Senior Living in Kauai County, Hawaii
Assisted living, memory care & independent living in Kauai County
6 communities licensed by the state of Hawaii. Listed alphabetically; Lilisity publishes no score or ranking for communities that have not earned an award.
| Community | City | Care types | Licensed capacity | Operator |
|---|---|---|---|---|
| Aguinaldo, Evangeline | Koloa | Assisted Living | 3 | — |
| All Hearts ARCH | Kapaa | Assisted Living | 4 | — |
| Castro's | Lihue | Assisted Living | 5 | — |
| Negrillo ARCH & EARCH | Lihue | Assisted Living | 5 | — |
| Rabaino's | Kapaa | Assisted Living | 5 | — |
| Regency Puakea | Lihue | Assisted Living | 100 | — |
Also in Kauai County, from public records: 8 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 Kauai County
8 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 |
|---|---|---|---|
| Hale Hoolulu | Kilauea | 12 | Hawaii Public Housing Authority |
| Hale Hoonanea | Eleele | 40 | Hawaii Public Housing Authority |
| Hale Kupuna | Kalaheo | 28 | Mark Development, Inc. |
| Hale Nana Kai O Kea | Kapaa | 38 | Hawaii Public Housing Authority |
| Kaniko'o I(Fka Rice Camp Senior) | Lihue | 60 | EAH Housing |
| Kekaha Plantation Elderly Housing | Kekaha | 36 | EAH |
| Lihue Gardens Elderly | Lihue | 58 | Mark Development |
| Lihue Theater | Lihue | 20 | Mark Development, Inc. |
Nursing homes in Kauai County
5 Medicare-certified nursing facilities with CMS ratings.
| Facility | City | CMS Rating | Beds | Ownership |
|---|---|---|---|---|
| Garden Isle Healthcare and Rehabilitation Center | Lihue | ★★★★★ | 110 | For profit - Corporation |
| Samuel Mahelona Memorial Hospital | Kapaa | ★★★★★ | 66 | Government - State |
| Hale Kupuna Heritage Home | Koloa | ★★★☆☆ | 84 | For profit - Limited Liability company |
| Kauai Care Center | Waimea | ★★★☆☆ | 53 | For profit - Individual |
| Kauai Veterans Memorial Hospital | Waimea | ★★☆☆☆ | 20 | 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.