Hawaii is a popular destination for retirees seeking a warm climate and beautiful scenery. The state offers a variety of senior communities for those looking for assisted living, independent living, and memory care facilities.
The cost of senior care in Hawaii is higher than the national average, with the average monthly cost for assisted living facilities being around $5,000. However, Hawaii has a higher average income than the national average, with the median household income being around $80,000.
Honolulu, Hilo, and Kailua-Kona are some of the most popular cities in Hawaii for seniors to live in. These cities offer a variety of senior communities and amenities, including access to healthcare, shopping, and recreational activities.
Some of the most well-known memory care facilities in Hawaii include Hale Ku'ike, Kahala Nui, and Plaza at Punchbowl. These facilities offer specialized care for seniors with Alzheimer's and other forms of dementia, as well as a range of amenities and activities to promote a high quality of life.
When considering senior care options in Hawaii, it is important to research and compare different communities to find the best fit for your loved one's needs and budget.
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Maunalani Nursing & Rehab Center has been part of Honolulu’s elder care scene for nearly 75 years, which says a lot in a city where word-of-mouth travels fast. Families who’ve had loved ones here mention the place feels more like an old-school community than a big institution. The staff includes registered nurses, certified nursing assistants, and therapists who handle everything from wound care to occupational therapy.
Maunalani Nursing & Rehab Center isn’t just another care facility in East Honolulu—it’s a place many local families know by name. The first thing that stands out is their strong community roots; they’ve been serving Honolulu’s elders for decades, and that history shows in the way they run things. The center is non-profit, which means their focus is on care, not shareholders.
Lēʻahi Hospital isn't your standard nursing home—it has a long history in Honolulu and has grown into a place that serves a variety of needs, not just for seniors but also for people facing tough times. If you're looking for care for your parent, you'll find that Lēʻahi offers both traditional long-term nursing care and short-term rehab, plus an adult day health program.
Maluhia stands out in Honolulu for its blend of long-term care, short-term rehab, and adult day health programs all under one roof. They’re not just a nursing home—they also offer memory care for folks with dementia or Alzheimer’s, plus respite stays if families need a break. The care team includes registered nurses, occupational and physical therapists, nutritionists, and social workers, all working together with your doctor to create a care plan that fits each person’s needs.
Maluhia stands out in East Honolulu for its blend of long-term nursing care, short-term rehab, and a robust adult day health program—all under one roof. Families often mention that Maluhia feels less like an institution and more like an extended family, thanks to the staff’s local roots and genuine aloha spirit. The team includes registered nurses, in-house occupational and physical therapists, dietitians, and social workers who collaborate to build a care plan that fits each resident’s needs.
Ilima at Leihano feels more like a lively neighborhood than a typical senior residence. Walk in and you’ll notice the staff know residents by name, and there’s a real sense of familiarity—locals say it’s one of the friendliest places around. Residents talk about spacious rooms, clean common areas, and a dining room experience that’s closer to a casual restaurant than a cafeteria. Meals are ordered off a daily menu, and the staff remember your favorite drink.
Ka Punawai Ola is a skilled nursing and rehabilitation center in Kapolei, run by Life Care Centers of America. They focus on both short-term rehab after surgery or illness, and long-term care for folks who need daily nursing support. Their in-house team—including registered nurses, physical, occupational, and speech therapists—works together to create care plans that actually fit each resident’s needs and goals.
Life Care Center of Hilo is a large, well-established nursing and rehab facility on the east side of Hilo. They’re known locally for serving a wide range of needs – from short-term rehab after surgery or illness, to long-term skilled nursing, and specialized memory care for folks with Alzheimer’s or other types of dementia. What stands out is that they have both inpatient and outpatient rehab, so some people come just for therapy and don’t stay overnight.
Maunalani Nursing & Rehab Center stands out for its hands-on approach to both short-term rehab and long-term nursing care. They have 100 certified beds and offer a mix of skilled nursing, memory care, and even some assisted and independent living options. Families often mention the staff by name—Chona and Robin come up in reviews as especially supportive during tough transitions.
The Care Center at 1900 Bachelot Street is known locally for its strong focus on skilled nursing and respiratory care, which sets it apart from other facilities in Honolulu. Families who have a loved one needing ventilator support often end up here, since The Care Center runs the largest respiratory unit in the state. You’ll find a diverse, experienced team on site: from Lehua Garcia, an RN and Director of Nursing, to specialists like Rachel Petersen who leads respiratory therapy.
The Care Center of Honolulu is a skilled nursing and rehab facility that stands out for its focus on respiratory care and post-hospital rehabilitation. They provide both short-term and long-term stays, with services like wound care, dialysis, and 24-hour nursing. Residents get access to occupational, physical, and speech therapy, along with ventilator support if needed.
Kamana Senior Center is a lively spot for seniors 55 and up in Hilo. It's not an assisted living facility, but more of a community hub run by Hawaii County’s Elderly Activities Division. Here, you’ll find a steady schedule of classes—think ukulele, karaoke, hula, sewing, and even photography. There are also fitness sessions, social gatherings, and educational workshops.
Kina 'Ole Estate is a smaller, apartment-style assisted living and memory care community that feels more like a cluster of homes than a big facility. Each unit houses about five residents, and every group has its own dedicated care staff and manager. This setup makes it easier for staff to really get to know the people they care for—families mention that the team is attentive and genuinely tries to understand each resident’s needs and routines.
Hale Anuenue Restorative Care Center is one of those places that’s known around Hilo for helping folks bounce back after surgery, illness, or a hospital stay. They’re not just a nursing home—they do a lot of short-term rehab, especially for people who need physical, occupational, or speech therapy before heading home. Their staff includes on-site doctors, nurses, and therapists, so you’re not waiting days to see someone if you need help.
The Care Center of Honolulu is a busy, hands-on facility that handles everything from long-term nursing care to short-term rehab and memory support. Most folks here are on Medicaid, and the building itself is older—though they’ve made some recent upgrades like new AC and spruced-up hallways. What stands out is the staff: you’ll find RNs, CNAs, respiratory therapists, doctors, social workers, and activity coordinators on-site.
Good Samaritan Society – Pohai Nani is a well-established senior living community on a spacious 16-acre campus in Kaneohe. They offer a full range of care options, including independent living, assisted living, memory care, skilled nursing, and rehabilitation. Residents can choose from studios to two-bedroom apartments, and the campus includes amenities like a heated pool, art studio, walking paths, and a fitness center.
Maui Adult Day Care Centers feels more like a friendly gathering place than a medical facility. They’ve been around since the 1970s and are a nonprofit, so their focus is on keeping people active and connected, not just supervised. Your parent can join in on arts and crafts, music, gentle exercise, and even holiday parties—there’s a real sense of community here.
Mohouli Heights Senior Neighborhood is more than just an apartment complex for older adults—it’s a cluster of affordable senior residences with practical features and a real sense of community. The apartments come with basics like electric stoves, refrigerators, and storage closets, so residents can cook and keep their space organized without hassle. Safety isn’t an afterthought: every unit has fire alarms and sprinklers, and the property is monitored by cameras and secure gate access.
The Aging and Disability Resource Center (ADRC) at 1055 Kinoole St in Hilo is really more of a local hub than a traditional care provider. If you’re feeling lost about what help is out there for your parent—whether it’s rides to appointments, help with chores, or figuring out if they qualify for home-delivered meals—this is the place to start. The staff are known for being approachable and knowledgeable.
Furukawa Living Treasure Senior Activity Day Care Center is the kind of place you hear about from neighbors who want something a little more personal for their loved ones. Tucked away on Brigham Street, right across from the Bishop Museum, this center isn’t just another senior facility—it’s a lively cottage where the day starts with gentle exercise and ends with music therapy or arts and crafts. The team here is hands-on and especially patient with folks living with dementia or Alzheimer’s.
If you’re looking at care options for a veteran parent in Hilo, the Yukio Okutsu Veterans State Home stands out because it’s Hawaii’s only state veterans home on the Big Island, specifically tailored to veterans’ needs. It’s not just a nursing home—it offers both short-term rehab and long-term care, with 24-hour skilled nursing provided by licensed clinical specialists and therapists.
Ilima at Leihano stands out for its genuinely warm, community-driven atmosphere. It’s the kind of place where staff know residents by name, and you’ll often see real friendships forming between caregivers and families. The community is on the smaller side, which means residents get more personalized attention—folks mention that staff pick up on individual needs quickly, and it feels less institutional and more like an extended family.
Furukawa Living Treasure Senior Activity Day Care Center stands out because of its hands-on, patient approach—especially for seniors living with dementia or Alzheimer’s. The staff here are known for being gentle and genuinely attentive, with a focus on culturally sensitive care that feels personal, not institutional. The center is set up in a bright, open cottage, which feels more like a welcoming home than a facility.
Hale Moena Kupuna is one of those rare finds for seniors on Oahu—modern, affordable, and thoughtfully designed for folks 55 and up who want more than just a place to live. The building feels fresh, with studio, one-, and two-bedroom apartments that have air conditioning, covered parking, and even pet-friendly policies. Residents often mention how convenient it is to have an on-site manager and 24-hour emergency maintenance.
Iwilei Senior Residence is more like a senior apartment community than a traditional care facility. Residents get their own one- or two-bedroom apartments, each with a kitchen and private bath. There's no meal plan or medical staff on-site, so it's best for older adults who want to live independently but appreciate a community of peers.
Maluhia stands out in Honolulu for its blend of medical expertise and a genuinely local approach to elder care. It’s not just a nursing home—you’ll find long-term care, short-term rehab, and a well-regarded adult day health program all in one place. What’s unique is how Maluhia adapts to the needs of kūpuna with memory loss, offering specialized programming and therapies like music and even pet therapy.
Nursing Home Partners isn’t a traditional nursing home or care facility. Instead, they’re a local team of Registered Nurses who help families figure out the maze of senior care options around East Honolulu. If you’re overwhelmed by choices or paperwork, they’ll step in and do the legwork—touring, vetting, and recommending homes that actually fit your loved one’s needs and budget. The founders are all RNs who saw firsthand how confusing the process is, even for people in healthcare.
Hale Nani Rehab & Nursing Center is one of the biggest nursing facilities in Honolulu, with nearly 300 beds and a long history in the Makiki neighborhood. Folks here get everything from short-term rehab after a hospital stay to long-term nursing care, plus some memory care options for elders with dementia. The place is certified for both Medicare and Medicaid, which makes it accessible for many local families.
Kahala Nui is one of those places that people talk about when they want something more than just a place to live – it’s almost like a tight-knit neighborhood where folks look out for each other. They offer independent living, assisted living, memory care, and skilled nursing, so your parent could stay in one community even if their needs change.
Kahala Nui is one of those places people talk about when they want more than just a roof and meals for their parents. They offer independent living, assisted living, memory care, and skilled nursing all in one campus, so your parent can stay put even if their needs change. The apartments range from studios to three-bedrooms, and the grounds are lush and well-kept. Residents say the staff—called 'associates'—are attentive and genuinely caring, and there’s a real sense of community.
Kahala Nui offers a range of senior living options, including assisted living, independent living, and skilled nursing care. The Hi'olani Care Center provides specialized services like medication administration, mobility assistance, and personal hygiene services. Residents can enjoy activities, wellness programs, and transportation services. The community is known for its island-style living and vibrant atmosphere. Families appreciate the variety of activities and the staff's attentiveness.
Kalakaua Gardens feels more like a modern apartment building than a typical care facility, which some families really appreciate. It’s all under one roof, so whether your parent is still independent or needs more hands-on help, they don’t have to move buildings as their needs change. They offer independent living, assisted living, skilled nursing, and memory care.
