Senior care in Hawaii
Assisted living in Hawaii
Assisted living in Hawaii is a licensed building with apartments or units, meals, and staff available around the clock.
The State licenses these as assisted living facilities. Most are on Oʻahu. There are only a few on the neighbor islands.
Also called: assisted living facility, ALF, senior living with care.
What it is
Hawaii Administrative Rules Title 11, Chapter 90 sets up assisted living as its own kind of home. It combines housing, meals, health care services, and personal support.
The rules are built around three ideas: aging in place, a care plan the resident and family help write, and managed risk.
The Department of Health inspects at least every two years and may visit without notice. The license is posted where residents and visitors can see it.
Read the State rules in our licensing guideWho it fits
- People who feel they can no longer live alone, including people with limited mobility.
- People who want their own apartment or unit and a larger community.
- People who may need more help over time, since aging in place is written into the rules.
Paying for it
Most families pay privately or with long-term care insurance.
Medicare pays for medical care, not the monthly rate at an assisted living facility.
Assisted living by island
17 licensed on State of Hawaii records. Pick an island to browse them.
- Assisted living on OahuOʻahu · 14 on the State list
- Assisted living on the Big IslandHawaiʻi Island · 1 on the State list
- Assisted living on MauiMaui · 1 on the State list
- Assisted living on KauaiKauaʻi · 1 on the State list
- Assisted living on MolokaiMolokaʻi · none on the State list right now
- Assisted living on LanaiLānaʻi · none on the State list right now
List last updated October 22, 2026, from the State licensed facility roster and OHCA lists dated April 2026 and March 2026.
Questions about assisted living
See all questionsWhat is the difference between assisted living and a care home in Hawaii?
Assisted living is a larger licensed building with apartments or units. An adult residential care home (ARCH) is a licensed house with a small number of residents. Hawaii licenses them separately.
Does Medicare pay for assisted living in Hawaii?
Medicare pays for medical care such as hospital stays and doctor visits. It does not pay the monthly rate at an assisted living facility. Most families pay privately or with long-term care insurance.
Other kinds of senior care in Hawaii
Not sure which kind of home fits?
Tell us about your person. We explain which Hawaii license fits the care, and introduce you to licensed homes that may fit. Or write hello@halekokua.com.
Families pay nothing for the search.
Where this list comes from
These homes come from public records of the Hawaii Department of Health, Office of Health Care Assurance (OHCA). The full list of licensed ARCH, expanded ARCH, assisted living, and community care foster family homes comes from the OHCA facilities roster that the State publishes as open data. We check it every day and update this list when it changes.
- Hawaii Statewide GIS Program, OHCA Facilities layer.
- Combined ARCH and Expanded ARCH Vacancy Report, by area, updated by the State April 2026.
- Assisted Living Facility list, updated by the State April 2026.
- Community Care Foster Family Home list, updated by the State March 2026.
The monthly ARCH vacancy report only covers homes that reported to the State that month, and openings change quickly. We do not post openings. We can ask a home about openings when we introduce you.
Hale Kōkua does not own, run, or license these homes. Foster family homes are private family homes, so we list them by town and license number only, never by the caregiver's name. Confirm any license with the State Licensing Section at (808) 692-7400. Last checked October 22, 2026.