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Other Senior care options in Hawaii:

Best Independent Living in Hawaii

Reviewed by Dr. Jordan Weiss
Updated Apr 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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Other Senior care options in Hawaii:

Video Tour: Top-rated Independent Living facilities in Hawaii.

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

Compare Independent Living around Hawaii

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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 50
Rank #8 / 86
Yes
96
Facility 96
HI AVG 49
Rank #11 / 178
Studio / Suite / 1 Bed
13
Facility 13
HI AVG 19
Rank #31 / 44
A+
4
Facility 4
HI AVG 3.1
Rank #38 / 57
15
Facility 15
HI AVG 24.7
Rank #28 / 57
3.8
Facility 3.8
HI AVG 6.4
Rank #25 / 57
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 50
Rank #24 / 86
No
78
Facility 78
HI AVG 49
Rank #33 / 178
Studio / 1 Bed / Suite
7
Facility 7
HI AVG 19
Rank #36 / 44
A+
4
Facility 4
HI AVG 3.1
Rank #38 / 57
32
Facility 32
HI AVG 24.7
Rank #41 / 57
8.0
Facility 8.0
HI AVG 6.4
Rank #38 / 57
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)
-No
67
Facility 67
HI AVG 49
Rank #54 / 178
Studio / 1 Bed / 2 Bed
19
Facility 19
HI AVG 19
Rank #20 / 44
-
4
Facility 4
HI AVG 3.1
Rank #38 / 57
39
Facility 39
HI AVG 24.7
Rank #44 / 57
9.8
Facility 9.8
HI AVG 6.4
Rank #45 / 57
Holiday Kalama Heights
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.

Kihei
-Yes
66
Facility 66
HI AVG 49
Rank #57 / 178
Studio / 1 Bed / 2 Bed
26
Facility 26
HI AVG 19
Rank #10 / 44
----
The Plaza at Mililani
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.

Mililani (Mililani Mauka - Launani Valley)
-No
12
Facility 12
HI AVG 49
Rank #152 / 178
Studio / Shared Suite
19
Facility 19
HI AVG 19
Rank #20 / 44
A+
4
Facility 4
HI AVG 3.1
Rank #38 / 57
23
Facility 23
HI AVG 24.7
Rank #33 / 57
5.8
Facility 5.8
HI AVG 6.4
Rank #32 / 57
Good Samaritan Society – Pohai Nani
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.

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
246
Facility 246
HI AVG 50
Rank #4 / 86
No
18
Facility 18
HI AVG 49
Rank #141 / 178
Studio / 1 Bed / 2 Bed--
3
Facility 3
HI AVG 3.1
Rank #16 / 57
19
Facility 19
HI AVG 24.7
Rank #31 / 57
4.8
Facility 4.8
HI AVG 6.4
Rank #29 / 57
The Plaza at Moanalua
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.

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.

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.

Honolulu (Moanalua)
-No
19
Facility 19
HI AVG 49
Rank #138 / 178
-
16
Facility 16
HI AVG 19
Rank #27 / 44
A+---
Hale Nā Koa ‘O Hanakahi
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).

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.

Hilo
66
Facility 66
HI AVG 50
Rank #23 / 86
No
48
Facility 48
HI AVG 49
Rank #90 / 178
1 Bed Apartments-----
Manoa Gardens Elderly Housing
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.

Honolulu (Manoa)
80
Facility 80
HI AVG 50
Rank #21 / 86
No
16
Facility 16
HI AVG 49
Rank #147 / 178
Studio / 1 Bed-----
The Plaza Moanalualani
LSL

Luxury Senior 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.

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.

Honolulu (Moanalua)
-No
19
Facility 19
HI AVG 49
Rank #138 / 178
Studio / Suite / 1 Bed
16
Facility 16
HI AVG 19
Rank #27 / 44
A+
3
Facility 3
HI AVG 3.1
Rank #16 / 57
15
Facility 15
HI AVG 24.7
Rank #28 / 57
5.0
Facility 5.0
HI AVG 6.4
Rank #30 / 57
One Kalakaua Senior Living
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).

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.

Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
-Yes
98
Facility 98
HI AVG 49
Rank #3 / 178
-
28
Facility 28
HI AVG 19
Rank #8 / 44
A+
2
Facility 2
HI AVG 3.1
Rank #7 / 57
3
Facility 3
HI AVG 24.7
Rank #9 / 57
0.8
Facility 0.8
HI AVG 6.4
Rank #9 / 57
Hale Mohalu Senior Apartments
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.

