Pearl City has 37 state-licensed assisted living communities: 1 larger community and 36 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” (20), “Type I Adult Residential Care Home” (16), “Assisted Living Facility” (1).
Every assisted living community Hawaii licenses in Pearl City, 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.
37 shown
| Community | Size | Price |
|---|---|---|
| The Plaza at Pearl City1048 Kuala Street | Large158 residents | Get pricing |
| 2906batacquenia Care Home, LLC942 First Street | Small home6 residents | Get pricing |
| Valley View Pearl City, LLC (1644)1644 Hoohalike Street | Small home6 residents | Get pricing |
| Aloha Nui Care Home LLC1662 Hookani Street | Small home5 residents | Get pricing |
| Bayani Care ARCH98-137 Kaluamoi Place | Small home5 residents | Get pricing |
| Caring Touch ARCH/Expanded ARCH98-131 Kaluamoi Place | Small home5 residents | Get pricing |
| Domingo, Maria-Theresa C.98-1651 Hoomaike Street | Small home5 residents | Get pricing |
| Fely Irons' Adult Residential Care Home2036 Komo Mai Drive | Small home5 residents | Get pricing |
| Flojo Quality Affordable Care Home1159 Kuokoa Street | Small home5 residents | Get pricing |
| Inspire Care Home LLC98-1713 Laauhuahua Way | Small home5 residents | Get pricing |
| J. Quinabo ARCH #11553 Kaweloka Street | Small home5 residents | Get pricing |
| Jaja ARCH1459 Kaleilani Street | Small home5 residents | Get pricing |
| Jesusa Quinabo ARCH #II1805 Hookupa Street | Small home5 residents | Get pricing |
| Joy's Senior Haven98-1584 Hoomahilu Street | Small home5 residents | Get pricing |
| Juanita's1902 Palamoi Street | Small home5 residents | Get pricing |
| Lorenzo Care Home, LLC98-1591 Hoomaike Street | Small home5 residents | