Assisted Living in Kailua, HI
Kailua has 11 state-licensed assisted living communities: 1 larger community and 10 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 Kailua
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” (8), “Type II Expanded Adult Residential Care Home” (2), “Type I Adult Residential Care Home” (1).
All 11 licensed assisted living communities in Kailua
Every assisted living community Hawaii licenses in Kailua, 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.
11 shown
| Community | Size | Price |
|---|---|---|
| Wilson Senior Living Kailua96 Kaneohe Bay Drive | Mid-size22 residents | $7,550 to $12,150/moLilisity estimate |
| Kina 'Ole Estate Elima1368 Kuloaa Place | Small home8 residents | $8,300 to $13,400/moLilisity estimate |
| Angel Home For Seniors1315 Kupau Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Kailua Ohana1346 Akamai Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Kokua Gardens340-B Kawainui Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Ma & Pa's Runaway Home1430 Akuleana Place | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Oililua Elder Care, #III429 B Ulupaina Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Oililua Eldercare429 Ulupaina Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Oililua Senior Care, #II711 Oneawa Street | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Pacific Care381 Wanaao Road | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
| Sera, Aurora1305 Mokapu Boulevard | Small home5 residents | $8,300 to $13,400/moLilisity estimate |
How much does assisted living cost in Kailua?
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 Kailua 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 Kailua 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.
Kailua assisted living questions
Hawaii licenses 11 assisted living communities in Kailua as of November 2026: 1 larger communities and 10 small residential homes of 16 or fewer residents, with about 75 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.