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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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Overview of Pualei Care Home

Ideally located near Hanauma Bay Nature Preserve and Marshalls Beach in Anakua Street, Honolulu, HI, Pualei Care Home is a distinct community that offers assisted living. A respectful and well-trained team provides top-notch care for residents to enjoy a worry-free lifestyle. Specially designed and wheelchair- accessible amenities are available to optimize residents’ comfort and independence.

Here, residents will not run out of things to do with a jam-packed calendar of fun recreational activities and engaging programs conducted according to their interests and capabilities. Mealtimes are also carefully prepared to ensure residents get the nutrients they need. The community also provides hospice care for residents to age comfortably. Residents spend their golden years with ease amid the community’s beautifully maintained amenities and friendly setting.

Contact Pualei Care Home

Overview of Altres Home Care

Altres Home Care is an exceptional homecare provider located in Kapiolani Boulevard, Honolulu, HI, that offers a wide range of care services including senior care and companionship, memory care, care for people with disabilities, surgery care, and respite care. Taking pride in a team of certified, kind, and well-trained care providers, Altres Home Care ensures top-notch care and assistance. Age comfortably in a place where you can fully be yourself, and age gracefully at the comforts of your home.

Committed to a trustworthy relationship with seniors and their loved ones, the homecare agency is a member of several local trusted healthcare associations. For the seniors’ peace of mind, Altres Home provides a system of care to devise a care plan specifically tailored to their unique needs and preferences.

Contact Altres Home Care

Overview of Mastercare Homecare and Healthcare

With over two decades of providing home care, Mastercare located in South King Street, Honolulu, HI, commits to delivering exceptional care in the comforts of home. Offering various care services including Alzheimer’s care, private duty nursing, homecare, and medical staffing, the homecare agency ensures comfortable and safe aging. Mastercare believes that home is always the best place to be, providing seniors with the assistance they need to live with confidence.

Focusing on home care, Mastercare features companionship, personal care, senior care, senior transportation, and skilled nursing care. With the seniors’ needs taken care of, they experience a worry-free lifestyle. Boasting a team of detail-oriented, compassionate, and friendly caregivers, Mastercare ensures trusted and exceptional care and assistance. Live freely and comfortably at the place you’re most familiar with- home.

Contact Mastercare Homecare and Healthcare

Overview of Bayada Home Health Honolulu

Located in Piikoi Street, Honolulu, HI, Bayada Home Health Care provides nursing, rehabilitative, therapeutic, hospice, and assistive care services to individuals in need. The homecare provider goes above and beyond in delivering the highest quality of care at their doors. With round-the-clock care and assistance from a team of compassionate and skilled individuals, seniors and their families enjoy a stress-free environment in the comfort of their residences.

Bayada Home Health Care fosters a culture of inclusivity, equity, and diversity, ensuring that seniors and loved ones feel belong and are safe. Moreover, the caregivers thrive with the proper support given by the home care provider. A trusted home health care provider since 1975, Bayada Home Health Care is the ideal partner in ensuring you live comfortably in your homes.

Contact Bayada Home Health Honolulu

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

Alexander Manor

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

A worry-free living awaits. Alexander Manor is a senior living community centrally located in Honolulu, on the beautiful island of Oahu. This assisted living community features a small, family-style building with 24 apartments, complete with elevator and parking. Here, residents enjoy the convenience of a flat rate that covers all amenities and services with no additional charges.

Alexander Manor offers a range of amenities, including three daily meals served in the dining room, daily exercises, an entertainment area, and complimentary on-call transportation. Utilities, including cable, are included, and residents benefit from daily laundry and maid service, as well as 24-hour staff availability. With a serene location and an array of inclusive services, this senior living community is a perfect choice for those seeking comfort and convenience on Oahu. 

Contact Alexander Manor

Overview of Hawaii Loa Care Services LLC

An esteemed community situated near recreation sites, including Paiko Beach in Panio Street, Honolulu, HI, Hawaii Loa Care Services LLC, offers assisted living. The community features intimate and beautifully furnished accommodations alongside top-tier care around the clock to optimize residents’ comfort and safety. Residents can ease their worries with a kind and highly skilled team helping with their daily living activities and household chores.

There’s no dull moment with a carefully curated calendar of engaging recreational programs and enriching activities that highlight residents’ interests and strengths. Residents delight with delicious and healthy meals that satisfy their dietary needs and preferences. Mobility assistance and medication management are also provided for residents’ convenience. The community is great for those seeking to retain their independence without the busy works in its cozy and nurturing environment.

Contact Hawaii Loa Care Services LLC

Overview of Charity Adult Residential Care

Charity Adult Residential Care is a haven of assisted senior living, offering a nurturing and supportive environment for older adults in Waipahu, Hawaii. As a premier facility, it caters to the diverse needs of its residents, whether they require assistance with daily activities or seek a higher level of care typically found in a nursing home or assisted living setting.

With a team of dedicated professionals, including registered nurses, caregivers at Charity Adult Residential Care provide personalized support, ensuring that each resident receives the attention and care they deserve. The facility goes above and beyond to create a warm and engaging atmosphere, promoting overall well-being and enriching the lives of their residents. Whether it’s assistance with daily tasks, medication management, or specialized care for those with more complex needs, Charity Adult Residential Care is committed to providing comprehensive services. Their focus on assisted senior living ensures that residents can maintain their independence while receiving the support they require to thrive.

Contact Charity Adult Residential Care

Overview of Iwilei Senior Residence

Beautifully set in the harmonious neighborhood of Honolulu, HI, Iwilei Senior Residence is a vibrant community that offers independent living. Designed for the comfort of those 62+, the community provides affordable and specially designed one- and two-bedroom floor plans. Residents enjoy a worry-free lifestyle with maintenance services and laundry spaces.

Thriving local amenities and leisure sites surround the area, providing residents with plenty of recreational and wellness opportunities. Residents also enjoy delightful and well-balanced dining options with restaurants and shops nearby. The community is a great option for those looking to downsize in retirement, especially with its state-of-the-art amenities and friendly setting.

Contact Iwilei Senior Residence

Pohulani

626 Coral St #507, Honolulu, HI 96813
Overview of Pohulani

Pohulani is a blissful haven located in the scenic neighborhood of Honolulu, HI, offering independent living. Residents are guaranteed the utmost comfort and safety with the community’s beautifully designed and spacious studio and one-bedroom floor plans. The community also includes utilities in the rent to ease financial burdens.

Residents gain easy access to their necessities and leisure opportunities with thriving local amenities and recreational sites nearby. A variety of restaurants and shops also surround the area, providing residents with delightful dining options that cater to their dietary needs and preferences. With its vibrant and welcoming environment, residents can keep their peace of mind and make the most of their golden years.

Contact Pohulani

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.