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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.

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 Ilima at Leihano

There’s no place quite like the Ilima senior living community. It’s an exceptional and unparalleled residence that is nestled in the heart of Oahu’s “Second City.” What sets Ilima apart is its commitment to providing a range of care options, including Independent Living, Assisted Living, and Memory Care. The innovative approach to senior living that is fostered at Ilima is something that you won’t find anywhere else. The community partners with local healthcare specialists, providing residents with dynamic and responsive care, and even transportation to outside appointments. This ensures that residents have the support they need to live life to the fullest, while not having to worry about the logistics.
From housekeeping and laundry to assistance with grocery shopping and errands, the team at Ilima is dedicated to making sure residents have everything they need to feel at home. One of the standout features of Ilima is also the culinary team, who is committed to crafting flavorful and healthy menus for residents. Finally, the recreational areas at Ilima are truly impressive. The community boasts a range of spaces, including a swimming pool, arts and crafts center, fitness center, and movie or theater room, that allow residents to pursue their interests and stay engaged. Whether it’s trying a new hobby or meeting new friends, there’s always something to do at Ilima.

Contact Ilima at Leihano

Furukawa Living Treasure

1449 Brigham St, Honolulu, HI 96817
Overview of Furukawa Living Treasure

Experience a vibrant lifestyle with Furukawa Living Treasure Senior Activity Center, a welcoming community located in the blissful community of Honolulu, HI, At Brigham Street, directly across prominent Bishop Museum location, offering adult day care. Those with dementia and Alzheimer’s are encouraged to live with purpose amid the community’s beautifully designed setting. A compassionate and specially trained team also strives to keep residents comfortable and safe.

Promoting social interactions and better cognition, fun exercise, and enriching programs are conducted, including music therapy and arts and crafts. Delightful and well-balanced meals, alongside snacks, are served daily for residents’ dietary needs and preferences. The community is ideal for those seeking to live blissfully despite their cognitive conditions, especially with its dedicated services and friendly setting.

Contact Furukawa Living Treasure

The Ivy at Hawaii Kai

428 Kawaihae St, Honolulu, HI 96825
Overview of The Ivy at Hawaii Kai

The Ivy at Hawaii Kai promotes flexibility with helpful services that help assisted living residents live a fun, fulfilling, and freeing lifestyle. Management and staff strive to create an environment where seniors feel comfortable thriving in a community that puts them first. The Ivy at Hawaii Kai has gotten the trust of families with the service and compassionate care that the community has devoted itself to doing.

The Ivy at Hawaii Kai aims to help residents live a meaningful life every day, which is why their comprehensive amenities and services allow each individual to grow and enjoy their golden years. From creating arts and crafts projects to receiving transportation to events and appointments, these amenities and services help residents live a life of ease with their daily activities.

Contact The Ivy at Hawaii Kai

Overview of Kalākaua Gardens

Kalākaua Gardens, located in Honolulu, HI, is a senior living community primarily offering independent living, assisted living, memory care, and skilled nursing services. Their independent living option provides residents with studio-style and one bedroom accommodations featuring emergency alert systems, and personalized climate control. All utilities are also already covered except for telephone, and in room wifi and cable services are also available.

This senior living community’s amenities provides residents with so many things to enjoy; from their chef-prepared meals in a restaurant style dining room, to their housekeeping services, and scheduled transportation. Additionally, the residents may also participate in fitness classes as well as social and cultural outings, providing opportunities to create new relationships in their retirement years, as well as memories to look back on.

Contact Kalākaua Gardens

Overview of Serenity Care Home Hawaii Kai

Serenity Care Home Hawaii Kai, nestled in the beautiful surroundings of Honolulu, Hawaii, is a dedicated senior community that prioritizes the well-being and comfort of its residents. A nutritious diet is central to the care offered, with residents enjoying three well-balanced meals each day. The team goes the extra mile to accommodate special dietary needs and individual food preferences. Maintaining a clean and hygienic environment is a top priority. The staff diligently attends to resident laundry requirements, ensuring fresh and tidy surroundings. In addition to essential medical care, transportation services to and from doctor’s appointments are provided, with close communication maintained with physicians to guarantee the best care plans are followed.

