Hilo has 24 state-licensed assisted living communities: 1 larger community and 23 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” (17), “Type I Adult Residential Care Home” (6), “Type II Adult Residential Care Home” (1).
Every assisted living community Hawaii licenses in Hilo, 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.
24 shown
| Community | Size | Price |
|---|---|---|
| Pohai Malama Care Home590 Kapiolani Street | Mid-size18 residents | Get pricing |
| A & C Care Home2294 Awapuhi Street | Small home5 residents | Get pricing |
| A. Nishioka Family Care Home Inc.605 Kaumana Drive | Small home5 residents | Get pricing |
| Arzaga's Adult Residential Care LLC57 Maikai Street | Small home5 residents | Get pricing |
| Arzaga's Adult Residential Care LLC #253 Maikai Street | Small home5 residents | Get pricing |
| Cua, Lilia464 Heahea Street | Small home5 residents | Get pricing |
| Elisa Cabal228 Hookano Street | Small home5 residents | Get pricing |
| Fernandez, Carlina137-B Hokulani Street | Small home5 residents | Get pricing |
| Hale Aloha Care Home514 W Kawailani Street | Small home5 residents | Get pricing |
| Ilar, Emelyn1712 Keone Street | Small home5 residents | Get pricing |
| Island Care Home LLC151 Chong Street | Small home5 residents | Get pricing |
| Jessie Gacula55 Ahona Place | Small home5 residents | Get pricing |
| Josephine Cabal2322 Awapuhi Street #1 | Small home5 residents | Get pricing |
| M. Nishioka Family Care Home Inc.47 Kaulike Street | Small home5 residents | Get pricing |
| Poncethia R. Rambo's1621 Nohoana Place | Small home5 residents | Get pricing |
| Raza Adult Residential Care Home-Expanded Care61 Kehaulani Street | Small home5 residents | Get pricing |
| Respicio, Maria328 Wainohia Place | Small home5 residents | Get pricing |
| Salvador, Catherine2318 Awapuhi Street | Small home5 residents | Get pricing |
| Acedo, Melba2501-A Kinoole Street | Small home4 residents | Get pricing |
| Edita Castro201 Kuhilani Street | Small home4 residents | Get pricing |
| G. Inocencio's1262 Komohana Street | Small home4 residents | Get pricing |
| J & R Earch2317 Awapuhi Street | Small home4 residents | Get pricing |
| Solmerin, Ofelia366 Kapualani Street | Small home4 residents | Get pricing |
| Aliga, Nelly174 Lukia Street | Small home3 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 24 assisted living communities in Hilo as of September 2026: 1 larger communities and 23 small residential homes of 16 or fewer residents, with about 126 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.