Kalākaua Gardens stands out for offering nearly every level of senior care under one roof, which makes transitions easier as needs change. Residents can start with independent living and move to assisted living, skilled nursing, or memory care without having to leave the building. The community is known for its 'ohana style' living spaces—designed to encourage socializing and prevent isolation, with shared lounges and activity areas that feel more like a family home than an institution.
The Plaza at Punchbowl is a mid-sized senior living community in Honolulu that offers assisted living, memory care, and independent living options. Residents get their own apartments—studios, one-bedrooms, or two-bedrooms—with features like kitchenettes and air conditioning. Meals are served restaurant-style in a shared dining room, but room service is available if someone prefers to eat in.
The Plaza at Punchbowl is a senior living community that’s been around for about 20 years, and it’s currently getting a big facelift—inside and out. Families touring recently noticed renovations in progress, but also appreciated that the building is kept clean and the rooms are surprisingly spacious, even for shared options. The staff gets a lot of praise for being approachable and genuinely helpful; people mention that questions are answered before they even have to ask.
If you're looking for help for your parent in Honolulu, BAYADA Assistive Care on Piikoi Street might be worth a closer look. They don't just send someone to sit with your loved one—they're hands-on with things like bathing, dressing, meal prep, and even light housekeeping. What stands out is their flexibility: they're open 24/7, so you can get care when you actually need it, not just during business hours.
Hale Nani Rehab & Nursing Center is one of the larger skilled nursing facilities in Honolulu, with nearly 300 certified beds and a steady census of over 250 residents most days. The center focuses on short-term rehab after surgery or illness, as well as long-term nursing care. Families often mention the physical and occupational therapy teams, who work with residents daily to help them regain strength and mobility.
Hale Nani Rehab & Nursing Center is a large facility that handles both short-term rehab and long-term nursing care for older adults. They have about 288 beds, and on average, most of them are full. The staff includes nurses, physical therapists, and occupational therapists, but reviews are pretty mixed. Some families have had good experiences, saying their loved one got attentive rehab and the place was clean.
Kalākaua Gardens is one of those rare places in Honolulu where everything a senior might need is under one roof. If you’ve ever worried about having to move your loved one as their needs change, this community’s setup is a big relief. They offer independent living, assisted living, memory care, and skilled nursing – so residents can stay put even if their health needs shift.
Manoa Cottage Kaimuki isn’t your typical large-scale nursing home. It’s a family-run spot, started by Sandra Shim back in the ‘90s when she turned her own house into a care home. Over the years, it’s grown, but it still feels personal. The Kaimuki location, opened in 2012, is set up for folks who need more advanced help—think skilled nursing, especially for people with dementia or Alzheimer’s.
Manoa Cottage Kaimuki is a family-run skilled nursing facility that really focuses on dementia and Alzheimer’s care. It’s not a big, impersonal institution—there are only about 27 residents, so the staff can actually get to know each person. The founder, Sandra Shim, started the original Manoa Cottage back in the 90s after caring for her own family, and her family still runs the place. You’ll see a lot of hands-on involvement and continuity, which is rare.
One Kalakaua Senior Living isn’t your typical retirement community — it’s more like a close-knit condo neighborhood where people happen to be over 55. What really stands out is that you actually buy your unit here, so it feels like home, not just a place you rent for a while. That means you can build equity and even leave it to your kids. The building itself is right in the middle of Honolulu, so you’re close to shops, medical centers, and parks. Inside, the vibe is friendly and lively.
One Kalakaua Senior Living is a high-rise community where most residents actually own their condos, which is pretty unique for senior living in Honolulu. The building feels more like a local apartment than a typical care home, and it's right in the middle of town, so folks can stay close to family and their favorite spots. Residents can live independently, but if they need a hand with daily tasks—like medication, bathing, or getting around—they can pay for those services as needed.
One Kalakaua Senior Living is a high-rise community designed for people 55 and older who want to stay active but may need some extra support as they age. Residents live in private condos with full kitchens, and the building feels more like a friendly apartment complex than a traditional care facility.
The Ivy at Hawaii Kai stands out for a few practical reasons that families often care about. Residents get a lot of flexibility—your parent can choose between independent living, assisted living, or memory care, and it’s not uncommon for people to move between these as their needs change. There’s 24-hour nursing staff on-site, which isn’t always the case at similar places.
The Ivy at Hawaii Kai is one of those places that gets a lot right, but isn't perfect. Residents can choose between independent living, assisted living, and memory care, so it's flexible if your loved one's needs change. The staff gets high marks for friendliness and responsiveness—families mention that nurses are around 24/7, and most say people working there genuinely care.
The Ivy at Hawaii Kai is a senior living community that offers a mix of independent living, assisted living, and some nursing support. Residents can choose from studios, one-bedrooms, or two-bedroom apartments, and the environment tends to feel open and well-kept, with a reputation for cleanliness and attractive common areas.
Yaying House Adult Residential Care Home is one of those places that feels more like a real home than a facility. It’s tucked away in a quiet neighborhood, which families seem to appreciate for the peace and privacy. What stands out right away is the food—residents get local favorites, and yes, even shrimp tempura for lunch sometimes. That’s not something you see everywhere.
Yaying House Adult Residential Care Home is known around Honolulu for its small, home-like setting and hands-on care. What really stands out is that it's run by a Registered Nurse with over 25 years of experience—families say this makes a big difference when it comes to both medical know-how and day-to-day attention[5]. The staff gets to know each resident personally, which means help with things like bathing, dressing, and medication isn’t rushed or impersonal[1][2].
Yaying House stands out for its small, home-like setting where residents get a lot of personal attention. Families often mention how welcoming the atmosphere feels—one review even highlights the staff serving local favorites like shrimp tempura for lunch, which you don't see everywhere. The home is kept very clean, and daily routines include activities that keep people engaged, not just sitting around.
