Care Homes By Hale Makua

Care Homes By Hale Makua is an Assisted Living Home in Hawaii

Care Homes By Hale… is an Assisted Living Home in Hawaii

Care Homes By Hale Makua

472 Kaulana St, Kahului, HI 96732 View Map

Care Homes By Hale Makua is an Assisted Living Home in Hawaii

Care Homes By Hale… is an Assisted Living Home in Hawaii

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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.

(808) 877-2761

Managed by Roseanna Akina

Kahului Administrator

Roseanna Akina serves as the Kahului Administrator at Care Homes By Hale Makua. She oversees daily operations and ensures the community provides compassionate and high-quality care to its residents. Roseanna's leadership supports a warm and welcoming environment tailored to the needs of seniors.

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 20

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Hawaii average
Occupancy rate 91.7%
Residents per day (avg) 201
Occupancy rate
91.7%
Residents per day (avg)
201

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

68% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

10% of new residents, often for long-term daily care.

Typical stay 2 - 3 years

Finances and operations

Voluntary non-profit home
Other
Home revenue
$62.4M
Deficit of revenue
-$1.9M
Voluntary non-profit home Other
Home revenue
$62,436,942.00
Deficit of revenue
$-1,883,634.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$16.7M
26.7% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$47.6M
Total costs $64.3M
Bed community size
20-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 27 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

About the Community

Beautifully appointed indoor-outdoor, single level living environment with around the clock supervision for individuals who need minimal to moderate assistance with personal care needs.

Facility Type
Type II Adult Residential Care Home
License Expiration
January 31, 2026

Additional licensing details

License number: 1509-C
Approved for Wheelchair: Yes
Island: Maui

Ownership & operating entity

Care Homes By Hale Makua is legally operated by Trisha Akahi.

Current Vacancies

Male Residents
10 available
Female Residents
10 available

Care & Accommodations

Ambulatory Type: Ambulatory
Diet Type: Special

Safety & Compliance

Additional Policies & Features

Admission Criteria: Come Visit, Physician Referral, Trial Stay

Amenities & Lifestyle

Assistance with daily personal care and hygiene
Ongoing monitoring of physical
mental
and emotional health status
Tasty
nutritious meals and snacks
Housekeeping and laundry service
Washer and dryer for those who wish to do their own laundry
Individual and group activities
Implementation of physician orders
including prescription medication and treatments
Vital sign checks
Arrangement for medical and dental appointments
Personal banking services
Newly refurbished bedrooms
dining room
and library
Private bathroom with shower in each room.

Programs & Activities

Specific Programs
Assistance with daily personal care and hygiene, Ongoing monitoring of physical, mental, and emotional health status, Implementation of physician orders, including prescription medication and treatments, Vital sign checks, Arrangement for medical and dental appointments, Personal banking services, Individual and group activities.

Pricing & Financial Information

Dining & Nutrition

Food Description
Tasty, nutritious meals and snacks

What does this home offer?

Building type icon
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Building Type: Single-story

Dining services icon
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Dining Services

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Housekeeping Services

Social and recreational activities icon
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Social and Recreational Activities

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On-site Medical Care and Health Services

Types of Care at Care Homes By Hale Makua

Assisted Living
Contact Care Homes By Hale Makua

Inspection History

In Hawaii, the Department of Health, Office of Health Care Assurance performs regular inspections and unannounced surveys to verify that healthcare facilities maintain high standards of resident care.

Comparison Chart

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
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Care Homes By Hale Makua
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

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254
No
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27
CHUN, GRANT
91.7%
$59,012,113.00
$16,679,270.00
28.3%
201.20
4.7811
4
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Studio / 1 Bed / Suite
Gutierrez ARCH
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

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5
No
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73
Ruby Gutierrez Brister
-
-
-
-
-
-
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-
Aina Haina ARCH
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

Honolulu
5
No
-
39
Lan Chen
-
-
-
-
-
-
-
Private / Shared Rooms
The Ivy at Hawaii Kai
AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

IL

Independent Living For self-sufficient seniors seeking community and minimal assistance.

