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Compare Memory Care around Hawaii
The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
| Hi’olani Assisted Living Center at Kahala Nui | MC AL IL NH SNF | Honolulu (Waialae - Kahala) | 20
Facility
20
HI AVG
43
Rank
#41 / 86 | No |
71
Facility
71
HI AVG
49
Rank
#46 / 177 | Private / Semi-Private Rooms | - | - | - | 3
Facility
3
HI AVG
3.3
Rank
#15 / 56 | 24
Facility
24
HI AVG
25
Rank
#32 / 56 | 8.0
Facility
8.0
HI AVG
6.3
Rank
#39 / 56 |
| Kahala Nui | MC AL NH SNF | Honolulu (Waialae - Kahala) | - | No |
71
Facility
71
HI AVG
49
Rank
#46 / 177 | Private / Semi-Private Rooms | 21
Facility
21
HI AVG
19
Rank
#17 / 43 | A+ | - | - | - | - |
| Legacy Hilo Rehabilitation & Nursing Center | MC ADC NH SNF | Hilo (Kaumana) | 100
Facility
100
HI AVG
43
Rank
#13 / 86 | No |
7
Facility
7
HI AVG
49
Rank
#165 / 177 | - | 10
Facility
10
HI AVG
19
Rank
#32 / 43 | A+ | - | 4
Facility
4
HI AVG
3.3
Rank
#36 / 56 | 28
Facility
28
HI AVG
25
Rank
#38 / 56 | 7.0
Facility
7.0
HI AVG
6.3
Rank
#37 / 56 |
| Roselani Place | MC AL IL RC | Kahului | - | Yes |
44
Facility
44
HI AVG
49
Rank
#96 / 177 | Studio / 1 Bed / 2 Bed | 24
Facility
24
HI AVG
19
Rank
#11 / 43 | A+ | - | 4
Facility
4
HI AVG
3.3
Rank
#36 / 56 | 14
Facility
14
HI AVG
25
Rank
#25 / 56 | 3.5
Facility
3.5
HI AVG
6.3
Rank
#22 / 56 |
| Kalākaua Gardens | MC AL IL NH RC SNF | Honolulu (Ala Moana) | 49
Facility
49
HI AVG
43
Rank
#24 / 86 | No |
98
Facility
98
HI AVG
49
Rank
#3 / 177 | Private Suites | - | - | - | 4
Facility
4
HI AVG
3.3
Rank
#36 / 56 | 25
Facility
25
HI AVG
25
Rank
#35 / 56 | 6.3
Facility
6.3
HI AVG
6.3
Rank
#34 / 56 |
| Kisco Ilima at Leihano | MC AL IL | Kapolei (City Center) | - | Yes |
67
Facility
67
HI AVG
49
Rank
#54 / 177 | Studio / 1 Bed / 2 Bed | 19
Facility
19
HI AVG
19
Rank
#21 / 43 | - | - | 4
Facility
4
HI AVG
3.3
Rank
#36 / 56 | 39
Facility
39
HI AVG
25
Rank
#43 / 56 | 9.8
Facility
9.8
HI AVG
6.3
Rank
#46 / 56 |
| Ann Pearl Rehab & Nursing | MC ADC NH SNF | Kaneohe | 104
Facility
104
HI AVG
43
Rank
#12 / 86 | No |
48
Facility
48
HI AVG
49
Rank
#90 / 177 | - | - | - | - | - | - | - |
| Hale Ku’ike Bayside | MC NH | Kaneohe | 28
Facility
28
HI AVG
43
Rank
#38 / 86 | No |
36
Facility
36
HI AVG
49
Rank
#111 / 177 | Private / Shared Rooms | - | - | Scott Gardiner | - | - | - |
| Simpliciano’s ARCH | MC AL | Waipahu | - | No |
11
Facility
11
HI AVG
49
Rank
#152 / 177 | Private / Shared Rooms | - | - | - | - | - | - |
| Hale O Meleana | MC NH AL RESC RC | Honolulu (Liliha - Kapalama) | 176
Facility
176
HI AVG
43
Rank
#4 / 86 | No |
37
Facility
37
HI AVG
49
Rank
#108 / 177 | - | - | - | Kelly Davis | 3
Facility
3
HI AVG
3.3
Rank
#15 / 56 | 54
Facility
54
HI AVG
25
Rank
#49 / 56 | 18.0
Facility
18.0
HI AVG
6.3
Rank
#54 / 56 |
| Hale Nohea | MC AL HOS RESC | Honolulu (Kaimuki) | 8
Facility
8
HI AVG
43
Rank
#45 / 86 | No |
9
Facility
9
HI AVG
49
Rank
#157 / 177 | - | - | - | Patricia Mosher | - | - | - |
| L&M ARCH | MC AL | Honolulu (Kuliouou - Kalani Iki) | - | No |
5
Facility
5
HI AVG
49
Rank
#170 / 177 | Private / Shared Rooms | - | - | - | - | - | - |
| Aida Care Home | MC AL | Kaneohe | - | No |
8
Facility
8
HI AVG
49
Rank
#164 / 177 | Private / Semi-Private Rooms | - | - | - | - | - | - |
| FirstLight Home Care of Honolulu | MC HC RC | Honolulu (Waikiki) | - | No |
96
Facility
96
HI AVG
49
Rank
#11 / 177 | - | - | - | - | - | - | - |
| Ilima at Leihano | MC AL IL | Kapolei (City Center) | - | No |
67
Facility
67
HI AVG
49
Rank
#54 / 177 | - | 19
Facility
19
HI AVG
19
Rank
#21 / 43 | - | - | - | - | - |
At 1010 Wanaka Street in Salt Lake, Hawaii, Serenity Barrie offers both memory care and assisted living in the same community. That combination matters more than it might sound. Families don’t always know in advance how a loved one’s needs will change, and having both levels of care under one roof means a move to a different building isn’t automatically part of that picture.