Avalon Care Center at 1930 Kamehameha IV Rd is a skilled nursing and rehab facility that also provides memory care and assisted living. They have about 108 beds, and families use them for both short-term rehab after hospital stays and longer-term nursing care. The team includes registered nurses, LPNs, certified nurse aides, and in-house occupational therapists.
Avalon Care Center on Kamehameha IV Road is a well-known spot for families looking for nursing care, rehab, or memory support in Honolulu. The facility has 108 certified beds and is Medicare and Medicaid approved, which helps with affordability for many local families. Avalon isn’t just a traditional nursing home—they also offer assisted living, memory care for folks with Alzheimer’s or other dementias, and even short-term rehab for people recovering from surgery or illness.
Avalon Care Center stands out because it offers a mix of skilled nursing, assisted living, memory care, and even some independent living options all in one place. That means families don’t have to move their loved one if their needs change. They have 108 certified beds, and they’re Medicare and Medicaid certified, which can make a big difference for families budgeting long-term care.
If you’re looking for care that goes beyond just the basics, Hawai‘i Care Choices (the folks who used to be Hospice of Hilo) is worth a closer look. They don’t just focus on end-of-life care—they offer support for anyone dealing with a serious illness, whether you’re still pursuing treatment or not. Their team includes doctors, advanced practice nurses, social workers, chaplains, and counselors, many with decades of experience in nonprofit healthcare.
Kupuna Care Connection isn’t a care home itself — it’s more like your local guide through the maze of senior living options in Honolulu. Families looking for help at 1110 Nuuanu Ave a1 146 will find a team of nurses, social workers, and case managers who know the ins and outs of Hawaii’s elder care scene.
Liliha Healthcare Center has been part of Honolulu’s elder care landscape since 1991, tucked just off Liliha Street. It’s a locally owned spot, not part of a big chain, and it’s licensed by the state Department of Health. They’re certified for both Medicare and Medicaid, which is a relief for families navigating payment options. The center focuses on both short-term rehab and long-term stays, so you’ll find folks recovering after a hospital visit alongside residents who call it home.
Liliha Healthcare Center is a skilled nursing facility that mainly helps older adults who need ongoing medical care or rehab after a hospital stay. They offer 24-hour nursing, help with daily activities like bathing and eating, and physical therapy for folks recovering from illness or surgery. The staff includes registered nurses and certified nursing assistants, but I couldn't find much about specific team members or leadership—no standout names or backgrounds came up in my search.
Manoa Cottage Kaimuki is a locally owned care home that feels more like a family-run house than a big facility. They specialize in caring for seniors who need anything from light help with daily routines to full nursing support. The staff includes a full-time nurse manager who coordinates with doctors, therapists, and dietitians, so residents get care that's actually tailored to their needs.
Roselani Place stands out in Kahului for a few reasons that matter when you’re choosing care for your parent. First, they’re Maui’s first licensed assisted living community, and they operate as a non-profit, which isn’t common in the area. That means their focus is more on residents than on making a profit. They offer a mix of independent living, assisted living, memory care, and even short-term respite stays, so if your parent’s needs change, you don’t have to move them somewhere else.
The Plaza at Punchbowl has been around for about 20 years, so it's one of the more established senior communities in Honolulu. It's right in the city, which means there's some traffic noise, but it's also very close to major hospitals like Straub and Queen's—something families often appreciate if medical care is a priority.
Wilson Senior Living in Kailua feels more like a small, well-run home than a big institution. They have space for just 22 residents, so it's not crowded—most people get their own private bedroom and bathroom, though there are a few rooms for couples or those who want to share. Staff are around 24/7, and a registered nurse oversees care, but it's not a nursing home with constant medical procedures.
Arcadia Retirement Residence has a long-standing reputation in Honolulu for being more than just a place to live—it's a real community where people seem to stay active and connected. Residents talk about the variety of activities, from music performances to yoga classes, and even computer lessons. Meals are flexible: you can eat in your room or join others downstairs, and the menu offers choices instead of a fixed plan.
Arcadia Retirement Residence is one of those places people in Honolulu mention when they're looking for something a little more established and community-oriented for their parents. It’s not flashy, but it’s known for being reliable and well-run. Residents can choose between independent living and assisted living, and there’s also skilled nursing and memory care on site, so you don’t have to worry about moving again if your parent’s needs change.
Hale Ku'ike Pali is a smaller, home-like senior care option that stands out for its focus on memory care and a strong sense of community. Opened in 2019, it serves up to 28 residents, which means staff can get to know each person well—something families often mention in reviews. The building itself feels more like a large house than an institution, with country kitchens and shared dining spaces on each floor.
Hale Ku'ike Pali stands out for its small, home-like feel and its focus on both assisted living and memory care. Opened in 2019, this two-story residence is designed with local families in mind—each floor has its own kitchen and dining area, so meals feel more like family gatherings than cafeteria service. Residents can relax on the large covered lanai, which is a favorite spot for catching breezes and visiting with friends or family.
Independent Living of Hi stands out because it isn’t just another senior housing facility—it’s actually a statewide nonprofit focused on helping people with disabilities (including seniors) live more independently. The team is mostly made up of folks who have disabilities themselves, so they really understand what it’s like to navigate daily life with extra challenges.
Kailua Ohana 24/7 Senior Care is a smaller, home-based care home that feels more like an extended family than a facility. The team there is known for being hands-on—most of the caregivers have experience with both assisted living and memory care, so they're comfortable supporting seniors with dementia as well as those who just need a little extra help. Families mention that staff are patient and attentive, and that the home itself is kept clean and welcoming.
Kulana Hale Senior Apartments is one of those places locals know for being right in the thick of Honolulu life—close to supermarkets, churches, and the city bus line, so residents can stay connected to the neighborhood they love. This is an income-restricted community for adults 62 and older, with 175 apartments designed for independent living.