Honolulu
-
Yes
-
6
-
-
-
-
-
-
-
-
Studio / 1 Bed / 2 Bed / 3 Bed

Places of interest near Care Homes By Hale Makua

Address 1.2 miles from city center

Address 472 Kaulana St, Kahului, HI 96732

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Address

Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

288
Total Staff
208
Employees
80
Contractors
103,422
Total Hours (Quarter)
138
Avg Staff/Day
8.2
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse429 Yes
Licensed Practical Nurse478.8 Yes
Certified Nursing Assistant1208.1 Yes
Staff by Category
Administration
3 staff
6.6hs shift avg
Nursing Staff
223 staff
8.4hs shift avg
Physicians & Practitioners
17 staff
8.1hs shift avg
Therapy Services
26 staff
6.5hs shift avg
Activities & Recreation
0 staff
0hs shift avg
Social Services
3 staff
7.5hs shift avg
Dietary Services
10 staff
8hs shift avg
Other Services
6 staff
7.9hs shift avg
Contractor Analysis
20%
of total hours from contractors
20,676 contractor hours this quarter
Certified Nursing Assistant: 25 Registered Nurse: 3 Licensed Practical Nurse: 22 Qualified Social Worker: 3 Speech Language Pathologist: 3 Respiratory Therapy Technician: 7 Physical Therapy Assistant: 7 Physical Therapy Aide: 4 Administrator: 1 Other Physician: 1 Occupational Therapy Assistant: 3 Medical Director: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant952512049,23691100%8.1
Registered Nurse3934215,96191100%9
Licensed Practical Nurse25224714,53991100%8.8
Clinical Nurse Specialist150156,57191100%8.1
Other Dietary Services Staff7072,8049099%8
Dental Services Staff5052,4467886%7.9
RN Director of Nursing8082,4148391%8.5
Dietitian3031,4086976%7.9
Respiratory Therapy Technician0771,2537987%7.2
Nurse Aide in Training6061,2217886%7.9
Speech Language Pathologist0331,0928593%6.9
Occupational Therapy Aide2021,0086470%8
Physical Therapy Aide0447267380%6.3
Physical Therapy Assistant0776328593%5.1
Administrator1125046369%8
Nurse Practitioner1015046369%8
Qualified Social Worker0334826268%7.5
Mental Health Service Worker1014045156%7.9
Occupational Therapy Assistant0331493943%3.3
Medical Director011602325%2.6
Other Physician0111155%2.2

Health Inspection History

Source: CMS Health Citations (Jul 2022 – Apr 2025)

