01 · Statewide Care & Licensing Hub
Senior Care in Hawaii
Explore licensed senior care options across 46 cities in Hawaii. Compare 422 verified provider listings, review local cost benchmarks, and find comprehensive care planning guides.
Hawaii Senior Care Cost Report
Median assisted living: $12,096/mo. View statewide pricing comparisons, top 10 city benchmarks, and national medians.
Key Takeaways: Senior Care in Hawaii
Verified across 46 cities as of September 2026
CareScout 2025 Cost of Care Survey
Home health aide hourly rate
Private room annual baseline
Hawaii Senior Care Cost Benchmarks
Source: CareScout 2025 Cost of Care Survey (published March 2026)
| Care Type | Hawaii Median | Annualized Estimate |
|---|---|---|
| Assisted Living Facility | $12,096/mo | $145,152/yr |
| Memory Care (Estimated) | $15,120/mo | $181,440/yr |
| In-Home Care (Home Health Aide) | $41/hr | $93,808/yr (44 hrs/wk) |
| Homemaker Services | No data available | No data available |
| Nursing Home (Private Room) | $16,395/mo | $196,740/yr |
| Adult Day Health Care | $118/day | $29,500/yr (5 days/wk) |
Hawaii Medicaid & State Regulation
Check Hawaii Medicaid Eligibility →Understanding state regulations and financial assistance programs helps families make informed, secure long-term care placements across Hawaii.
State Licensing Agency
Senior care facilities and memory care homes are licensed and inspected by the Hawaii Department of Health.
Regular inspections assess staffing ratios, medication administration, sanitation, and resident safety rights.
Medicaid HCBS Waiver
Financial assistance for home care and supportive residential living is provided through the Med-QUEST Integration (QI) Program.
Medicaid waivers fund therapeutic and personal care services, though room and board costs typically require private pay.
Cities in Hawaii
Verified provider directory inventory as of September 2026
Honolulu
156 licensed providers
Hilo
36 licensed providers
Wailuku
23 licensed providers
Lihue
19 licensed providers
Kaneohe
17 licensed providers
Aiea
15 licensed providers
Kailua Kona
14 licensed providers
Waipahu
14 licensed providers
Kailua
12 licensed providers
Ewa Beach
10 licensed providers
Kahului
9 licensed providers
Kamuela
8 licensed providers
Kapaa
7 licensed providers
Kapolei
7 licensed providers
Kaunakakai
6 licensed providers
Pearl City
6 licensed providers
Wahiawa
5 licensed providers
Waianae
5 licensed providers
Waimea
5 licensed providers
Kea'Au
4 licensed providers
Kihei
4 licensed providers
Mililani
4 licensed providers
Kealakekua
3 licensed providers
Lahaina
3 licensed providers
Lanai City
3 licensed providers
Honokaa
2 licensed providers
Kalaheo
2 licensed providers
Koloa
2 licensed providers
Kula
2 licensed providers
Makawao
2 licensed providers
Paia
2 licensed providers
Haleiwa
1 licensed provider
Hanalei
1 licensed provider
Ka‘a‘awa
1 licensed provider
Kahuku
1 licensed provider
Kapaau
1 licensed provider
Kilauea
1 licensed provider
Kohala
1 licensed provider
Kurtistown
1 licensed provider
Lawai
1 licensed provider
Ocean View
1 licensed provider
Pahala
1 licensed provider
Tripler Army Medical Center
1 licensed provider
Waialua
1 licensed provider
Waikoloa
1 licensed provider
Waimanalo
1 licensed provider
Frequently Asked Questions
How many licensed senior care facilities operate in Hawaii?
The families.care verified directory tracks 422 licensed senior care providers across 46 cities in Hawaii as of September 2026. This includes assisted living communities, dedicated memory care facilities, skilled nursing homes, and licensed home health agencies.
What is the cost of senior living in Hawaii?
The CareScout 2025 survey reports median assisted living in Hawaii is $12,096 per month. In-home care aides average $41 per hour, and nursing homes average $196,740 annually for private rooms.
Who regulates assisted living and nursing homes in Hawaii?
Senior living facilities in Hawaii are regulated and inspected by the Hawaii Department of Health. Inspection reports, safety audits, and violation records are public records that families should consult prior to admission.
Can Hawaii Medicaid help pay for senior care?
Yes. In Hawaii, Medicaid covers skilled nursing home care for medically and financially qualified individuals. For seniors seeking home or community care, Hawaii provides Home and Community-Based Services (HCBS) waivers, such as the Med-QUEST Integration (QI) Program. These programs help cover personal care and supportive services.
Explore Senior Care in Neighboring States
How we research and verify this information
Our team compiles this listing from public records and provider data, and reviews it against authoritative sources. Read our editorial standards and research methodology.
Editorial review by John Richie, Senior Care Research Editor.
- Cost of Care Survey (2025)Publisher: CareScout. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Skilled nursing facility coveragePublisher: Medicare.gov. Supports: General senior-care planning information. Last checked: 2026-08-15.
- Medicaid coverage and eligibilityPublisher: Medicaid.gov. Supports: General senior-care planning information. Last checked: 2026-07-10.
- Long-term-care guidance for familiesPublisher: National Institute on Aging. Supports: General senior-care planning information. Last checked: 2026-07-10.
- VA Aid and Attendance eligibilityPublisher: U.S. Department of Veterans Affairs. Supports: General senior-care planning information. Last checked: 2026-08-15.