Assisted Living in Hilo, HI
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.
Free guide · 14 pages
Choosing Assisted Living
A practical guide for families, with checklists to take on your tours.
- What assisted living costs and the ways to pay
- Signs it may be time
- Tour checklists to print and take with you
- What residents and families told us matters most
Two kinds of assisted living in Hilo
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).
All 24 licensed assisted living communities in Hilo
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 testimonials are listed first, then by size.
24 shown
| Community | Size | Price |
|---|---|---|
| Pohai Malama Care Home590 Kapiolani Street | Mid-size18 residents | $7,550 to $12,150/moLilisity estimate |
| A & C Care Home2294 Awapuhi Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| A. Nishioka Family Care Home605 Kaumana Drive | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Arzaga's Adult Residential Care57 Maikai Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Arzaga's Adult Residential Care #253 Maikai Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Cua, Lilia464 Heahea Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Elisa Cabal228 Hookano Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Fernandez, Carlina137-B Hokulani Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Hale Aloha Care Home514 W Kawailani Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Ilar, Emelyn1712 Keone Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Island Care Home151 Chong Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Jessie Gacula55 Ahona Place | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Josephine Cabal2322 Awapuhi Street #1 | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| M. Nishioka Family Care Home47 Kaulike Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Poncethia R. Rambo's1621 Nohoana Place | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Raza Adult Residential Care Home-Expanded Care61 Kehaulani Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Respicio, Maria328 Wainohia Place | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Salvador, Catherine2318 Awapuhi Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Acedo, Melba2501-A Kinoole Street | Small home4 residents | $8,300 to $13,400/moLilisity estimate |
| Edita Castro201 Kuhilani Street | Small home4 residents | $8,300 to $13,400/moLilisity estimate |
| G. Inocencio's1262 Komohana Street | Small home4 residents | $8,300 to $13,400/moLilisity estimate |
| J & R Earch2317 Awapuhi Street | Small home4 residents | $8,300 to $13,400/moLilisity estimate |
| Solmerin, Ofelia366 Kapualani Street | Small home4 residents | $8,300 to $13,400/moLilisity estimate |
| Aliga, Nelly174 Lukia Street | Small home3 residents | $8,300 to $13,400/moLilisity estimate |
How much does assisted living cost in Hilo?
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. If more care is needed: nursing home costs in Hawaii, with CareScout medians and the private-pay rates nursing homes publish. 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
Three questions to ask on every Hilo tour
From about 23,000 concerns residents and families raised in Senior Living Alliance phone interviews, the most common are about dining, housekeeping and hearing back from management.
- Can I come back and eat a meal here, unannounced?Dining was 23% of all concerns: quality that changes day to day.
- How is laundry labeled and tracked, and what happens when something goes missing?Housekeeping was 17%.
- Who is my main contact, and how often will I hear from them?Communication with management was 15%.
All 8 tour questions, with a free printable tour card (PDF).
Check a Hilo community’s license
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.
Hilo assisted living questions
Hawaii licenses 24 assisted living communities in Hilo as of November 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. The table on this page shows each community's published price or a Lilisity estimate where we have one, and our free guide lists the questions to ask about cost.
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.