9
Inspections
63
Total Citations
1
Critical (J-L)
6
Serious (G-I)
7
Citations/Inspection
Apr 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
56
Serious (G-I)
6
Critical (J-L)
1
What do these levels mean?
Top Deficiency Categories
Quality of Life & Care
20
32% of total
Resident Rights
16
25% of total
Abuse, Neglect & Exploitation
4
6% of total
Pharmacy Services
4
6% of total
Infection Control
3
5% of total
Administration
1
2% of total
Citation Sources
Standard Inspections 44
Complaint Investigations 29
State Comparison (HI)
Citations
63
Hawaii average: 35.5
Critical Citations
1
Hawaii average: 0.1
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Apr 11, 2025 D Resident RightsF0550 Corrected
Jan 14, 2025 E Quality of CareF0689 Corrected
Jan 14, 2025 D Care PlanningF0656 Corrected
Jan 14, 2025 D Care PlanningF0657 Corrected
Jan 14, 2025 D Resident RightsF0584 Corrected
Oct 18, 2024 G Abuse/NeglectF0600 Corrected
Oct 18, 2024 D EnvironmentalF0921 Corrected
Oct 18, 2024 D Infection ControlF0880 Corrected
Oct 18, 2024 D NutritionF0812 Corrected
Oct 18, 2024 D PharmacyF0755 Corrected
Oct 18, 2024 D PharmacyF0758 Corrected
Oct 18, 2024 E PharmacyF0761 Corrected
Oct 18, 2024 D Quality of CareF0684 Corrected
Oct 18, 2024 D Quality of CareF0690 Corrected
Oct 18, 2024 G Quality of CareF0697 Corrected
Oct 18, 2024 D Care PlanningF0656 Corrected
Oct 18, 2024 D Care PlanningF0657 Corrected
Oct 18, 2024 D Resident RightsF0552 Corrected
Oct 18, 2024 D Resident RightsF0558 Corrected
Aug 12, 2024 D Quality of CareF0677 Corrected
Aug 12, 2024 D Quality of CareF0684 Corrected
Aug 12, 2024 G Quality of CareF0689 Corrected
Aug 12, 2024 D Care PlanningF0657 Corrected
Aug 12, 2024 D Resident RightsF0563 Corrected
Oct 19, 2023 D Abuse/NeglectF0604 Corrected
Oct 19, 2023 E Infection ControlF0880 Corrected
Oct 19, 2023 D Infection ControlF0883 Corrected
Oct 19, 2023 D Nursing ServicesF0726 Corrected
Oct 19, 2023 L NutritionF0812 Corrected
Oct 19, 2023 D PharmacyF0761 Corrected
Oct 19, 2023 E Quality of CareF0684 Corrected
Oct 19, 2023 D Quality of CareF0688 Corrected
Oct 19, 2023 G Quality of CareF0689 Corrected
Oct 19, 2023 D Quality of CareF0690 Corrected
Oct 19, 2023 G Quality of CareF0692 Corrected
Oct 19, 2023 D Quality of CareF0693 Corrected
Oct 19, 2023 D Quality of CareF0695 Corrected
Oct 19, 2023 D Quality of CareF0699 Corrected
Oct 19, 2023 E Care PlanningF0656 Corrected
Oct 19, 2023 E Care PlanningF0657 Corrected
Oct 19, 2023 D Care PlanningF0842 Corrected
Oct 19, 2023 D Resident RightsF0550 Corrected
Oct 19, 2023 D Resident RightsF0558 Corrected
Oct 19, 2023 D Resident RightsF0561 Corrected
Oct 19, 2023 E Resident RightsF0574 Corrected
Oct 19, 2023 E Resident RightsF0577 Corrected
Oct 19, 2023 E Resident RightsF0583 Corrected
Oct 19, 2023 E Resident RightsF0584 Corrected
Oct 19, 2023 D Resident RightsF0623 Corrected
Apr 13, 2023 D Abuse/NeglectF0600 Corrected

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: Non-Profit Corporation
Part of: Hale Makua Health Services
Resident Census by Payment Source
204 Total Residents
Medicare 29 (14.2%)
Medicaid 136 (66.7%)
Private Pay/Other 39 (19.1%)
Programs & Services
Residents' Group
Family Member Group
Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Quality Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
16.3 Score
60% worse than avg Hawaii avg: 10.2

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
29.2 Score
46% worse than avg Hawaii avg: 20.0

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
24.6%
Lost Too Much Weight
8.0%
Urinary Tract Infection
2.4%
Depressive Symptoms
0.2%
Falls with Major Injury
2.2%
Pneumococcal Vaccine
96.6%
Antipsychotic Use
11.0%
Walking Ability Worsened
43.4%
Influenza Vaccine
95.7%
High Risk Residents with Pressure Ulcers
3.2%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
19.5%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
91.9% 10% better than avg Hawaii: 83.4%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.1% 9% better than avg Hawaii: 1.2%
Influenza Vaccine
91.5% 8% better than avg Hawaii: 84.7%

Penalties & Fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total Fines $170K Hawaii avg: $38K 351% worse than avg
Number of Fines 3 Hawaii avg: 1.5
Compared to Hawaii Average Facility: $170K | Hawaii Avg: $38K
Penalty History

Showing all 3 penalties (Oct 2023 - Oct 2024)

Oct 18, 2024 Civil Money Penalty
$71K
Aug 12, 2024 Civil Money Penalty
$56K
Oct 19, 2023 Civil Money Penalty
$44K

Guides for Better Senior Living

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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Claim What’s Yours: Financial Aid for Hawaii Seniors

