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Other Senior care options in Hawaii:

Best Senior Communities in Hawaii

Reviewed by Dr. Jordan Weiss
Updated May 2026
We analyzed 178 homes in Hawaii

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 Senior Communities facilities in Hawaii.

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

Compare Senior Communities around Hawaii

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

Click column headers to sort
Pearl City Nursing Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

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.

Pearl City (Lehua Avenue)
244
Facility 244
HI AVG 115
Rank #5 / 94
No
73
Facility 73
HI AVG 47
Rank #44 / 178
Private / Shared Rooms
-
Facility -
HI AVG
-----
Lunalilo 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.

Honolulu (Hawaii Kai)
40
Facility 40
HI AVG 115
Rank #34 / 94
No
40
Facility 40
HI AVG 47
Rank #104 / 178
Private / Shared Rooms
-
Facility -
HI AVG
-Ceo Keolamaikalani Dean---
Hale Ku’ike Bayside
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Kaneohe
28
Facility 28
HI AVG 115
Rank #40 / 94
No
36
Facility 36
HI AVG 47
Rank #111 / 178
Private / Shared Rooms
-
Facility -
HI AVG
-Scott Gardiner---
Care Homes By Hale Makua
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

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.

Kahului (Kaulana Street)
20
Facility 20
HI AVG 115
Rank #43 / 94
No
27
Facility 27
HI AVG 47
Rank #125 / 178
Private / Semi-Private / 3 Bed
-
Facility -
HI AVG
-Trisha Akahi12857.1
Ka Malama 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.

Kaneohe
5
Facility 5
HI AVG 115
Rank #49 / 94
No
6
Facility 6
HI AVG 47
Rank #169 / 178
Private Rooms
23
Facility 23
HI AVG
Rank #13 / 44
-Helen Elizalde4369.0
My Kind Heart
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

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.

Pearl City
5
Facility 5
HI AVG 115
Rank #49 / 94
No
65
Facility 65
HI AVG 47
Rank #59 / 178
Private / Shared Rooms
-
Facility -
HI AVG
-Imelda Hyde48020.0
The Plaza at Waikiki
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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Honolulu (Mccully - Moiliili)
153
Facility 153
HI AVG 115
Rank #8 / 94
Yes
96
Facility 96
HI AVG 47
Rank #11 / 178
Studio / Suite / 1 Bed
13
Facility 13
HI AVG
Rank #31 / 44
A+-4153.8
The Plaza at Kaneohe
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

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.

IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Kaneohe
60
Facility 60
HI AVG 115
Rank #24 / 94
No
78
Facility 78
HI AVG 47
Rank #33 / 178
Studio / 1 Bed / Suite
7
Facility 7
HI AVG
Rank #36 / 44
A+-4328.0
Kahala Nui
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

N

Nursing

Honolulu (Waialae - Kahala)
-
Facility -
HI AVG 115
Rank #24 / 94
No
71
Facility 71
HI AVG 47
Rank #46 / 178
Private / Semi-Private Rooms
21
Facility 21
HI AVG
Rank #17 / 44
A+----
Kisco Ilima at Leihano
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

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.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Kapolei (City Center)
-
Facility -
HI AVG 115
No
67
Facility 67
HI AVG 47
Rank #54 / 178
Studio / 1 Bed / 2 Bed
19
Facility 19
HI AVG
Rank #20 / 44
--4399.8
The Plaza at Pearl City
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.

Pearl City (Kuala Street)
158 Residents
Facility 158 Residents
HI AVG 115
No
69
Facility 69
HI AVG 47
Rank #52 / 178
Studio / 1 Bed / Suite
12
Facility 12
HI AVG
Rank #32 / 44
A+-3124.0
Yukio Okutsu State Veterans Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Hilo (Piʻihonua)
95
Facility 95
HI AVG 115
Rank #17 / 94
No
9
Facility 9
HI AVG 47
Rank #158 / 178
Private / Semi-Private Rooms
21
Facility 21
HI AVG
Rank #17 / 44
--33712.3
Aloha Nursing and Rehab Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Kaneohe
130
Facility 130
HI AVG 115
Rank #9 / 94
No
58
Facility 58
HI AVG 47
Rank #68 / 178
Private / Semi-Private Rooms
36
Facility 36
HI AVG
Rank #5 / 44
A+-6416.8
Aina Haina Quality Living
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.

Honolulu (Kuliouou - Kalani Iki)
8
Facility 8
HI AVG 115
Rank #46 / 94
No
49
Facility 49
HI AVG 47
Rank #87 / 178
Private / Couple Room
18
Facility 18
HI AVG
Rank #25 / 44
A+Ryan Jabs3299.7
Rodriguez Care Home, LLC
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.

