Nursing homes and assisted living in Hawaii
Nursing homes, assisted living and residential care homes in Hawaii, with their license, Medicare ratings and whether they accept Medicaid. Free, so you can choose with peace of mind.
295,552 people aged 65 or older live in Hawaii, 8,512 of them Hispanic or Latino (Census Bureau, ACS 2020–2024).
Searching in Hawaii for the first time? Read our state guide: what care settings are called here, how Medicaid helps and who to call.
By city
With 4 or 5 Medicare stars
Sorted by CMS’s overall rating. This is not a hogaresparamayores.com ranking or a medical recommendation.
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Garden Isle Healthcare and Rehabilitation Center
3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766
5/5 MedicareMedicareMedicaid -
Harry and Jeanette Weinberg Care Center
45-090 Namoku St, Kaneohe, HI 96744
5/5 MedicareMedicareMedicaid -
Hi'olani Care Center at Kahala Nui
4389 Malia Street, Honolulu, HI 96821
5/5 MedicareMedicareMedicaid
The map loads as you scroll. Locations are approximate, based on the official records.
Places that accept Medicaid, by city
Only places certified by Medicaid or listed with a Medicaid program in Hawaii’s records.
In Hawaii, many older adults live in small care homes, in family houses and residential neighborhoods. Knowing the official names will make your search easier.
What care settings are called here
The Office of Health Care Assurance (OHCA), part of the Hawaii Department of Health, licenses these places. Its phone number is (808) 692-7400.
- Adult Residential Care Home (ARCH): a home with 24-hour care for adults who need daily help, but not a nursing home. A Type I home takes 1 to 5 residents, and a Type II home takes 6 or more.
- Expanded ARCH (E-ARCH): an ARCH that is allowed to take people who need a nursing home level of care.
- Community Care Foster Family Home (CCFFH): a certified family home that cares for a few adults. Certification is handled by Community Ties of America: (808) 234-5380.
- Assisted Living Facility: assisted living, with housing, health services, and personal support.
- Skilled Nursing Facility or Intermediate Care Facility: these are nursing homes.
OHCA publishes inspection reports going back to 2015, and you can search them by name. It also publishes lists of open spots in ARCHs and E-ARCHs, by area. These are practical tools for finding a place and getting to know it better.
How Medicaid helps in Hawaii
In Hawaii, Medicaid is called Med-QUEST, and its main plan is QUEST Integration. Besides nursing home care, people who need that level of care can choose to get services at home or in the community. This includes assisted living, foster family homes (CCFFH), and E-ARCHs that are part of the plan's network. In assisted living, Medicaid does not pay for room and board.
How to apply: call Med-QUEST Customer Service at 1-800-316-8005 (Relay: 711). You can also apply online at medical.mybenefits.hawaii.gov.
How much care costs in Hawaii
These are the statewide medians from CareScout's Cost of Care Survey 2025, with data from July to November 2025:
- Assisted living (private one-bedroom unit): $12,096 a month.
- Nursing home, semi-private room: $509 a day (about $15,473 a month).
- Nursing home, private room: $539 a day.
- In-home caregiver (non-medical): $41 an hour.
- Adult day center (adult day health care): $118 a day.
Hawaii is among the most expensive states for assisted living.
Who to call
- Long-Term Care Ombudsman (a free advocate for residents): statewide toll-free line 1-888-229-2231. On Oʻahu: 808-586-7268.
- Hawaiʻi ADRC (resource center for older adults and people with disabilities): (808) 643-2372.
- County offices on aging: Honolulu, (808) 768-7700; Hawaiʻi, (808) 961-8626; Maui, (808) 270-7774; Kauaʻi, (808) 241-4470.
- Executive Office on Aging (the state office on aging): (808) 586-0100.
- Eldercare Locator (national helpline): 1-800-677-1116.
Tips for your family
- Check the lists of openings. OHCA publishes open spots in ARCHs and E-ARCHs by area. There you can see each home's capacity, whether it is wheelchair accessible, and the type of diet it offers.
- Ask about Kūpuna Care. It is a state program for residents 60 or older who need help and do not qualify for Medicaid. You ask for it at your county office on aging. There may be a copay.
- If you will use Medicaid, ask from the start whether the home or residence works with your QUEST Integration plan.
- Get guidance on Medicare. The SHIP program offers it for free: 1-888-875-9229.
This is general information and does not replace medical or legal advice.
Sources: OHCA State Licensing Section · OHCA Inspection Reports · Med-QUEST Member Handbook · Executive Office on Aging · Hawaii ADRC · Hawaii LTC Ombudsman · CareScout Cost of Care 2025. Updated October 15, 2026.
What care costs in Hawaii
Hawaii medians from the CareScout (Genworth) Cost of Care Survey 2025. Each provider sets its own prices: always ask for the details in writing. See Hawaii costs in detail.
Also in Hawaii
Who to call in Hawaii
- Long-Term Care Ombudsman
- Hawaii Long-Term Care Ombudsman Program (Executive Office on Aging, Hawaii State Department of Health). A free, confidential service that advises residents and families of nursing homes and assisted living and helps resolve concerns with the facility.(888) 229-2231 · Official website
- Free Medicare counseling (SHIP)
- Hawaii State Health Insurance Assistance Program (Hawaii SHIP). They explain what Medicare covers and how to compare plans, without selling insurance.(888) 875-9229 · Official website
- Medicaid (Med-QUEST (QUEST Integration))
- Hawaii Department of Human Services – Med-QUEST Division. Long-term care programs: QUEST Integration – long-term services and supports (LTSS).(800) 316-8005 · Official website
- Licensing and inspections (assisted living, residential care, adult family homes, adult day centers)
- Hawaii State Department of Health – Office of Health Care Assurance (OHCA), State Licensing Section.Look up a license
- Licensing and inspections (home care)
- Hawaii State Department of Health – Office of Health Care Assurance (OHCA), State Licensing Section.Look up a license
- Licensing and inspections (nursing homes, home health)
- Hawaii State Department of Health – Office of Health Care Assurance (OHCA), Medicare Section.Look up a license
- Services for older adults
- Hawaii Executive Office on Aging – Aging and Disability Resource Center (ADRC).(808) 643-2372 · Official website
- Eldercare Locator (nationwide)
- A free national line that connects you with your local Area Agency on Aging.(800) 677-1116 · Official website
Contact information checked against official sources on October 15, 2026. These are free public services; hogaresparamayores.com is not affiliated with them.
Frequently asked questions
How many nursing homes are there in Hawaii?
How many accept Medicaid in Hawaii?
What do the stars mean?
Do you charge families anything?
Sources: CMS — Nursing Homes: Provider Information (September 30, 2026) · Hawaii Department of Health — Office of Health Care Assurance: licensed facilities (Hawaii Statewide GIS Program) (). Methodology.
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