The surrounding area is somewhat walkable, with a Walk Score of 37. A handful of nearby errands are realistic on foot, though most trips outside the community still call for a car.
Serenity Barrie fits families in the Salt Lake area who want a single community equipped to handle both memory care and assisted living needs, rather than searching separately for each.
Mālama Maika’i Health and Wellness Alliance has spent the last five years coordinating in-home senior care across Honolulu, led by Gwendolyn Villanueva. There’s no building to picture here. The agency’s nurses and aides go to clients, not the other way around, showing up at someone’s actual home to do the actual care.
The service list reads like a menu built for real life, not a brochure. Personal care, companion care, basic transportation, help recovering after surgery, short stretches of respite relief for a family caregiver who just needs a weekend. Licensed nurses and certified nursing assistants handle the clinical side, offering 24-hour medical oversight and ongoing health monitoring, and the agency also covers end-of-life hospice care when that’s what’s needed.
None of this comes as one fixed package. Staff build it around each client’s actual medical timeline, which matters more than it might sound like it does, since a person recovering from surgery needs something completely different from a person settling into long-term hospice support.
What this adds up to is a home care option for families in Honolulu who want a loved one to stay put, in their own space, while still getting real nursing-level support when the situation calls for it.
Hale Ku’ike is where seniors can discover a truly exceptional memory care senior living experience. This community is dedicated to providing unparalleled memory care services, offering a nurturing environment specifically designed for individuals with dementia-related illnesses. At Hale Ku’ike, they believe in the power of memory care therapy to enhance the lives of their residents. The team of compassionate professionals is well-versed in specialized memory care techniques and therapies. Through personalized programs tailored to individual needs, they strive to promote cognitive function, engagement, and overall well-being.
With spacious and well-lit interiors, the community boasts a warm and inviting ambiance that promotes a sense of peace and security. The circular pathways ensure ease of navigation, while the carefully selected furniture and design elements create a soothing and homelike atmosphere. From stimulating games to creative pursuits, the dedicated team aims to provide meaningful experiences that spark joy and foster cognitive abilities. Caregivers and therapists work closely with residents, tailoring activities to their interests and abilities, ensuring a fulfilling and enriching experience.
Peacefully nestled near Kalaheo Neighborhood Park and Kawainui Marsh Bike Trail in Kailua, HI, Oililua Senior Care, Inc., #II is an exceptional community that offers memory care. Those with memory-related needs will surely thrive with a compassionate and well-trained team helping with their daily living activities 24/7. Purposely designed and cozy accommodations are provided in a warm and nurturing environment, ensuring residents can feel at ease during their stay.
For a change of scenery, two outings per week are conducted, alongside stimulating activities to improve their mood and quality of life. Mealtimes foster comfort and satisfy nutritional needs with delicious and healthy dining options. Incontinence care, podiatrist, physician visits, and transportation services are available onsite, while therapy services can be arranged if needed. The community strives to maintain residents’ dignity and independence with its exceptional care and inviting spaces.
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.
Tucked between the beautiful Kailua Beach Park and Kailua District Park in Kailua, HI, Fujii Care Home is a blissful retreat that offers assisted living. Residents can ease their worries with a kind and highly trained team attending to their needs 24/7. The community also handles daily chores and maintenance, ensuring residents can maintain their independence without the busy work.
A carefully curated calendar of fun recreational activities and engaging programs is conducted so residents can live actively and remain socially connected. There’s no need to worry about meal preparation, with delightful and healthy meals that cater to their dietary needs and preferences. With its intimate and welcoming setting, residents will surely thrive and live up to their potential.
Home Instead in Mililani provides specialized, home-based dementia care and personal assistance throughout Kailua, Hawaii. This locally owned agency sends trained caregivers directly into a client’s private residence, acting as an alternative to an institutional memory care facility so seniors can remain in a familiar environment.
The neighborhood surrounding the main operations office carries a moderate walkability score, requiring a vehicle for most retail runs or staff commutes. Caregivers establish a predictable daily structure to minimize confusion, managing routine medication reminders, physical hygiene, light housekeeping, and nutritious meal planning.
The day-to-day programming incorporates customized cognitive engagement activities and personal companionship, alongside coordinated transportation for medical appointments and temporary respite care to give primary family caregivers a scheduled break.
Interested individuals can call the Kailua office to discuss care coordination and baseline hourly rates.
Ranking Methodology
How we rank these memory care communities
Every community above is evaluated across six weighted categories using public data including state inspection records, review platforms, BBB profiles, and operator-published materials.
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 Memory Care in Hawaii
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.
Does Hawaii Medicaid cover memory care?
Hawaii Medicaid does not directly pay room-and-board for memory care, 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 memory care?
Memory care is a specialized form of assisted living for residents living with Alzheimer's disease or other forms of dementia, with secured environments, dementia-trained staff, and routines built to reduce confusion and wandering.
How many memory care communities are listed on this page?
This page features 37 memory care communities in Hawaii. Use the filters and comparison tools above to compare ratings, amenities, and pricing.
How do I choose the right memory care 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 memory care 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.