Program
State Program Name
Eligibility
Benefits
QUEST Integration
Hawaii Medicaid QUEST Integration
  • General: Age 65+ or disabled, Hawaii resident, Medicaid-eligible, long-term care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • HI Specifics: High cost of living adjustments.
  • Services: In-home care (6-8 hours/day), nursing home, respite (240 hours/year), medical services.
Kupuna Care
Hawaii Kupuna Care
  • General: Age 60+, Hawaii resident, unable to perform 2+ ADLs.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • HI Specifics: Limited funding; island-specific delivery.
  • Services: In-home care (3-5 hours/week), adult day care (~$70/day), transportation (~5 trips/month).
Program of All-Inclusive Care for the Elderly (PACE)
Hawaii Medicaid PACE
  • General: Age 55+, Hawaii resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025): ~$2,829/month (300% FBR).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • HI Specifics: Limited to Oahu (e.g., Maluhia in Honolulu); few providers.
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Medicare Savings Program (MSP)
Hawaii Medicare Savings Program
  • General: Age 65+ or disabled, Hawaii resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • HI Specifics: Three tiers; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Senior Community Service Employment Program (SCSEP)
Hawaii SCSEP (Federally Funded, State-Administered)
Official government program page
  • General: Age 55+, unemployed, low-income, Hawaii resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • HI Specifics: ~800 slots; prioritizes veterans, rural residents.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
National Family Caregiver Support Program (NFCSP) Respite
Hawaii NFCSP Respite Care
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).
  • Income Limits (2025): Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits: Not assessed; need-based.
  • HI Specifics: Four county AAAs; prioritizes low-income.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($80/day), counseling.
VA Aid and Attendance (A&A) and Housebound Benefits
Hawaii VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/surviving spouse, Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (2025 net worth limit).
  • HI Specifics: Applies statewide; high demand due to veteran population.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Senior Companion Program (SCP)
Hawaii Senior Companion Program
Official government program page
  • General: Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.
  • Income Limits (2025): Volunteers: ~$24,980/year (200% FPL); recipients: no limit.
  • Asset Limits: Not specified for volunteers; need-based for recipients.
  • HI Specifics: Statewide; managed by DHS Social Services.
  • Services: Volunteers paid ~$4/hour for companionship (~20 hours/week); recipients get free support (~4-6 hours/week).

Claim What’s Yours Financial Aid for Hawaii Seniors

Hawaii Medicaid QUEST Integration

QUEST Integration

Requirements:
  • General:
    Age 65+ or disabled, Hawaii resident, Medicaid-eligible, long-term care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • HI Specifics:
    High cost of living adjustments.
Benefits without Contact:
  • Services: In-home care (6-8 hours/day), nursing home, respite (240 hours/year), medical services.
Hawaii Kupuna Care

Kupuna Care

Requirements:
  • General:
    Age 60+, Hawaii resident, unable to perform 2+ ADLs.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • HI Specifics:
    Limited funding; island-specific delivery.
Benefits without Contact:
  • Services: In-home care (3-5 hours/week), adult day care (~$70/day), transportation (~5 trips/month).
Hawaii Medicaid PACE

Program of All-Inclusive Care for the Elderly (PACE)

Requirements:
  • General:
    Age 55+, Hawaii resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025):
    ~$2,829/month (300% FBR).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • HI Specifics:
    Limited to Oahu (e.g., Maluhia in Honolulu); few providers.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Hawaii Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Hawaii resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • HI Specifics:
    Three tiers; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Hawaii SCSEP (Federally Funded, State-Administered)

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Hawaii resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • HI Specifics:
    ~800 slots; prioritizes veterans, rural residents.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Hawaii NFCSP Respite Care

National Family Caregiver Support Program (NFCSP) Respite

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).
  • Income Limits (2025):
    Prioritizes ~$24,980/year (individual); no strict cap.
  • Asset Limits:
    Not assessed; need-based.
  • HI Specifics:
    Four county AAAs; prioritizes low-income.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($80/day), counseling.
Hawaii VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/surviving spouse, Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (2025 net worth limit).
  • HI Specifics:
    Applies statewide; high demand due to veteran population.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Hawaii Senior Companion Program

Senior Companion Program (SCP)

Requirements:
  • General:
    Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.
  • Income Limits (2025):
    Volunteers: ~$24,980/year (200% FPL); recipients: no limit.
  • Asset Limits:
    Not specified for volunteers; need-based for recipients.
  • HI Specifics:
    Statewide; managed by DHS Social Services.
Benefits without Contact:
  • Services: Volunteers paid ~$4/hour for companionship (~20 hours/week); recipients get free support (~4-6 hours/week).
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