Pearl City
5
Facility 5
HI AVG 115
Rank #49 / 94
No
28
Facility 28
HI AVG 47
Rank #123 / 178
Private / Shared Rooms
4
Facility 4
HI AVG
Rank #38 / 44
-Teresita Rodriguez3276.8
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Na Pu`uwai

604 Maunaloa Hwy, #C, Kaunakakai, HI 96748
Overview of Na Pu`uwai

Nā Puʻuwai is a 49-bed adult day care center at 60 Alamālama Street in Kaunakakai, Hawaii. Serving the island of Molokai, the facility operates under a license valid through May 2027 and provides services Monday through Friday from 5:00 am to 7:00 pm. The location is car-dependent with a Walk Score of zero, situated about one mile from the island’s primary city center. As a Native Hawaiian health care system, the program integrates traditional cultural values with modern medical and wellness services.

State records from the Hawaii Department of Health indicate a clean regulatory standing for this newly licensed site. Since its certification in early 2025, the facility has maintained a citations-per-inspection rate of zero. There are no documented fines, enforcement actions, or substantiated complaints on record, reflecting a consistent adherence to state administrative rules during its initial year of operation.

Clinical and wellness support is provided through an integrative approach that includes telehealth services and Kūpuna Care coordination. The campus features a comprehensive fitness center equipped with cardio machines, free weights, and a boxing cage for supervised exercise. Professional services extend beyond basic day care to include alternative healing, a workforce development center, and digital access programs for rural seniors. The organization also offers educational webinars and scholarships to support community health literacy.

The daytime environment emphasizes physical activity and social connection within a culturally grounded framework. Shared amenities include group fitness classes and dedicated spaces for health screenings and telehealth consultations. While primarily a day program, the center serves as a hub for various island-wide health initiatives aimed at chronic disease management and nutritional support. Participants have access to personalized wellness plans that incorporate both fitness and traditional Hawaiian healing practices.

Interested individuals seeking a wellness-oriented day program with strong cultural ties and modern fitness facilities may find this center appropriate. Families should contact the facility directly to discuss specific eligibility for Kūpuna Care scholarships and confirm the current schedule for group exercise classes before beginning the enrollment process.

Contact Na Pu`uwai

Evergreen ADC Hawaii

1124 Fort Street Mall #200, Honolulu, HI 96813
Overview of Evergreen Adc Hawaii

Evergreen Adc Hawaii is an adult day center located at 1164 Fort Street Mall in downtown Honolulu, serving over 200 seniors daily. Operating under a license valid through September 2026, the facility serves the Honolulu urban core with a Walk Score of 99, categorized as a “walker’s paradise” due to its proximity to transit and city services. The program is designed to provide comprehensive daytime supervision and medical coordination for participants, including those utilizing Medicaid.

Monitoring records from the Hawaii Department of Health indicate a high level of regulatory compliance. Since its establishment, the facility has recorded an annual deficiency rate approximately 95% lower than the state benchmark. While a May 2024 inspection identified one administrative finding regarding an expired staff physical and TB test, previous reviews in 2022 and 2023 resulted in a citations-per-inspection rate of zero. No substantiated complaints, fines, or enforcement actions are documented in the facility’s history.

Clinical support is integrated into the daily program through on-site physicians and care coordinators who assist with medical appointment scheduling and urgent health needs. Professional services extend to medication pickup, grocery shopping assistance, and social work support for Medicaid beneficiaries. The care model emphasizes both physical wellness and cognitive engagement, featuring specialized memory services and regular health screenings for all participants.

The daytime environment offers a structured schedule of educational sessions, physical exercise classes, and social recreation such as arts and crafts. Participants receive daily nutritional meals and have access to facility-coordinated transportation. The program’s large scale allows for diverse group conversations and a broad range of recreational games designed to foster community connection among Honolulu’s senior population.

Interested individuals seeking a large-scale, centrally located day program with integrated medical support may find this center appropriate. Older adults and their representatives should contact the facility to confirm the current enrollment process for Medicaid-funded services and verify the schedule for on-site physician consultations before beginning the program.

Contact Evergreen ADC Hawaii

Overview of Honuakaha Senior Housing

Ideally situated in the harmonious neighborhood of Honolulu, HI, Honuaka Senior Housing is an idyllic haven that offers independent living. The community has purposely built and sophisticated one-bedroom floor plans, ensuring residents are comfortable and safe. Residents also enjoy a maintenance-free lifestyle with laundry spaces and dedicated services on-site.

With thriving local amenities and leisure sites nearby, residents can spend their days as they please. Delightful restaurants and shops surrounding the area also provide residents with plenty of dining options for their dietary needs and preferences. The community has scenic gardens and serene walking paths, creating the ideal setting for residents to thrive in retirement.

Contact Honuakaha Senior Housing

Overview of Leslie S Pascual Fostercare Home

Create meaningful moments with Leslie S Pascual Fostercare Home, a dedicated community situated in the peaceful setting of Pailani Street, Ewa Beach, HI, offering memory care. Those with memory-related needs can ease their worries with a compassionate and highly skilled team attending to their needs around the clock. The community also promotes a nurturing and stress-free environment, so residents can feel at ease during their stay.

To improve residents’ cognition, a thoughtfully curated calendar of fun activities and enriching programs is conducted. Mealtimes foster comfort and satisfy dietary needs and preferences with delightful and healthy dining options. The community also provides transportation services, incontinence care, and respite care for residents’ comfort and convenience. Residents will surely thrive beyond their conditions, especially with the community’s specially designed amenities and welcoming spaces.

