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Best Senior Care in Hawaii

Reviewed by Dr. Jordan Weiss
Updated May 2026

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 care facilities in Hawaii.

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

Compare Senior Care around Hawaii

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

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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 Maunalani Nursing and Rehabilitation Center

Maunalani Nursing and Rehabilitation Center provides an exemplary approach to skilled nursing; it has pioneered as the home for comprehensive rehabilitation and nursing. One of the longest continuum of care centers in Oahu, the long-term healthcare center gives attention to all levels of care, as well even the complex medical conditions. Maunlani Nursing Center boasts a comfortable and secure environment for a speedy recovery. 
The nursing home is rehabilitative and focuses on receiving results in the services they offer; services include 24-hour nursing available, physicians available, and therapists– all provided to ensure residents all receive their holistic wellness. Therapy services include speech, occupational, and physical that sustain and strengthen daily skills. 

Contact Maunalani Nursing and Rehabilitation Center

Overview of Pearl City Nursing Home

Pearl City Nursing Home is a unique and exceptional home in Hawaii that stands out with its own distinct character. This home is the perfect haven for individuals who have recently been discharged from the hospital and need a little extra assistance during their transition. One of the remarkable aspects of this home is the special unit designed specifically for residents requiring ventilator and tracheostomy care. For those facing breathing challenges, Pearl City Nursing Home provides a nurturing environment where maximum recovery with minimal mechanical support is achievable. 

In addition to exceptional medical care, Pearl City Nursing Home offers a wide range of nursing home activities for social engagement. These activities not only promote social interaction but also nurture overall health and well-being. Moreover, their culinary delights are nothing short of amazing, as they cater to various dietary requirements. From special dietary needs to personal preferences, every aspect of a resident’s satisfaction and mental state is attentively considered. Discover a place where comfort, safety, and personalized attention converge to create an extraordinary living experience.

Contact Pearl City Nursing Home

Overview of Harry and Jeanette Weinberg Care Center

Nestled in Kaneohe, Hawaii, the Harry and Jeanette Weinberg Care Center offers exceptional nursing care with a touch of Aloha. This charming facility boasts spacious private apartments and multiple-resident rooms, all equipped with bathrooms and showers. The clean and therapeutic environment prioritizes resident comfort and well-being. The Weinberg Care Center stands out for its unwavering commitment to quality care.

They champion justice and dignity for older adults, with a team of experienced staff providing compassionate and personalized attention. This dedication is reflected in their exceptional 5-star overall rating, a testament to their commitment to resident satisfaction. They also specialize in short-term rehabilitation for those needing extra support, ensuring a smooth transition back to independence. This non-profit facility accepts Medicare and Medicaid, making exceptional care accessible and affordable.

Contact Harry and Jeanette Weinberg Care Center

Overview of Lunalilo Home

For over a century, Lunalilo Home has stood holding the promise of hope, dedicated to providing a warm and nurturing community for all kūpuna (elders). Whether you’re seeking care for yourself or a loved one, Lunalilo Home is committed to providing exceptional programs and services. From residential care to adult day care, respite care, and meals-to-go, every program is rooted in native Hawaiian culture and values, particularly the spirit of aloha. Lunalilo Home’s compassionate staff and innovative programs work together to create an environment where seniors can thrive and enjoy their golden years to the fullest. 

Lunalilo Home offers a welcoming and nurturing environment where residents receive around-the-clock care and support in a setting that feels like family. Residents can choose from single, double, or multi-person occupancy rooms, all furnished with basic amenities. The home provides delicious meals and snacks, with a sample menu available to ensure residents receive healthy and satisfying food options. The warm staff is available to provide assistance with personal care, medication management, and first aid. Residents also have access to various recreational, cultural, and spiritual activities as well as laundry services and transportation to medical appointments. At Lunalilo Home, every effort is made to ensure that residents receive the care and support they need to live a comfortable and fulfilling life.

Contact Lunalilo Home

Overview of Hale Ku’ike Bayside

Conveniently set near Kaneohe, HI’s green spaces at Kaneohe Bay Drive, Hale Ku’ike Bayside is a dedicated community specializing in memory care. Accommodating up to 28 residents in its purposely designed and well-maintained accommodations, the community strives to provide the highest quality of life, especially with a respectful and highly trained team available 24/7. Those with memory-related needs do not have to worry about daily living with personalized care plans.

Residents will surely thrive with a thoughtfully curated calendar of fun recreational activities and stimulating programs, highlighting their interests and capabilities. Mealtimes foster comfort and satisfy dietary needs with delightful and healthy homemade meals. The community has live-in service dogs that aim to lift residents’ moods. With its innovative approaches and stress-free setting, residents make every moment count in their golden years.

