfortable and peaceful environment during this transition.

Hale Nohea is driven by the vision of enabling residents to “age in place,” recognizing the significance of familiar surroundings. Here, the philosophy revolves around creating a space that promotes well-being and joy. As a private facility, it accommodates both private pay and long-term care Insurance, subject to eligibility requirements. However, it’s important to note that the community doesn’t accept Medicare or Medicaid, maintaining its commitment to delivering exclusive and tailored memory care services. Their goal is to offer the highest level of care to individuals grappling with Alzheimer’s or dementia-related disabilities. The facility diligently monitors and assesses the various stages of dementia that residents may experience. This commitment is reflected in understanding, safety, acceptance, and respect.

Contact Hale Nohea

Overview of Ilima at Leihano

Offering assisted living, independent living, and memory care under one roof, Ilima at Leihano is a senior living community on the island of Oahu in Kapolei, Hawaii. Operating for 19 years, it sits in Kapolei’s City Center neighborhood, an area of the island often called its “Second City.” It’s a short 0.6 miles from the city center, and the nearest hospital, Pali Momi Medical Center, is about 9.46 miles away.

Residents here can access transportation for outside appointments, and the community partners with local healthcare specialists to help coordinate care. Daily support comprises housekeeping, laundry, and help with grocery shopping and errands, so occupants can rely on the team for daily life logistics. An in-house culinary team prepares meals for residents as part of the community’s dining program. For recreation and socializing, Ilima at Leihano offers a swimming pool, an arts and crafts center, a fitness center, and a movie or theater room, giving occupants an array of ways to stay active and engaged. The moderately walkable surrounding area carries a Walk Score of 67, so some errands are doable on foot, with a mix of nearby amenities within reach.

Families navigating memory care, assisted living, or independent living options in Kapolei may find it beneficial to inquire directly about which of the home’s three care types would best fit their loved one’s current needs.

Contact Ilima at Leihano

Alexander Manor

1559 Thurston Ave #201, Honolulu, HI 96822
Overview of Alexander Manor

Alexander Manor provides assisted living and senior living in Honolulu, HI. Assisted living provides help with daily tasks while allowing a resident to maintain a personal living routine. The family-owned and operated community opened in 1995.

Respite care offers a short stay for someone whose usual caregiver needs time away or recovery. Rehabilitation services include short-term rehab, giving a resident access to temporary recovery-focused care. Dining includes home cooking and personal attention, so residents can expect meals prepared in a home-style manner with attention during dining.

A Walk Score of 76 places the area in the very walkable band, where most errands can be done on foot; a resident who no longer drives can still complete many everyday errands independently. Alexander Manor may be a good fit for a resident who needs help with daily tasks or for a family seeking short-term respite or rehabilitation support.

Contact Alexander Manor

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

L&M ARCH

1164 Hind Iuka Dr, Honolulu, HI 96821
Overview of L&m Arch

Peacefully nestled in the harmonious neighborhood of Hind Luka Drive, Honolulu, HI, L&M Arch is a unique community that offers memory care. Residents here receive the highest quality of care for their special needs with a compassioante and well-trained team available around the clock. The community promotes a vibrant and welcoming environment, ensuring residents can feel a sense of belonging during their stay.

Fun recreational activities and engaging programs are conducted to accompany residents and encourage them to live an active lifestyle. Mealtimes foster comfort and satisfy dietary needs with delicious and well-balanced dining options. Residents can spend their golden years without worries amid the community’s intimate and nurturing setting.

Contact L&M 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
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 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.

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.

Assisted Living in Honolulu at a glance

Avg Walk Score: 54/ 100The average Walk Score across facilities in Honolulu, 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: 40The average licensed bed capacity across facilities in Honolulu, HI. Individual facilities can vary widely from this average.
National Average: 90