Contact Leslie S Pascual Fostercare Home

Home Instead in Mililani

970 N Kalaheo Ave Suite A-323, Kailua, HI 96734
Overview of Home Instead in Mililani

Home Instead is a trusted community based in Kailua, HI, specializing in dementia care. The community also features different levels of care, including companionship care, home helper services, personal care, and respite care for older adults to experience the highest quality of life in the comforts of their homes. As a locally owned community, this home care provider prioritizes older adults’ welfare, ensuring they thrive in retirement.

Stimulating programs and enriching activities are also conducted to enhance the cognition and living experiences of those with dementia. The community also promotes a routine-based approach to avoid confusion and optimize older adults’ comfort. Medication reminders, transportation to medical appointments, and healthy meal plans are available for older adults’ convenience. Older adults will surely thrive in the safety of their homes, accompanied by the community’s comprehensive care and top-notch services.

Contact Home Instead in Mililani

Overview of Jerez Care Home

Live a worry-free retirement at Jerez Care Home, an idyllic retreat in Puukani Street, Kahului, HI, offering assisted living. Residents can ease their worries with a compassionate and highly trained team helping with their daily living activities 24/7. Promoting a vibrant and welcoming environment, the community has beautifully furnished and cozy accommodations for residents to feel a sense of belonging during their stay.

Here, residents are encouraged to live happily and actively with a fun-filled calendar of recreational activities and engaging programs. Delicious and healthy meals are served to satisfy residents’ nutritional needs and preferences. Medication management and incontinence care are also provided to optimize residents’ comfort and convenience. The community is great for those seeking to maintain independence without the busy work amidst its purposely designed and welcoming amenities.

Contact Jerez Care Home

Overview of West Loch Elderly Villages

West Loch Elderly Village is an independent living community in Ewa Beach, HI, offering a variety of apartments for older adults. Here, older adults can feel at home, especially with a comfortable and welcoming environment. With recreational opportunities, a property manager on-site, and convenient apartment features, residents can maintain their independence. The community also features thoughtfully curated amenities to help residents live actively in their later years.

Fun gatherings and fitness opportunities encourage residents to make friends and gain meaningful experiences. A game room, a balcony, and cozy rooms also ensure residents can rest and freely connect with their surroundings. Located near West Loch, recreation sites, restaurants, and shops, the community guarantees a stress-free retirement. This independent living community is one of the best options for senior living in Hawaii, especially with its dedicated services.

Contact West Loch Elderly Villages

Overview of Franciscan Vistas Ewa Apartments

Experience the retirement of your dreams with Franciscan Vistas Ewa Apartments, a blissful retreat nestled in the beautiful setting of Ewa Beach, HI, offering independent living. Residents can find the accommodation that best suits their preferences with specially designed and cozy one- and two-bedroom floor plans. The community strives to provide affordable housing for those 62+ with low income, with its income-based rents.

Residents can spend their days as they please, especially with the community’s inviting communal areas and fun group exercises. The community is equipped with a beauty salon, a library, a fitness center, a community center, a pool, a picnic area, a clubhouse, and assigned parking, creating the perfect setting for residents to interact with their friends and live actively.

Contact Franciscan Vistas Ewa Apartments

Overview of Lou’s Quality Home Healthcare Services

Age with dignity with Lou’s Quality Home Healthcare Services, a trusted community in Wailawa Street, Mililani, HI, offering home care. Older adults receive top-tier care for their unique needs from a compassionate and well-trained team whenever necessary and preferred. This homecare agency is licensed and insured, ensuring older adults enjoy up-to-standard quality of care in the comforts of their homes.

For the right care and assistance, the community conducts free assessments for older adults’ convenience and safety. The community provides hourly care with a minimum of 2 hours, alongside 24-hour and live-in care, ensuring older adults are well cared for. Focusing on long-term care, the community has a wide range of care options and a highly qualified team for residents to enjoy exceptional care without leaving their comfort zone.

Contact Lou’s Quality Home Healthcare Services

Overview of Kula Hospital

Kula Hospital is a one-of-a-kind community in Kula, HI, offering short-term rehabilitation and long-term care. Residents do not have to worry about their medical needs with a compassionate and highly qualified team helping whenever necessary. The community also provides emergency care to ensure residents’ convenience and safety.

Physical therapy and imaging services are also provided to enhance residents’ living experiences. The community strives to provide the highest quality of care for residents to recover quickly and make the most of their best years. Residents can keep their peace of mind with the community’s exceptional services and state-of-the-art amenities.

Contact Kula Hospital

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 Senior Communities in Hawaii

What is senior living?

Senior communities are residential settings designed for adults aged 55 or older, with options ranging from active independent living to assisted living and memory care.

How many senior communities are listed on this page?

This page features 1 senior communities in Hawaii. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right senior community in Hawaii?

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 Hawaii, 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 senior communities in Hawaii?

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.