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.
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” (8), “Type II Expanded Adult Residential Care Home” (2), “Type I Adult Residential Care Home” (1).
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 reviews are listed first, then by size.
11 shown
| Community | Size | Price |
|---|---|---|
| Wilson Senior Living Kailua96 Kaneohe Bay Drive | Mid-size22 residents | Get pricing |
| Kina 'Ole Estate Elima, LLC1368 Kuloaa Place | Small home8 residents | Get pricing |
| Angel Home For Seniors1315 Kupau Street | Small home5 residents | Get pricing |
| Kailua Ohana1346 Akamai Street | Small home5 residents | Get pricing |
| Kokua Gardens340-B Kawainui Street | Small home5 residents | Get pricing |
| Ma & Pa's Runaway Home1430 Akuleana Place | Small home5 residents | Get pricing |
| Oililua Elder Care, Inc., #III429 B Ulupaina Street | Small home5 residents | Get pricing |
| Oililua Eldercare Inc.429 Ulupaina Street | Small home5 residents | Get pricing |
| Oililua Senior Care, Inc., #II711 Oneawa Street | Small home5 residents | Get pricing |
| Pacific Care LLC381 Wanaao Road | Small home5 residents | Get pricing |
| Sera, Aurora1305 Mokapu Boulevard | Small home5 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 11 assisted living communities in Kailua as of September 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, 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.
