Senior Living in Hawaii County, Hawaii
Assisted living, memory care & independent living in Hawaii County
38 communities licensed by the state of Hawaii. Listed alphabetically; Lilisity publishes no score or ranking for communities that have not earned an award.
By city:Assisted Living in Hilo
| Community | City | Care types | Licensed capacity | Operator |
|---|---|---|---|---|
| A & C Care Home | Hilo | Assisted Living | 5 | — |
| A. Nishioka Family Care Home | Hilo | Assisted Living | 5 | A. Nishioka Family Care Home Inc. |
| Acedo, Melba | Hilo | Assisted Living | 4 | — |
| AJS Expanded Care Home | Keeau | Assisted Living | 4 | — |
| Aliga, Nelly | Hilo | Assisted Living | 3 | — |
| Arzaga's Adult Residential Care | Hilo | Assisted Living | 5 | — |
| Arzaga's Adult Residential Care #2 | Hilo | Assisted Living | 5 | Arzaga's Adult Residential Care LLC |
| Buenavista Adult Residential Care Home | Captain Cook | Assisted Living | 4 | — |
| Captain Cook Care Home | Captain Cook | Assisted Living | 5 | — |
| Cua, Lilia | Hilo | Assisted Living | 5 | — |
| Domingo's Care Home | Kailua-Kona | Assisted Living | 5 | — |
| E & J Adult Residential Care Home | Kailua-Kona | Assisted Living | 5 | — |
| Edita Castro | Hilo | Assisted Living | 4 | — |
| Elisa Cabal | Hilo | Assisted Living | 5 | — |
| Ellazar, Estela | Keaau | Assisted Living | 5 | — |
| Fernandez, Carlina | Hilo | Assisted Living | 5 | — |
| G. Inocencio's | Hilo | Assisted Living | 4 | — |
| Galanto's ARCH | Kailua-Kona | Assisted Living | 5 | — |
| Hale Aloha Care Home | Hilo | Assisted Living | 5 | — |
| Ilar, Emelyn | Hilo | Assisted Living | 5 | — |
| Island Care Home | Hilo | Assisted Living | 5 | — |
| J & K Care Home | Keaau | Assisted Living | 5 | — |
| J & R Earch | Hilo | Assisted Living | 4 | — |
| Jessie Gacula | Hilo | Assisted Living | 5 | — |
| Josephine Cabal | Hilo | Assisted Living | 5 | — |
| Justo, Charing | Pepeekeo | Assisted Living | 4 | — |
| Kupuna Hale O' Kai'ulani | Keaau | Assisted Living | 5 | — |
| M. Nishioka Family Care Home | Hilo | Assisted Living | 5 | — |
| Pohai Malama Care Home | Hilo | Assisted Living | 18 | Hospice of Hilo dba Hawai'i Care Choices |
| Poncethia R. Rambo's | Hilo | Assisted Living | 5 | — |
| Ramelb Adult Residential Care Home | Keaau | Assisted Living | 5 | — |
| Raza Adult Residential Care Home-Expanded Care | Hilo | Assisted Living | 5 | — |
| Regency Hualalai | Kailua-Kona | Assisted Living | 123 | MBSB Hualalai, LLC |
| Respicio, Maria | Hilo | Assisted Living | 5 | — |
| Riingen ARCH/Expanded ARCH | Keaau | Assisted Living | 5 | — |
| Salvador, Catherine | Hilo | Assisted Living | 5 | — |
| Solmerin, Ofelia | Hilo | Assisted Living | 4 | — |
| Tadeo | Keaau | Assisted Living | 4 | — |
Also in Hawaii County, from public records: 27 income-restricted senior apartments
Costs: assisted living in Hawaii costs a median of $12,096 a month (CareScout 2025). Nursing home costs in Hawaii: CareScout medians and the private-pay rates nursing homes publish.
Income-restricted senior apartments in Hawaii County
27 buildings from public records. Rent is set by income, there are age and income limits, and there is often a wait list. Apply through the property manager.
| Building | City | Apartments | Managed by |
|---|---|---|---|
| Ainakea Senior Residences | Kapaau | 30 | Big Island Housing Foundation |
| Capt Cook Elderly Housing Project | Captain Cook | 21 | Big Island Housing Foundation |
| Haili Elderly | Hilo | 36 | Cambridge Management |
| Hale Aloha O Puna | Keeau | 30 | Hawaii Public Housing Authority |
| Hale Hau'oli | Honokaa | 40 | Hawaii Public Housing Authority |
| Hale Hauoli | Honokaa | 40 | Hawaii Public Housing Authority |
| Hale Ho'okipa | Kealakekua | 32 | Hawaii Public Housing Authority |
| Hale Hookipa | Kealakekua | 32 | Hawaii Public Housing Authority |
| Hale Makana O Kupuna (AKA Kamakana Senior) | Kailua-Kona | 85 | Michaels Management-Affordable |
| Hale Na Koa O Hanakahi | Hilo | 92 | EAH Housing |
| Hale Olaloa | Hilo | 50 | Hawaii Public Housing Authority |
| Harry & Jeanette Weinberg Kea'au Elderly | Keaau | 20 | Big Island Housing Foundation |
| Hualalai Elderly | Kailua-Kona | 30 | Hawaii Affordable Properties |
| Hualalai Elderly Ph 2 | Kailua-Kona | 36 | Hawaii Affordable Properties |
| Hualalai Elderly Ph 3 | Kailua-Kona | 30 | Hawaii Affordable Properties |
| Kamana Elderly | Hilo | 62 | Big Island Housing Foundation |
| Kamuela Senior Housing | Kamuela | 31 | Hawaii Affordable Properties |
| Kinoole Senior Residences | Hilo | 30 | Hawaii Affordable Properties, Inc. |
| Kulaimano Elderly Housing Proj | Pepeekeo | 50 | Mark Development |
| Lanakila Homes II | Hilo | 44 | Hawaii Public Housing Authority |
| Mohouli Heights Senior Neighborhood Phase 1 | Hilo | 60 | Hawaii Affordable Properties |
| Mohouli Heights Senior Neighborhood Phase III | Hilo | 92 | Hawaii Affordable Properties, Inc. |
| Nani Olu | Kealakekua | 32 | Hawaii Public Housing Authority |
| Pahala Elderly | Pahala | 8 | Indigo Real Estate Services |
| Papa'aloa Elderly Housing Project | Papa'aloa | 10 | Big Island Housing Foundation |
| Pomaikai Homes | Hilo | 20 | Hawaii Public Housing Authority |
| Waimea Elderly Housing Proj | Kamuela | 40 | Big Island Housing Foundation |
Nursing homes in Hawaii County
7 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Honoka'a Hospital & Skilled Nursing | Honokaa | ★★★★★ | 66 | Government - State |
| Hilo Benioff Medical Center | Hilo | ★★★★☆ | 52 | Government - State |
| Hale Anuenue Restorative Care | Hilo | ★★★☆☆ | 120 | For profit - Limited Liability company |
| Legacy Hilo Rehabilitation & Nursing Center | Hilo | ★★★☆☆ | 100 | For profit - Corporation |
| Life Care Center of Hilo | Hilo | ★★★☆☆ | 252 | For profit - Corporation |
| Life Care Center of Kona | Kailua Kona | ★★★☆☆ | 94 | For profit - Corporation |
| Yukio Okutsu State Veterans Home | Hilo | ★★★☆☆ | 95 | Government - State |
What will senior living cost, and how will we pay?
Our free guide shows the starting prices communities post for each kind of care, walks you through a monthly budget, and explains how insurance, VA benefits, Medicaid and Medicare can help.
Free guide · 16 pages
Paying for Senior Living
Costs by type of care, a monthly budget, and how insurance, the VA, Medicaid and Medicare help.