50th
OVERALL STATE RANK
Assisted living is a good option for seniors who need assistance with activities of daily living like bathing, dressing, or medication management. The monthly average cost of assisted living in Hawaii is around $6,100, which adds up to about $73,200 per year.[01] Assisted living in Hawaii is more expensive than independent living communities for seniors, but it’s less expensive than memory care communities.
State scorecard
How we determine rankings
Our 2023 state ranking for assisted living uses A Place for Mom’s proprietary data collected from our community partners. First, we sorted through our metrics and grouped them into three pillars that are key in a quality assisted living experience. We weighted these pillars differently based on insights from our senior living experts. Then, we used these categories and their weighting to determine how each state ranks.
Top ranked Hawaii cities for assisted living overall
Key findings
Top ranked Hawaii cities - Services & Amenities
Key findings
Hawaii vs. the national monthly median cost of assisted living
Top ranked Hawaii cities - Affordability
Key findings
Top ranked Hawaii cities - Ratings
When it comes to the meals, stop trying to impress with fancy names, just cut the salt/spice & serve good tasty food. The value for cost is ok for me but high for others. Economy sucks but what to do???? I...
I have known the Home Operator personally since 1996 and know he and his Family to be one of integrity, care, kindness and love for people. As a Registered Nurse and having worked with him in a Hospital...
I'm so happy that I found this community for my parents the staff are very nice and caring. The care level is great here is one of the reasons I chose this place also. They have a great place to go outside...
When it comes to the meals, stop trying to impress with fancy names, just cut the salt/spice & serve good tasty food. The value for cost is ok for me but high for others. Economy sucks but what to do???? I...
My dad has only been at Kina Ole for a few weeks but it is hard to imagine him getting better care anywhere else. The staff has spent countless hours getting to know him and his likes/dislikes-even asking...
I'm so happy that I found this community for my parents the staff are very nice and caring. The care level is great here is one of the reasons I chose this place also. They have a great place to go outside...
When it comes to the meals, stop trying to impress with fancy names, just cut the salt/spice & serve good tasty food. The value for cost is ok for me but high for others. Economy sucks but what to do???? I...
My dad has only been at Kina Ole for a few weeks but it is hard to imagine him getting better care anywhere else. The staff has spent countless hours getting to know him and his likes/dislikes-even asking...
I'm so happy that I found this community for my parents the staff are very nice and caring. The care level is great here is one of the reasons I chose this place also. They have a great place to go outside...
When it comes to the meals, stop trying to impress with fancy names, just cut the salt/spice & serve good tasty food. The value for cost is ok for me but high for others. Economy sucks but what to do???? I...
My loved one has only been here a short period of time, but they get 5 stars for everything so far. We like it much better than her previous facility. It is smaller. The staff all know my mom by name. ...
My loved one is happy here, and thriving at Oceanside Hawaii. The country atmosphere, lots of plants surrounding the community and being near mountains helps. This helps my loved one remember where she...
My dad has only been at Kina Ole for a few weeks but it is hard to imagine him getting better care anywhere else. The staff has spent countless hours getting to know him and his likes/dislikes-even asking...
Across A Place for Mom’s partner communities, the cost of assisted living in Hawaii ranges from $5,400 to $7,960 per month. This is a bit higher than the national average, which is $5,126 per month.[01] These proprietary figures reflect the actual costs paid by seniors and their families upon moving into our partner facilities in Hawaii.
The cost of assisted living in Hawaii is higher than the average cost in the U.S. due in part to the state’s high cost of living. Hawaii is ranked as the most expensive state in the U.S. to live in.[02]
Several other factors can affect the monthly cost of assisted living:
Many seniors rely on a mix of the different payment options available to them, and they may use Medicare or Medicaid to help pay for the medically necessary care aspects of assisted living.
Average monthly costs
Hawaii
US National average
Average monthly costs
Average monthly costs
Average monthly costs
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Seniors can use several income sources and public assistance to help pay for assisted living. Some may have planned ahead for their care by purchasing a long-term care insurance policy, or by gathering the documents they’ll need to apply for public assistance.