Lunalilo Home stands out because it feels more like a big family than a facility. They call it an ʻohana setting, and that’s not just a slogan—residents and staff eat together, celebrate Hawaiian traditions, and genuinely look out for each other. The staff includes nurses and care workers who are not only trained but also deeply rooted in local values like aloha (compassion), mālama (caring), and kūlia i ka pono (doing what’s right).
If you're looking for a place that feels more like a small, friendly neighborhood than a big institution, The Plaza at Mililani might be worth a look. Families often mention how clean and organized the place is, and the staff generally come across as approachable and easy to talk to. People like that there’s an emergency nurse on site—it's one of those details that can make everyone sleep a little easier. The rooms aren’t huge, but they’re comfortable, and many have nice views.
The Plaza at Waikiki is a senior living community right at the edge of Waikiki, and it’s got a real mix of folks—some who are still pretty independent, others who need more hands-on help, and a group living with memory loss. What stands out is how they blend apartment-style living with support: residents get their own private space (with a kitchenette), but there’s always someone from the nursing team available 24/7.
The Plaza at Waikiki feels more like a lively community hub than a typical senior residence. Locals know it for its active social calendar—think daily exercise classes, outings to Waikiki, and a coffee bistro where residents actually hang out. The staff includes a 24/7 nursing team, and each apartment has multiple nurse call buttons, so help is always close by.
If you're looking for a place where your parent can stay active but still get help when they need it, The Plaza at Waikiki has a lot going for it. It’s not just about the ocean views (though those are pretty stunning)—what stands out is how much they focus on keeping residents engaged and comfortable. They offer assisted living, independent living, and memory care, so they can adjust support as needs change.
15 Craigside is run by the Arcadia Family of Companies, a local nonprofit with a long history in senior care. They offer a mix of independent living, assisted living, skilled nursing, and memory care, all in one building. This means if your parent’s needs change, they don’t have to move somewhere new. The apartments are bright, with floor-to-ceiling windows and options for a studio or one-bedroom with a den.
15 Craigside isn’t just another senior residence—it’s a place where residents get real choices and support that adapts as their needs change. The building itself is modern, with big windows and open floor plans, and most apartments come with kitchens or kitchenettes. What stands out is the way they blend independent living, assisted living, and memory care under one roof. That means someone can move in while still active and stay even if their health needs increase.
Hale Ku'ike at 95 Kawananakoa Place is a small, purpose-built community for people living with dementia and Alzheimer's. The building is single-level and designed so residents can move around safely—there’s a central indoor courtyard and a secure outdoor walking path, which families say helps their loved ones stay active without feeling confined. The place feels more like a home than a facility, with cozy common spaces and areas for family visits.
Hale Ku'ike is best known for its specialized memory care, focusing on elders living with Alzheimer's and other forms of dementia. The staff includes caregivers and therapists trained in dementia care, and they work closely with residents to tailor activities and routines to each person's needs and abilities. Families often mention how the environment feels warm and home-like, with circular pathways and calming design details that help residents feel safe and oriented.
Lani Huli Elderly Apartments is really more of an independent senior apartment community than a full-service assisted living or memory care facility. The building is for folks 62 and older, and the big draw is the affordable, income-based rent. Residents get their own studio or one-bedroom apartment—simple, but comfortable. It’s not fancy, but it’s a solid option for seniors who want to stay in Kailua without breaking the bank.
Makua Alii Senior Center isn’t a care home or assisted living facility—it’s more of a community hub for older adults who want to stay active and connected. The center is run by the City and County of Honolulu’s Department of Parks & Recreation, so it feels more like a neighborhood clubhouse than a medical facility. What stands out is the variety of group activities: you’ll find music, dance, crafts, and cultural classes, plus fitness sessions that you sign up for ahead of time.
Olaloa Retirement Community feels like a real neighborhood, not an institution. You’ll find it tucked into Mililani, where residents have their own apartments—studios up to two-bedrooms—so there’s space for privacy and personality. Folks here are 55 and older, and many are still quite independent, but there’s help available if you need it.
Legacy Hilo Rehabilitation & Nursing Center is a 100-bed skilled nursing and rehab facility that mainly serves folks who need extra support after a hospital stay or for longer-term care. They work with people recovering from surgery, illness, or injury, and also provide long-term nursing care for those who need it. Their therapy team offers physical, occupational, and speech therapy right on-site.
Po'ailani isn't your typical nursing home. In fact, most people are surprised to learn that their main focus is helping adults who are dealing with both mental health and substance use challenges—what's called 'dual diagnosis.' At their Pahia Road location, you'll find a residential program that feels more like a supportive community than an institution.
15 Craigside is a senior living community in Honolulu that offers a full range of care, from independent apartments to skilled nursing and memory support. The community is operated by the Arcadia Family of Companies, a local nonprofit with a long history in elder care. Residents can move in independently and, if their health needs change, transition to assisted living, memory care, or nursing care without leaving the property.
Aloha Nursing and Rehab Center is a larger facility in Kaneohe, offering a mix of nursing home, memory care, and assisted living options. They have about 140 beds, so it's not a small, homey place, but some families appreciate the range of services under one roof. Residents can get help with daily needs, plus access to in-house physical, occupational, and speech therapy. There’s also dental care available, which isn’t always standard elsewhere. Staff reviews and family feedback are mixed.
Caring Manoa is a small, family-run senior home that's been around since 2001, tucked at the entrance of Manoa Valley. They only have 16 private rooms, each with its own wheelchair-accessible bathroom and individual air conditioning, so it feels less like an institution and more like a real home. The staff-to-resident ratio is higher than most places—you’ll notice there are always enough caregivers around, which means residents get more attention and help when they need it.
Hale Ho Aloha feels less like an institution and more like a close-knit community, thanks to a core team that’s been together for years. You’ll notice right away that many of the nurses and aides have decades of experience, and some have been with the facility since it opened. The staff includes registered nurses, licensed practical nurses, and certified nurse assistants, so there’s always someone qualified to handle complex care needs.
Hale Ho Aloha has been part of Honolulu’s elder care landscape for over 50 years, quietly tucked up in Pacific Heights. Locals know it for its plantation-style building and those wide views over Punchbowl and Diamond Head. It’s not a massive, institutional-feeling place—there are just 59 beds, which means staff actually get to know residents and their families. The care team is a mix of doctors, licensed nurses, a social worker, dietary manager, activities director, and therapists.
Hale Ku'ike Pali stands out for its thoughtful, small-scale approach to assisted living and memory care. It’s not a big, impersonal facility—there’s room for just 28 residents, so your parent won’t get lost in the shuffle. The two-story home feels more like a large house than an institution, with country kitchens and dining rooms on each floor where residents, staff, and families actually sit down and eat together.
Hawaii Care Choices - Pohai Malama is one of the few places in Hilo that blends hospice, palliative, and residential care under one roof. They started out as Hospice of Hilo, so their roots are in end-of-life support, but now they also offer an Adult Residential Care Home (ARCH) for seniors who need 24/7 supervision but still want a home-like environment.
Islands Skilled Nursing & Rehabilitation stands out in Honolulu for its strong focus on hospital-level care, especially for people who need more than the basics. They’re known for their advanced respiratory and post-acute medical services—this is not something you find at every nursing home. If your loved one has complex medical needs, like ventilator support or needs close monitoring after a hospital stay, this place is equipped for it.
Islands Skilled Nursing & Rehabilitation isn’t the biggest place in Honolulu, but that’s actually part of its appeal. Families say it feels more personal here, and you get to know the staff by name. They’re known for helping folks who need a lot of medical attention, especially people recovering from surgery or illness, and they have a strong reputation for short-term rehab.
Islands Skilled Nursing & Rehabilitation stands out in East Honolulu for its focus on both medical and emotional care. They’re especially known for handling complex respiratory and post-acute needs—basically, if your parent needs hospital-level attention but doesn’t need to stay in a hospital, this place is equipped to handle it. Their team includes registered nurses, respiratory therapists, physical and speech therapists, and even a nutritionist.
Korean Care Home feels more like a close-knit community than a big, impersonal facility. The staff gets a lot of praise from families and residents for being genuinely kind and attentive. People mention that the caregivers are always around when needed, whether it's helping with daily routines, managing medications, or just chatting over a meal. Meals are a highlight here—residents talk about the variety and the fact that they're home-cooked, with options for different diets.
Korean Care Home is a small, community-focused senior care residence in Honolulu that stands out for its hands-on approach and personal touch. Staff provide round-the-clock help with daily needs like bathing, dressing, and getting around. Residents mention that meals feel home-cooked and are tailored to dietary preferences, which is a big plus for families wanting culturally familiar food.
Korean Care Home at 525 Kiapu Place is one of those places locals hear about through word of mouth—usually from families who want something smaller and more personal for their elders. Unlike the big facilities, this is a medium-sized home with a close-knit feel. Residents get help with daily routines like bathing, dressing, and medication, but what stands out is the consistency of staff—many families mention seeing the same caregivers day after day, which helps build trust and familiarity.
Lunalilo Home feels more like a family gathering than a facility. They’re known for weaving Hawaiian values—like aloha and laulima—into daily life, so residents don’t just get care, they get community. The staff includes long-timers who know the residents by name and story, and you’ll often see them sharing a laugh or helping with a craft. They offer 24-hour supervision, help with personal care, medication management, and even transportation to appointments.
Oililua Eldercare feels more like a family home than a big facility. The staff-to-resident ratio is small, so everyone gets personal attention—whether it’s help with bathing, dressing, or just having someone to chat with over breakfast. They’re known for being especially attentive with medication management and for coordinating closely with each resident’s doctor, which is a relief if your loved one has complex health needs.
The Plaza at Moanalua stands out for how it organizes care by floor—each level is set up for a different type of support, so as your parent's needs change, their living situation adapts too. Some families like this because it means care gets more specialized, but others mention it can be tough if a loved one has to move floors as their needs increase. The building itself feels more like a modern condo than a typical care home, with lots of natural light, high ceilings, and big windows.
The Plaza at Moanalua isn’t just another senior residence—it feels more like a lively apartment community with a strong local flavor. You’ll see residents gathering for coffee in the bistro, joining in daily exercise classes, or heading out on shuttle trips for shopping and appointments. The staff, led by Administrator Rebecca Fajota, includes nurses on-site 24/7 and care aides who know residents by name.
Windward Senior Day Care Center has been part of Kailua’s fabric for decades, quietly supporting local families who want their elders to stay active and connected. It’s not a fancy place, but that’s part of the appeal—folks say it feels more like a home than an institution. The staff stands out for their warmth and genuine care; many are certified in CPR and have years of experience working with kūpuna.
Hale Ku'ike Bayside feels more like a small, close-knit home than a big facility. They only take up to 28 residents, which means your parent won’t get lost in the shuffle. The building is set up with two floors, each with its own dining room and country kitchen, so it really does have a family-style feel. Residents can relax on covered lanais or walk secure garden paths with views of the mountains and Kaneohe Bay.
Oahu Care Facility is the kind of place you look at when your parent needs more help than you can give at home, especially after a hospital stay or if they need ongoing medical care. The staff includes registered nurses, certified nursing assistants, and therapists who are around 24/7, so there’s always someone to help with things like medication, wound care, or just getting around safely.
Oahu Care Facility has been part of Honolulu’s senior care scene for close to thirty years, and you can feel that local experience in how they do things. Families who’ve toured often mention the welcoming vibe—staff encourage in-person visits, and they’re upfront about what day-to-day life looks like.
Kamalu Hoolulu Elderly Housing isn’t your typical senior apartment complex. Locals know it as a low-key, practical spot for independent elders who want to stay connected to Waipahu without the fuss or high price tag you see in newer developments. The property sits in a quiet neighborhood, close enough to walk to Times Waipahu or catch the bus at one of several nearby stops.
Senior Residence At Kaneohe isn’t your typical senior living spot—it’s a 75-unit affordable rental community that’s been part of the neighborhood since 2000. The building is split into two sections, each with its own management, and offers mostly one-bedroom apartments for folks 62 and older who meet income guidelines. Residents pay rent based on their income, which keeps things accessible for local seniors who want to stay in Kaneohe as they age.
The Plaza at Moanalua stands out for its lively atmosphere and thoughtful details that make daily life easier for both residents and their families. It isn’t just about providing care—it’s about helping people stay as independent as possible while having support close by. The place feels active, with regular exercise classes, on- and off-site activities, and even a coffee bistro where residents actually hang out and socialize.
Waipahu Hall Apartments is a great option for seniors aged 62 and older looking for independent living. They offer a strong sense of community with regular events like educational activities, games, and barbecues in their community center. The management team is known for its friendly approach and excellent customer service. The apartments are conveniently located near major bus lines and Times Super Market, making it easy for residents to get around.
Hale Ho Aloha has been caring for Honolulu’s seniors since 1968, so they’re not new to this. They focus on nursing home-level care, but the place doesn’t feel cold or clinical. The staff includes doctors, registered nurses, a licensed social worker, a certified dietary manager, and an activities director. They meet often to talk about each resident’s needs, which means your parent won’t get lost in the shuffle.
Hale Ku‘ike at 95 Kawananakoa Place isn’t your typical senior care home—it’s become something of a local standard-bearer for memory care since opening in 2005. The place is small, just 26 residents, which means folks get to know each other and the staff well. The building itself is single-level and purpose-built for people living with dementia. That means you’ll find wide, open spaces and a central courtyard where residents can safely enjoy fresh air or chat with neighbors.
Halewaiʻolu Senior Residences is a newer apartment community designed specifically for people 55 and up who want to live independently but need affordable rent. The building is modern—opened in 2023—with 156 units (most are one-bedrooms, but there are some two-bedrooms too). Every apartment has air conditioning, and the rent covers water, sewer, and trash, which helps with budgeting.
The Harry and Jeanette Weinberg Care Center at Pohai Nani offers skilled nursing care, which is a key part of its services. This facility is part of a larger community that provides a range of living options for seniors, including nursing home care. The staff includes trained caregivers and specialized therapy staff, offering services like 24-hour nursing supervision, medication management, physical therapy, occupational therapy, and speech therapy.
Manoa Cottage is a small, locally owned care home that feels more like a family house than a facility. They keep things intimate—each cottage has just eight residents, so your parent won’t get lost in the shuffle. The staff is there around the clock to help with daily needs like bathing, dressing, and getting to appointments. There’s an on-site nurse manager who coordinates with doctors, therapists, and dietitians, so care plans are pretty hands-on and personalized.
Manoa Cottage feels more like a family home than a facility, and that's not just a slogan—it's baked into how they do things. With only eight residents per cottage, everyone gets to know each other, and the staff really notice the little things. The team includes an on-site nurse manager who coordinates with doctors, therapists, and dietitians, so care plans actually get updated as residents' needs change.
Navian Hawaii Kailua Home isn’t your typical nursing home—it’s a small, five-bedroom residence tucked into the Enchanted Lake area, designed to feel more like a local family home than an institution. The focus here is on hospice and palliative care for folks who need more support than can be provided at home, but who still want a comfortable, familiar setting.
Pohulani isn’t your typical senior care facility—it’s more of an active community for older adults who want to stay connected to the city. The building itself is straightforward, but what stands out is the location: you’re right in Kakaako, a spot where you can walk to local restaurants, shops, and even catch a movie if you like. Residents mention how easy it is to get around, with bus stops close by and a walk score that makes errands or outings simple, even without a car.
Pohulani is a senior apartment community for folks 62 and older, right in the heart of Honolulu’s Kaka‘ako neighborhood. This isn’t a full-service assisted living facility—think of it more as affordable, independent apartments designed with seniors in mind. The building itself is recently updated and has a reputation for being clean and well-maintained. Residents get the basics: private studio apartments, utilities included, and shared laundry facilities.
Pomaikai Senior Center is a smaller, local spot in Hilo where seniors can get help with daily living, but it doesn’t feel like a big institution. People mention that the staff are friendly and really get to know the residents—there’s a sense that folks aren’t just numbers here. While there aren’t a ton of flashy amenities, the basics are covered: help with meals, medication reminders, and a safe place to live.
Serenity Care Home Hawaii Kai feels a bit more like a real home than many larger facilities in Honolulu. It's a small, residential-style place—so residents aren't just another face in the crowd. Staff are known for being attentive, especially with medication management and personal care like bathing and transfers. They offer 24-hour supervision, which is reassuring for families with loved ones who need extra support.
Winston Hale is an independent living apartment building for seniors located right in downtown Honolulu, at 1055 River Street. The setup is pretty straightforward: residents rent private apartments—studio, single, or two-bedroom units—designed for older adults who can manage most of their daily needs on their own. There’s no on-site nursing or hands-on personal care, so it’s best for folks who are still fairly independent but want the security of a senior community and a central location.
Manoa Senior Care isn’t your typical senior living facility. Instead of one large building, they operate a network of about 11 residential homes scattered around Honolulu, giving residents a more intimate, home-like setting. Meals aren’t cafeteria-style—they’re cooked fresh, often using local ingredients, and residents rave about the home-cooked taste. Staff is available 24/7, and families mention that the team is genuinely caring and attentive.