Pearl City
-Yes
62
Facility 62
HI AVG 49
Rank #62 / 178
Studio / 1 Bed Rooms
34
Facility 34
HI AVG 19
Rank #6 / 44
A+---
15 Craigside
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.

N

Nursing

Honolulu (Nuuanu - Punchbowl)
45
Facility 45
HI AVG 50
Rank #30 / 86
No
50
Facility 50
HI AVG 49
Rank #85 / 178
Studio / 1 Bed-A+
2
Facility 2
HI AVG 3.1
Rank #7 / 57
9
Facility 9
HI AVG 24.7
Rank #19 / 57
2.3
Facility 2.3
HI AVG 6.4
Rank #16 / 57
The Plaza at Punchbowl
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.

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.

Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
-No
88
Facility 88
HI AVG 49
Rank #24 / 178
Studio / Suite / 1 Bed / 2 Bed
27
Facility 27
HI AVG 19
Rank #9 / 44
A+
3
Facility 3
HI AVG 3.1
Rank #16 / 57
8
Facility 8
HI AVG 24.7
Rank #16 / 57
2.7
Facility 2.7
HI AVG 6.4
Rank #18 / 57
Franciscan Vistas Ewa Apartments
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).

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.

Ewa Beach (Ewa)
60
Facility 60
HI AVG 50
Rank #24 / 86
No
31
Facility 31
HI AVG 49
Rank #118 / 178
1 Bed / 2 Bed-----
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Overview of Hale Nā Koa ‘o Hanakahi

Hale Na Koa ‘O Hanakahi is an idyllic haven nestled near Lokahi Park and Botanical Garden at the University of Hawaii – Hilo on West Kawili Street, Hilo, HI, that offers independent living. Residents, especially those 62+, experience the best of their golden years with the community’s beautifully furnished and cozy one-bedroom floor plans, designed for better comfort and safety. The community promotes a warm and friendly environment, ensuring residents feel at ease during their stay.

Residents can spend their days as they please with the community’s ideal location near recreation sites and delightful amenities, making it easier to access their needs and wants. The community accommodates those with incomes ranging from 30% to 80% of the median income, maintaining their independence without financial constraints. Amenities include a lounge, a coffee bar, a multi-purpose room, and an exercise room, creating the perfect setting for a blissful retirement.

Contact Hale Nā Koa ‘O Hanakahi

Overview of Harry & Jeanette Weinberg – Philip Street Apartments

Surrounded by delightful local amenities in Honolulu, HI, Harry & Jeannette Weinberg – Philip Street Apartments is a purposely built 62+ community that offers independent living. The community features a variety of beautifully furnished one-bedroom floor plans, ensuring residents are comfortable and safe. With an emergency call system, laundry spaces, and convenient apartment features, residents are guaranteed the utmost comfort and safety.

Residents have easy access to plenty of leisure and wellness opportunities with leisure spaces and unique shops nearby. With a full kitchen, residents can prepare meals according to their dietary needs and preferences. The community’s warm and welcoming environment makes it an ideal option for those looking to downsize in their golden years.

Contact Harry & Jeanette Weinberg – Philip Street Apartments

Overview of Manoa Gardens Elderly Housing

Manoa Gardens Elderly Housing is a blissful haven nestled in the quiet setting of Honolulu, HI, that offers independent living. Residents can live comfortably with the community’s variety of specially designed and sophisticated studio and one-bedroom floor plans. The community also provides income restrictions, ensuring those 62+ can find the accommodation that best suits their preferences.

Recreational spaces and unique shops surround the area, providing residents with plenty of leisure and wellness opportunities. Residents also enjoy plenty of dining options with delightful restaurants nearby. The community has beautiful gardens and walking paths, ensuring residents have the finest retirement experience.

Contact Manoa Gardens Elderly Housing

Overview of Hale O’hauoli

Conveniently located near H Mart Pearl City and Home Depot in Pearl City, HI, Hale O’Hauoli is a purposely designed community that offers independent living. Residents, especially those 62+, experience the best of their golden years with beautifully furnished and spacious one-bedroom floor plans designed for better comfort and safety. The community also promotes a warm and welcoming environment for residents to feel at ease during their stay.

With delightful restaurants and fun recreational sites nearby, residents can spend their days as they please and gain meaningful experiences. The community strives to maintain affordability with its income-based rent, ensuring residents can downsize without hassles. With its comfortable and well-maintained amenities, residents maintain their independence in retirement.