Contact Hale Ku’ike Bayside

Overview of King Lunalilo Trust

With its historical roots, King Lunalilo Trust is an exceptional senior living community settling at Kekauluohi Street, Honolulu, HI, that offers residential care, respite care, adult day center, and meals-to-go. Originally providing care for Hawaiians, the community has begun to extend its top-tier care and assistance to seniors who would love to live on its premises. The community features beautifully made accommodations including single, double, or multi-person occupancy rooms. King Lunalilo Trust graces its residents with a peaceful environment to ensure they live a comfortable and worry-free lifestyle.

The community fosters a nurturing environment, delivering the highest quality care and assistance with a friendly and dedicated team 24/7. Featuring its very own Kauhale Kupuna Strategic Plan, the community aims to extend its quality care and residence to more seniors. Residents enjoy balanced meals daily, alongside recreational, cultural, and spiritual activities. King Lunalilo Trust provides an unforgettable retirement experience filled with inspiration and warmth.

Contact King Lunalilo Trust

Overview of Care Homes by Hale Makua

Serenely tucked between Kahului Community Center Park and Kahului Park at Kaulana Street, Kahului, HI, Care Homes by Hale Makua is an outstanding community that offers assisted living. Residents experience exceptional care with a responsible and highly skilled team attending to their personal needs 24/7. The community also handles housekeeping and laundry, so residents can enjoy hassle-free living.

Residents spend their days as they please with a well-thought-out calendar of recreational activities and group events, highlighting their interests and capabilities. Delicious and well-balanced meals, alongside delightful snacks, are served to satisfy residents’ dietary needs and preferences. The community also provides medication management and arrangements for medical and dental appointments for residents’ convenience and safety. Residents do not have to worry about their special needs amidst the community’s well-maintained amenities and beautiful setting.

Contact Care Homes By Hale Makua

My Kind Heart

98-034 Kuleana Place, Pearl City, HI 96782
Overview of My Kind Heart

Surrounded by convenient local amenities and serene parks like Blaisdell Park in Pearl City, HI, My Kind Heart is a distinguished community that offers assisted living. The community is committed to improving residents’ well-being, providing top-notch care around the clock to meet their unique needs. Residents can ease their worries with a respectful and highly trained team helping with their daily living activities and household chores.

There’s no dull moment with an unending array of fun recreational activities and stimulating programs, highlighting residents’ interests and strengths. Here, residents have a delightful dining experience with delicious and healthy meals that cater to their dietary needs and preferences. Medication management and transportation services are also provided for residents’ comfort and convenience. The community is ideal for those seeking a place to spend their golden years, receiving the utmost care they deserve.

Contact My Kind Heart

Overview of Ka Malama Care Home

Nestled in the tranquil Heeia neighborhood of Kaneohe, Hawaii, Ka Malama Care Home offers a warm place for seniors. Dedicated to exceptional care, this resident-centered community prioritizes peace of mind for both residents and their loved ones. With a focus on personalized care, Ka Malama Care Home with a warm and supportive environment where residents can thrive. A comfortable and fulfilling life filled with delicious home-cooked meals and engaging activities.

Ka Malama Care Home offers a variety of services for individual needs. These include assisted living, respite care, and hospice care, ensuring residents receive the support they require. The facility features a public living area with Wi-Fi access, a salon/barbershop for convenience, and safety features in each room. Residents can enjoy engaging activities like arts and crafts, while nurses and medication support ensure their well-being. Healthy meals and snacks are included, along with 24-hour staff support for added peace of mind. With its blend of exceptional care, a supportive environment, and a convenient location, Ka Malama Care Home offers a compelling option for seniors.

Contact Ka Malama Care Home

Overview of Kahala Nui

Experience an island-like living with Kahala Nui located at Malia Street, Honolulu, HI. A one-of-a-kind senior living community offering independent living, assisted living, memory support, and comprehensive nursing. With its in-campus Hi’olani Care Center, the community ensures seniors’ needs are heard and well-taken care of. Providing aesthetic and warm floor plans including one-bedroom, two-bedroom, and three-bedroom units, residents enjoy relaxing and safe accommodation.

The community focuses on the wellness of the seniors, utilizing a holistic view in conducting activities and programs related to arts, dance, entertainment, education, and fitness. As a person-centered life plan community, Kahala Nui fosters a family-like environment centered on its core belief ‘ohana. Residents enjoy island-style cuisine and casual dining with flexible meal plans three times daily. Sitting on an aesthetically landscaped land, the community includes a variety of fabulous amenities including a jacuzzi, a pool, a fitness center, Hatsunes garden, and spacious common areas for the seniors’ leisure and wellness.

Contact Kahala Nui

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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