At Serenity Care Home Hawaii Kai, the professional staff takes pride in carefully managing residents’ medications, ensuring they are administered promptly and correctly. Assistance is readily available for tasks related to dressing, bathing, and personal hygiene, promoting residents’ independence and dignity. Furthermore, Serenity Care Home Hawaii Kai values residents’ participation in outside activities and provides convenient transportation for scheduled events. The community is dedicated to creating a safe and enriching environment for seniors in the heart of Honolulu.

Contact Serenity Care Home Hawaii Kai

Overview of Hale Ku‘ike Pali

Hale Ku‘ike Pali 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 designed for individuals with dementia-related illnesses. At Hale Ku‘ike Pali, 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. They strive to promote cognitive function, engagement, and overall well-being through personalized programs tailored to individual needs.

With spacious and well-lit interiors, the community boasts a warm and inviting ambiance that promotes peace and security. The circular pathways ensure easy 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.

Contact Hale Ku‘ike Pali

Overview of The Plaza at Pearl City

The Plaza at Pearl City is not only a premier destination for senior living but also a trusted provider of memory care in your area. Situated in the picturesque Pearl City, Hawaii, this community offers a comprehensive range of services, including assisted senior living, to meet the unique needs of each resident. Choosing The Plaza at Pearl City means gaining access to top-notch senior living services in a beautiful and vibrant setting.

With a dedicated focus on memory care, The Plaza at Pearl City provides specialized support for individuals living with memory-related challenges. The compassionate team is trained to provide personalized care and create a safe, nurturing environment where residents can thrive. From structured activities to therapeutic interventions, every aspect of memory care is thoughtfully designed to enhance cognitive abilities and promote overall well-being. From medication management to personal care, the compassionate staff is dedicated to meeting the unique needs of each individual.

Contact The Plaza at Pearl City

Overview of The Plaza at Mililani

The Plaza at Mililani is not only renowned for its stunning natural surroundings, but also for its exceptional memory care qualifications and senior apartments designed for independent living. With a dedicated focus on providing specialized care for individuals with memory-related conditions, this community ensures that residents receive the utmost support and attention tailored to their unique needs.

The home provides a comfortable and enriching living space for seniors who value their independence but also appreciate the convenience and support of a vibrant community. With a range of floor plans and amenities, seniors can choose the apartment that best suits their preferences and lifestyle. At The Plaza at Mililani, residents have the opportunity to embrace an engaging and fulfilling retirement lifestyle, surrounded by beautiful landscapes and a caring community.

Contact The Plaza at Mililani

Overview of Yamashiro Care Home

Beautifully set near the Parkway Recreation Center and Loko Waimaluhia Reservoir Fishing Area in Kaneohe, HI, Yamashiro Care Home is an idyllic retreat that offers assisted living and memory care. Residents receive top-tier care from a kind and highly trained team attending to their needs around the clock. With its cozy and inviting environment, residents can keep their peace of mind and thrive.

The community also conducts fun recreational activities and stimulating programs to improve residents’ cognition and quality of life. Residents enjoy a delightful dining experience with delicious and healthy meals that satisfy their nutritional needs and preferences. There’s no need to worry about daily living activities with the community’s dedicated services and exceptional care.

Contact Yamashiro Care Home

Overview of Mohouli Heights Senior Neighborhood

Peacefully set near Mohouli Park and University Heights Park in Hilo, HI, Mohouli Heights Senior Neighborhood is a distinct community that offers independent living and assisted living. Committed to improving residents’ well-being, the community features purposely designed and sophisticated accommodations to optimize their comfort and safety. Residents maintain their independence without the busy work, with the community handling the maintenance and household chores.

Residents will not run out of things to do, with a jam-packed calendar of fun recreational activities and engaging programs dedicated to their enjoyment and wellness. The community also provides transportation services for residents’ convenience. With extensive amenities and top-notch services, residents enjoy a blissful retirement.

Contact Mohouli Heights Senior Neighborhood

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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