Contact Hale O’Hauoli

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

Overview of The Plaza Moanalualani

Situated at the core of Honolulu, HI, the Plaza Moanalualani greets the seniors and guests with enchanting sceneries of the ocean and the city. The community provides a wide range of living options including independent living, assisted living, Hali’a memory care, short-term respite, and Lamaku extended care. Featuring convenient and well-designed floor plans such as a private studio, private one-bedroom, and shared companion suite, the Plaza Moanalualani ensures a comfortable and safe residence.

The Plaza Moanalualani fosters a vibrant community that provides seniors with opportunities to thrive. With a round-the-clock supportive and caring environment, residents maximize their independence and enjoy a maintenance-free lifestyle. The community is equipped with recreation and game rooms, a fitness and physical therapy center, a full-service salon, a media room, computer stations, a library, living rooms and outdoor sitting areas for the seniors’ enjoyment and welfare.

Contact The Plaza Moanalualani

Overview of Olaloa Retirement Community – Mililani

Olaloa Retirement Community – Mililani is a well-maintained independent living community in Mililani, HI, that has a variety of specially designed accommodations for older adults. With its low-rise setting, the community promotes comfort and familiarity. Laundry spaces, a resident manager, and recreational activities are also provided to help maintain residents’ independence with ease. The community’s dedication to enriching residents’ living experiences is reflected in its thoughtfully designed amenities.

Exercises, fun sports, and social events provide residents with more opportunities to gain fun experiences and maintain an active lifestyle. A storage room, a meeting room, and a patio also provide places for relaxation and leisure. With Mililani Mauka District Park, cafes, and bus stops nearby, residents are guaranteed a laid-back retirement. This independent living community is a trusted choice for senior living in Hawaii, as it has dedicated services that aim to help older adults flourish in their golden years.

Contact Olaloa Retirement Community – Mililani

Overview of One Kalakaua Senior Living

Situated in the heart of Honolulu, Hawaii, One Kalakaua Senior Living emerges as a distinctive luxury apartment rental tailored for individuals aged 55 and above. Here, seniors discover a vibrant community that seamlessly combines independence with the availability of assisted living, nursing, and maintenance services. One Kalakaua Senior Living further offers a dedicated dining room, exercise room, library, TV, game room, and a beauty shop for added convenience. Ample guest parking ensures that friends and family can visit comfortably. Daily social activities, classes, and exciting excursions are organized to enrich the lives of residents. At One Kalakaua Senior Living, the focus is on creating a vibrant and comfortable living environment where seniors can enjoy life to the fullest.

Each unit at One Kalakaua Senior Living is thoughtfully designed for accessibility, featuring wheelchair-accessible living areas, including the living room, dining room, kitchen, laundry facilities, bedrooms, and bathrooms. The all-inclusive maintenance fee encompasses a host of amenities and services, making daily life easier and more enjoyable. This fee includes a sumptuous daily meal, weekly housekeeping, access to an on-site clinic, round-the-clock security, and the reassurance of emergency medical assistance. Residents have the convenience of a dedicated parking stall, and utilities are all-inclusive. The community boasts a wealth of leisure facilities, from a spacious heated pool and inviting jacuzzi to beautifully landscaped gardens and multiple social areas.

Contact One Kalakaua Senior Living

Overview of Hale Mahaolu Akahi

Beautifully located in the peaceful neighborhood of Kahului, HI, along West Wakea Avenue, Hale Mahaolu Akahi is an idyllic 62+ community that offers independent living. With purposely designed and sophisticated studio and one-bedroom floor plans, residents can find the accommodation that best adheres to their preferences. Since 1969, the community has been promoting a vibrant and welcoming environment for residents to thrive and make the most of their golden years.

Residents have easy access to their necessities and leisure with nearby groceries, healthcare providers, and serene parks. Fun ukulele jam sessions and engaging events are also conducted to promote social interactions. Through Kaunoa Senior Services, the community provides a lunch program that satisfies residents’ dietary needs with delightful and healthy meals. The community is great for those seeking independence in their golden years, especially with its cozy amenities.

Contact Hale Mahaolu Akahi

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 Independent Living in Hawaii

What is independent living?

Independent living communities are residential settings for active older adults — typically with private apartments or cottages, shared amenities (dining, fitness, activities), and no built-in medical care.

How many independent living communities are listed on this page?

This page features 3 independent living communities in Hawaii. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right independent living 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 independent living 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.