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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.

Explore home photos

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.

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 Hale Mahaolu Elima

Peacefully set near Maui Lani Regional Park in Mahaolu Street, Kahului, HI, Hale Mahaoulu Elima is an idyllic retreat that offers independent living. Those 62+ have plenty of options to choose from with the community’s 60 beautifully furnished and cozy one-bedroom accommodations. The community offers rent-based income, ensuring residents can maximize their independence without financial constraints.

With a variety of activities and weekly exercise classes, residents are encouraged to live actively and interact with their surroundings. The community also features the Kahului Maui Adult Day Care Center, ensuring residents have easy access to dedicated services. Residents will surely thrive amidst the community’s welcoming atmosphere and exceptional services.

Contact Hale Mahaolu Elima

Overview of Harry & Jeanette Weinberg Nanaikeola Seniorapartments

Enjoy independence in retirement with Harry & Jeanette Weinberg Nanaikeola Senior Apartments, a trusted community in Waianae, HI, offering independent living. With its beautifully designed and sophisticated one-bedroom floor plans, residents can find the accommodation that best matches their preferences. An on-site property manager is also available to accommodate residents’ concerns.

The community’s convenient location near convenience stores and grocery stores makes it easier for residents to access their necessities. Residents are also encouraged to live actively, especially with Depot Beach Park nearby. With its specially designed amenities and friendly setting, residents make the most of their best years and maintain independence without hassles.

Contact Harry & Jeanette Weinberg Nanaikeola SeniorApartments

Overview of Aloha Nursing and Rehab Center

Experience exceptional care from Aloha Nursing and Rehab Center, an astounding community in Kaneohe, HI, offering rehabilitation and skilled nursing care. The community also features different levels of care, including respite and hospice care, to ensure residents can age gracefully in place. Residents here are well cared for with a compassionate and highly trained team, attending to their needs 24/7.

Aside from their healthcare needs, residents’ happiness and wellness are taken into consideration, conducting therapeutic recreation and stimulating programs. Healthy meals are important for residents’ well-being, so delightful and nutritious dining options are served to satisfy their dietary needs and preferences. The community is ideal for those seeking a wide range of care for their unique needs, especially with its dedicated services and nurturing setting.

Contact Aloha Nursing and Rehab Center

Overview of Island Care Home

Experience exceptional care from Island Care Home, a dedicated community nestled in the tranquil residential area of Chong Street, Hilo, HI, offering assisted living. Residents enjoy the highest quality of life with a respectful and well-trained team attending to their personal needs 24/7. Purposely crafted and cozy accommodations are provided in a warm and nurturing environment, ensuring residents can feel at ease.

Fun recreational activities and engaging programs are also conducted, encouraging residents to live with purpose and interact with their surroundings. Residents have hassle-free mealtimes with delicious and well-balanced meals served to satisfy their nutritional needs and preferences. The community is great for those seeking assistance to live a blissful retirement, especially with its extensive amenities and friendly setting.

Contact Island Care Home

Overview of Lima Ola Family and Senior Apartments

Overlooking the scenic views of Ele’ele, Hawaii, Lima Ola Family and Senior Apartments is an independent living community that offers seniors a welcoming environment for a carefree retirement living. The community features 40 well-designed one-bedroom apartments, ensuring residents a secure and comfortable residence that matches their preference and lifestyle needs. Lima Ola’s convenient location provides residents easy access to the Kaua’i Bus and the nearest shopping center.

Lima Ola is designed to provide comfortable yet affordable housing to seniors and families with lower income. Here, healthy lifestyles are inspired through open spaces, walking paths and recreational areas. Residents can socialize or relax in the community gardens or enjoy a group workout using the exercise equipment, dispersed through common areas. With its green sustainable features, Lima Ola encourages not just a comfortable but also environmentally responsible living.

Contact Lima Ola Family and Senior Apartments

Overview of Islands Skilled Nursing and Rehab

Islands Skilled Nursing and Rehabilitation Center boasts a warm and inviting atmosphere where residents can enjoy and experience a vibrant lifestyle. The nursing home aims to encourage, enhance, and empower the lives of each resident by promoting the ‘aloha spirit’– balance of heart and mind in offering care and warmth. Islands is the leading respiratory and post-acute community that continues to enrich the holistic wellness of its residents to the highest standard of excellence. 
Islands offers a beautiful and cozy home that has cutting-edge technology that boosts up the recovery of an individual and keeps them safe. The short-term rehabilitative services proudly offer the exclusive Aegis program– a successful rehabilitation wellness program; its extensive training is supported by a well-trained staff.

Contact Islands Skilled Nursing and Rehab

Overview of Hawaii Island Adult Care

Live a vibrant lifestyle with Hawaii Island Adult Care, a welcoming community in Hilo, HI, offering adult day care and caregiver services. Older adults enjoy dedicated care for their unique needs with a compassionate and highly trained team helping with their daily activities. The community promotes a nurturing and friendly environment, encouraging older adults to interact with their surroundings.

A thoughtfully curated calendar of fun recreational activities and exciting events is also conducted, highlighting older adults’ interests and capabilities. Delightful and well-balanced meals are also served to satisfy older adults’ dietary needs and preferences. The community also provides counseling and support groups for caregivers, ensuring they are well cared for. Older adults will surely thrive in the community’s cheerful setting.

Contact Hawaii Island Adult Care

Loving Care Health Provider

94-239 Waipahu Depot St Rm 201C, Waipahu, HI 96797
Overview of Loving Care Health Provider

Discover the exceptional care provided by Loving Care Health Provider, catering to a wide range of nursing home requirements. Located in the vibrant town of Waipahu, Hawaii, they excel at prioritizing the overall health and well-being of their residents. With their expertise and dedication, they offer a comprehensive range of services, including private duty nursing, personal care assistance, and nurse aide services.

Whether it’s medical or non-medical services, this exceptional home provides a nurturing environment where individuals can gracefully navigate the aging process. They understand the unique needs of each resident and ensure that every aspect of their care is met. From top-notch medical treatments to transportation systems, they strive to provide the utmost convenience and comfort. With a multidisciplinary team of professionals, they effectively assist clients with diverse health conditions, offering high-quality treatments and compassionate support.

Contact Loving Care Health Provider

Overview of The Care Center of Honolulu

The Care Center of Honolulu offers respiratory care, skilled nursing, and rehabilitation care; its atmosphere provides graceful living for short-term or long-term residents. The dedicated team of care staff assures residents of all kinds of living options that they receive supportive assistance for everyday living with enriching activities that contribute to a high success rate for recovery. The Care Center boasts its compassionate approach to an enhanced quality of life for all seniors. 
The Care Center offers a range of long-term and short-term rehabilitative services such as wound care, diagnostic radiology, dialysis, therapy (occupational, physical, speech), ventilator service– all being provided with 24-hour nursing. 

Contact The Care Center of Honolulu

Gutierrez ARCH

3374 Maunaloa Ave, Honolulu, Hi 96816, Usa
Overview of Gutierrez Arch

Located in the quiet residential area of Honolulu, HI, Gutierrez Arch is a friendly retreat that offers assisted living. With accessible accommodations and an intimate setting, the community ensures residents are taken care of. Top-tier support is also provided for residents’ daily living activities and household tasks around the clock.

Focusing on residents’ leisure and wellness, fun activities and engaging programs are conducted. Here, residents have a hassle-free dining experience with delicious and healthy meals served to meet their dietary needs and preferences. Medication management is also provided, ensuring residents take their medicines as prescribed. The community strives to help residents live comfortably in retirement, especially with its dedicated services and nurturing environment.

Contact Gutierrez ARCH

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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