Licensed senior care homes

Care homes on Hawaiʻi Island (Big Island)

146 licensed homes on Hawaiʻi Island from public State records. Pick one to learn more, or talk with us and we will narrow the list for you.

List last updated October 22, 2026, from the State licensed facility roster and OHCA lists dated April 2026 and March 2026.

Maui, Kauaʻi, Molokaʻi, and Lānaʻi counts reflect every ARCH, assisted living, and foster family home on the State licensed lists we pull.

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Showing 24 of 146 homes.

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Talk with us. We can ask about openings and introduce your family to the home. The home answers your questions about care and cost, and you visit and decide.

Families pay nothing for the search.

Talk with us hello@halekokua.com

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.