Senior care homes on Hawaiʻi Island
Senior care homes on Hawaiʻi Island (Big Island)
Looking for a care home, adult residential care home (ARCH), or assisted living for your mom or dad on the Big Island? Hale Kōkua introduces your family to licensed homes that may fit. After that, the home takes it from there.
Hawaiʻi Island is big. Hilo and Kona are far apart, often a two-hour drive or more.
Where a home sits on the island matters as much as the license. We look at both.
What we help with on Hawaiʻi Island
We introduce families to licensed care homes for a parent or kūpuna. You tell us the care your person needs. We explain which Hawaii license fits and introduce you to homes.
- Adult residential care homes (ARCH), Type I and Type II
- Expanded ARCH, for nursing-home level care
- Assisted living facilities
- Community care foster family homes, when Medicaid is paying
Searching on Hawaiʻi Island
- We start with where the family lives and where your person's doctors are. Then we look at homes on that side of the island.
- If the right license is not on the side you want, we tell you early, so you can decide what matters most.
Four steps
How a search works on Hawaiʻi Island
- 1
You tell us about your person
Use the form or email us. Tell us who your person is, the island, and what a normal day needs.
- 2
We look at licensed homes
We explain which Hawaii license fits the care you describe. Diet, wheelchair, memory, money, and where family lives help us narrow the list.
- 3
We introduce you to homes
With your OK, we introduce your family to one or more licensed homes that may fit, and share what you told us.
- 4
The home takes it from there
You talk with the home, visit, and decide. The home handles admission and care. Our part ends at the introduction.
There is no cost to your family at any step, and no pressure to choose a home.
From the mainland
Moving a parent to Hawaiʻi Island
The island has two main airports, Kona and Hilo. Pick the home first, then the airport closest to it.
Many families connect through Honolulu. Plan for the drive from the airport to the home.
You can start with us by phone or email while you are still on the continent. After we introduce you, you set up visits with the home directly, and someone from the family still meets the home in person before move-in.
How a mainland move worksSome licensed homes on Hawaiʻi Island
From the State lists. Openings change often. Talk with us, and we can ask about openings and introduce you to a home.
- Expanded ARCH Type IA & C Care HomeHilo, Hawaiʻi Island5 or fewer residentsAsk us about this home
- Expanded ARCH Type IAJS Expanded Care HomeKeaʻau, Hawaiʻi Island5 or fewer residentsAsk us about this home
- License 22-ALFAssisted living facility in Kailua-KonaKailua-Kona, Hawaiʻi Island16 or more residentsAsk us about this home
- License 1320-CExpanded ARCH Type I in Captain CookCaptain Cook, Hawaiʻi Island5 or fewer residentsAsk us about this home
- License 2-130030Foster family home in HonokaʻaHonokaʻa, Hawaiʻi Island5 or fewer residentsAsk us about this home
- License 2-200035Foster family home in Mountain ViewMountain View, Hawaiʻi Island5 or fewer residentsAsk us about this home
Kinds of senior care on the Big Island
- Assisted living on the Big Island1 on the State list
- Adult residential care homes (ARCH) on the Big Island9 on the State list
- Expanded ARCH on the Big Island28 on the State list
- Foster family homes on the Big Island108 on the State list
- Memory care on the Big IslandHow to find a home for dementia or memory loss
Questions about care homes on the Big Island
How many licensed care homes are on the Big Island?
The State licensing records we pull list 146 licensed homes on Hawaiʻi Island: 8 ARCH Type I homes, 1 ARCH Type II home, 28 expanded ARCH Type I homes, 1 assisted living facility, 108 foster family homes. We update the list every day.
Is there assisted living on the Big Island?
Yes. The State list shows 1 licensed assisted living facility on Hawaiʻi Island. Adult residential care homes (ARCH) are another common choice.
Can you help us move a parent to the Big Island from the mainland?
Yes. Start with us by phone or email. We explain which Hawaii license fits the care your parent has now, then introduce you to licensed homes on Hawaiʻi Island. You set up visits with the home directly, and someone from the family meets the home before move-in.
Do families pay to find a care home on the Big Island?
No. Families pay nothing to search or to be introduced to a home. When a placement happens, the care home pays Hale Kōkua a referral fee.
Looking for a home on Hawaiʻi Island?
Tell us about your person and where family lives. We will tell you plainly what is possible on Hawaiʻi Island, and introduce you to licensed homes there.
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.