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Nursing homes and assisted living in Hilo, Hawaii

Our directory lists 29 places to live with care in Hilo, Hawaii: 5 nursing homes certified by Medicare or Medicaid, 1 assisted living community, and 23 residential care homes. 5 of the nursing homes are certified by Medicaid, and 4 have 4 or 5 stars in Medicare’s overall rating. All of them are in Hawaii County.

Call the place you’re interested in directly: hogaresparamayores.com doesn’t charge families or act as a go-between.

Hilo on the map of Hawaii. Each dot is a place with official data.

See only the 5 that accept Medicaid in Hilo

The map loads as you scroll. Locations are approximate, based on the official records.

Sorted by Medicare’s overall rating (when there is one) and by name. Phone numbers and addresses come from the official records: confirm them when you call. Where the data comes from.

More care options in Hilo

Adult day centers1Home care agencies11Home health agencies2Hospice providers1

Nearby cities

Keaau6 places · 8.1 miles awayPepeekeo1 place · 9.9 miles awayKeeau1 place · 11 miles away

Frequently asked questions

How many nursing homes and assisted living communities are in Hilo?
Our directory lists 29 in Hilo, Hawaii: 5 nursing homes certified by Medicare or Medicaid and 24 state-licensed assisted living or residential care homes. The data comes from CMS and the state’s licensing records.
How many accept Medicaid in Hilo?
5 of the 5 nursing homes are certified by Medicaid. Being certified doesn’t guarantee an open Medicaid spot: ask when you call. How Medicaid works.
How much does a nursing home cost in Hilo?
Each place sets its own prices. As a reference, the median cost of a nursing home in Hawaii is $509 a day for a semi-private room (about $15,482 a month), and assisted living is $12,096 a month, according to CareScout 2025. Costs in Hawaii.
Are there places with Spanish-speaking staff in Hilo?
No place in Hilo has told us yet whether its staff speaks Spanish. Ask when you call: it’s on the list of questions on every listing.
What’s the difference between a nursing home and assisted living?
A nursing home provides nursing and personal care for people who need a lot of help or are recovering after a hospital stay. Assisted living is housing with help bathing, dressing and taking medications, for people who don’t need nursing care around the clock. Types of care, explained.

Family guide to Hawaii: what care settings are called there and how Medicaid helps. Questions about Medicaid, Medicare or a license? Who to call in Hawaii.

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