Manoa Senior Care isn’t your typical large-scale facility—it’s more like a collection of cozy homes, each with just a handful of residents. They have 11 separate houses, each thoughtfully designed, with private bathrooms and big windows that let in lots of light. What stands out is the staff-to-resident ratio: for every eight residents, there are four nurse aides and two live-in nurses on hand 24/7. That’s a lot more personal attention than you’ll find in most places.
Manoa Senior Care isn’t your typical big-box assisted living facility. Instead, they run a network of about 11 residential care homes scattered through Honolulu, each housing a small group of seniors. This setup gives a more intimate, home-like feel—think shared meals (often cooked with local ingredients), a backyard, and a quieter pace. Residents get help with daily tasks like bathing, dressing, and medication, but the staff aims to keep things as personalized as possible.
Oahu Care Facility has been around for almost 30 years, which says a lot about how much local families rely on them. They offer both assisted living and full nursing care, so it's an option whether your parent just needs a little help or more hands-on support. One thing that stands out is their flexibility—short-term stays are available if your loved one is recovering from a hospital visit, but they also handle long-term care for folks who need ongoing nursing.
Kaneohe Apartments stands out for offering straightforward, affordable senior housing without the frills or high costs you’ll find at larger retirement communities. They focus on independent living for folks 62 and older, as well as individuals with disabilities. The building has 44 units, and what’s unique is that about half are reserved for residents with very limited income—some units are set aside for those earning under 50% of the area’s median income, and others for those under 60%.
Elisa Cabal Care Home stands out in Hilo for its small, close-knit feel and hands-on approach. Instead of feeling like a big institution, it’s more like an extended family—residents and staff get to know each other well. The staff here are known for being attentive, especially when it comes to daily tasks like bathing, dressing, and making sure medications are taken on time.
Fujll Care Home stands out in Kailua for its smaller, more personal setting. Unlike the bigger facilities, this place feels more like a home than an institution. They offer a mix of care options—assisted living, independent living, nursing support, and memory care—all under one roof, which is rare in the area. The staff-to-resident ratio is noticeably higher than at most larger providers, so residents get more one-on-one attention.
Hale O Meleana is a senior living community that offers more than just a place to stay—they provide real support for older adults who need help with daily life. Residents can get assistance with things like bathing, dressing, and medication reminders, but they also get their laundry, housekeeping, and meals taken care of. The staff includes licensed professionals, and the community is run by Ohana Pacific Health, a local organization with a solid reputation for elder care in Hawaii.
Hawaii Island Adult Care isn’t just a place to drop off your loved one for the day—it’s a real community hub, especially for local families juggling work and caregiving. Folks here know each other by name, and the staff have a reputation for being genuinely patient with kūpuna (elders), not just going through the motions. The center focuses on adult day care, with a big emphasis on memory care for those dealing with dementia or Alzheimer’s.
HI Care Choices, formerly known as Hospice of Hilo, has been serving families on the Big Island for decades. They focus on hospice, palliative, and bereavement care—so their main work is helping people with serious or life-limiting illnesses live as comfortably as possible. The team includes nurses, social workers, aides, and volunteers who are experienced in end-of-life care.
Hokulaki Adult Residential Home is run by Myriam and Robert Tabaniag, a local couple known in Kaneohe for their hands-on approach and deep roots in the community. This isn’t a big facility—it’s a small, family-style home where they care for up to eight residents at a time. The Tabaniags live on the property and are directly involved in day-to-day care, which sets them apart from many larger operations.
Island Living Arch on Umena Street is a small, home-style assisted living spot right in Kapolei. Instead of a big facility, it feels more like an extended family home—usually just a handful of residents at a time. Folks here get help with the basics: bathing, dressing, taking meds, and moving around if they need it. The staff is on-site 24/7, and they work closely with local healthcare providers for things like doctor visits or therapy.
Ka Hale O Na Lima Aloha isn’t the flashiest place in Hilo, but it’s one of the few that covers almost every level of senior care under one roof—assisted living, independent living, skilled nursing, and memory care. That means residents can stay put even as their needs change, which is a relief for families who don’t want to keep moving their loved one around. The facility’s been around since 2001 and employs a large team—over 100 staff, which is more than most in the area.
Kailua Gardens Adult Resident feels more like a home than a facility. It's a small, close-knit place where residents get hands-on help with daily tasks—things like bathing, dressing, and managing medications. There’s always someone around to lend a hand, day or night. The staff works directly with each resident’s doctors, so care plans actually stay up to date. Tae Kim, RN, is listed as the nurse operator, and families often mention how approachable and attentive she is.
Ka Malama Care Home feels more like a family home than a facility. It's a small, locally run care home tucked away in a quiet Kaneohe neighborhood, so your parent won't feel lost in the shuffle. They focus on assisted living and can also help with respite and hospice care if that's ever needed. The staff helps with daily things like bathing, dressing, and making sure medications are taken on time.
Labon Home Care feels more like a family home than a big facility. They're a small agency in Kaneohe that offers both in-home care and a senior care home on the Windward side. What stands out is their focus on treating every resident as part of their 'ohana'—it's not just a slogan, but something families mention in reviews and local forums. The care home itself is described as clean, peaceful, and relaxed, with private and semi-private rooms that don’t feel institutional.
Mililani Care Home is a small, family-style care home tucked into a quiet, gated community near Mililani Town. It's not a big facility—think more like a house with a handful of residents, which means folks get a lot of one-on-one attention. They offer private and semi-private rooms, and there's always a nurse on site, day and night. I’ve seen them help with everything from bathing and dressing to managing medications and coordinating with local doctors.
Hale O Meleana is a senior living community that offers more than just a place to stay. If you’re looking for hands-on help with daily routines—things like bathing, getting dressed, or managing medications—they have staff on-site 24/7 to assist. They also handle all the housekeeping, laundry, and meals, so residents can focus on what matters to them.
