Aiea has 32 state-licensed assisted living communities: 1 larger community and 31 small residential homes (16 or fewer residents). The median cost of assisted living in Hawaii is $12,096 a month (CareScout 2025), against $6,200 nationally.
Most communities don't publish prices. Tell us who you're looking for and a local advisor will send current rates and availability for the assisted living options that fit.
Both are licensed by Hawaii as assisted living. Larger communities suit people who want social life and on-site services; small homes suit people who do better with quiet, familiar routines, including many people with dementia. Hawaii words these licenses as “Type I Expanded Adult Residential Care Home” (22), “Type I Adult Residential Care Home” (8), “Type II Expanded Adult Residential Care Home” (2).
Every assisted living community Hawaii licenses in Aiea, from state records. Being listed is not a rating: Lilisity scores only communities with verified interviews (the Top Communities). Communities with verified reviews are listed first, then by size.
32 shown
| Community | Size | Price |
|---|---|---|
| Aiea Heights Senior Living99-1657 Aiea Heights Drive | Mid-size22 residents | Get pricing |
| Kaamilo Hale LLC98-570 Kaamilo Street | Small home8 residents | Get pricing |
| 808 Adult Residential Care Home/Expanded Care LLC98-209 Kanuku Street | Small home5 residents | Get pricing |
| 888 Adult Residential Care Home98-550 Kaamilo Street | Small home5 residents | Get pricing |
| A's Carehome LLC99-147 Kalaloa Street | Small home5 residents | Get pricing |
| Aiea Adult Residential Care Home, LLC98-845 Iliee Street | Small home5 residents | Get pricing |
| Aiea Hale LLC98-609 Kaamilo Street | Small home5 residents | Get pricing |
| AJ Adult Residential Care Home II99-054 #A Nalopaka Place | Small home5 residents | Get pricing |
| Aletha's Expanded ARCH99-631 Ulune Street | Small home5 residents | Get pricing |
| Aumoa Care Home LLC98-562 Kaimu Loop | Small home5 residents | Get pricing |
| Cachola Adult Residential Care Home98-314 Ponokaulike Street | Small home5 residents | Get pricing |
| Calucag ARCH-I99-042 Ieie Place | Small home5 residents | Get pricing |
| Gamiao Adult Residential Care Home #299-588 Ulune Street | Small home5 residents | Get pricing |
| Garcia Care Home99-568 Huakanu Street | Small home5 residents | Get pricing |
| Halawa Care Home LLC99-626 Halawa Drive | Small home5 residents | Get pricing |
| Halawa Senior Care LLC99-278 Ohenana Loop | Small home5 residents | Get pricing |
| Hale Lehua Care Home98-215 Hekaha Street | Small home5 residents | Get pricing |
| Hernani T. Valenzuela Aguilar ARCH/EC-ARCH98-864 Kaamilo Street | Small home5 residents | Get pricing |
| Jaychat Adult Residential Care Home99-314A Eke Place | Small home5 residents | Get pricing |
| MSI ARCH/Expanded ARCH99-603 Alia Place | Small home5 residents | Get pricing |
| Ohana Legacy Care Home - LLC98-241 Hale Momi Place | Small home5 residents | Get pricing |
| Prime Health Services Care Home99-1041 Halawa Heights Road | Small home5 residents | Get pricing |
| R & P Villanueva Adult Residential Care Home99-058 Ohiaku Street | Small home5 residents | Get pricing |
| Rainbow Care LLC99-466 Ulune Street | Small home5 residents | Get pricing |
| RMJ Adult Care Home Inc.99-049 Kinoole Place | Small home5 residents | Get pricing |
| STS Adult Foster Service LLC III98-365 Ponokiwila Street | Small home5 residents | Get pricing |
| TLC Ohana Hale, Inc.99-019 Kealakaha Drive | Small home5 residents | Get pricing |
| Vicky's99-1002-D Puumakani Street | Small home5 residents | Get pricing |
| Yamashita ARCH99-701 Kealaluina Drive | Small home5 residents | Get pricing |
| Zen Residences LLC98-343 Puahoku Place | Small home5 residents | Get pricing |
| Aiea Residential Care LLC99-122 Pooholua Drive | Small home4 residents | Get pricing |
| Nita's98-029 Lii-Ipo Street | Small home4 residents | Get pricing |
The median cost of assisted living in Hawaii is $12,096 a month ($145,152 a year), above the national median of $6,200. That’s CareScout’s 2025 survey, collected July to November 2025. Small residential homes often cost less than larger communities, though care needs, room type and services move the price more than the building does.
Medicare does not pay for assisted living. People pay from savings and income, long-term care insurance, or VA Aid and Attendance (up to $29,093 a year for a veteran in 2026), and some qualify for Medicaid help with care costs at communities that accept it. Who actually pays for long-term care.
Free tools: how long will the money last? · home care or assisted living? · VA Aid and Attendance estimator
From 22,911 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
All 8 tour questions, with a free printable tour card (PDF).
Hawaii publishes licensing records, and in most cases inspection or complaint reports, for every community on this page. Look up any community on the state’s site: portal.ohcaportal.doh.hawaii.gov. Ask the community for its most recent inspection report too; they have to keep it.
Hawaii licenses 32 assisted living communities in Aiea as of September 2026: 1 larger communities and 31 small residential homes of 16 or fewer residents, with about 178 licensed spots in all.
The median cost of assisted living in Hawaii is $12,096 a month (CareScout 2025), compared with $6,200 nationally. Prices vary with the room, the level of care and the community, so ask each one for its current rate sheet, or ask a Lilisity advisor for current prices.
Medicaid doesn't pay rent or meals in assisted living. Most states offer a Medicaid waiver or program that can pay for care services at participating communities for people who qualify; not every community takes it, so ask each one. Hawaii's Medicaid agency or your local Area Agency on Aging can tell you what's available.
Hawaii publishes its licensing records at portal.ohcaportal.doh.hawaii.gov. You can also ask any community for its most recent state inspection report.
One call covers which communities have openings, what they cost and which fit your parent's needs and budget.