Planning for assisted living is particularly important, as some public assistance programs have a waiting period before your loved one can receive long-term care benefits. Whether your loved one has already planned for assisted living or you’re helping them start now, you’ll find helpful tips on common payment methods in this section. You can also find more in our guide to paying for long-term care.
Private pay refers to any assets your loved one can put toward the cost of assisted living.
Seniors can use the proceeds from selling their Hawaii home to pay for assisted living.
Seniors can leverage the equity in their Hawaii home to cover the costs of assisted living.
Health savings accounts (HSAs)
HSAs can be used to pay for the medically necessary care aspects of assisted living care in Hawaii.
Seniors can sell, surrender, or convert their policy and use the funds to pay for assisted living in Hawaii.
Seniors in Hawaii can use their long-term care insurance policy to cover some of the personal care costs of assisted living.
Social Security benefits for assisted living
Hawaii seniors who receive Social Security benefits can use those funds to pay for monthly assisted living costs.
Senior veterans and their surviving spouses may be eligible for veterans benefits that can help offset the cost of assisted living. It’s important to receive counseling when applying for benefits, as many veterans or spouses may not know all of their options or what they’re eligible for. A counselor can help your loved one explore all their benefit options and help to apply successfully.
For information about benefits and applying, seniors can visit the following:
Veterans service organizations (VSOs) advocate for veterans or surviving spouses and can help with benefit applications. In Hawaii, seniors can look to the following VSOs for assistance:
Medicaid is an insurance program for low-income seniors that’s jointly administered by the federal and state governments. In Hawaii, Medicaid called Med-QUEST. Although Medicaid doesn’t pay for the custodial costs associated with assisted living, such as room and board, it can help cover the medically necessary aspects of care.
Seniors interested in receiving care in an assisted living community instead of a nursing home can apply for a home and community based services (HCBS) waiver. In Hawaii, the My Choice My Way program is designed for seniors to receive care in a community setting, such as an assisted living community. If seniors have questions about their coverage, need help applying for Med-QUEST, or want more information about HCBS waivers, they can consult with the Hawaii Medicaid Ombudsman.
Medicare is a federal health insurance program for seniors over the age of 65. Medicare doesn’t pay for room and board or other custodial costs that seniors in assisted living have. However, it will pay for medically necessary aspects of assisted living services. To find out whether a service is covered under Medicare, seniors can reach out to the Hawaii Social Security Administration. For application help and advocacy, seniors can receive assistance through Hawaii’s long-term care ombudsman program.
Hawaii also offers Medicare programs that seniors can take advantage of, including the following:
Hawaii assisted living facilities must be licensed through the Department of Health’s Office of Health Care Assurance (OHCA). While assisted living communities don’t have any specific limitations on resident admissions, they must be able to meet the needs of new residents and provide regular care assessments. Communities are also required to provide 24-hour care and assist residents with all their activities of daily living.[03]
Once an assisted living facility is licensed, they’re subject to regular inspections. If a community has a violation, they must make a plan to correct it and add information to the report. While most communities are inspected at least once a year, some are licensed for a period of two years.[04]
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
We developed a system to rate each state on how easy — or difficult — it is to find important assisted living records and reports, and we compiled tips to help you in your search.
States with the most transparent records allow you to look up important information about each assisted living facility online, including inspections, complaints, survey results, violations, capacity, and whether the facility accepts Medicaid.
Public access to assisted living records and reports for the state of Hawaii is high. Key findings that informed this rating include:
A Place for Mom. (2022-2023). A Place for Mom proprietary data.
U.S. News and World Reports. Cost of living.
National Center for Assisted Living. (2022). Assisted living state regulatory review.
State of Hawaii, Department of Health. Office of Health Care Assurance. (2023). Healthcare facilities inspection reports.
Overview of assisted living in HI
The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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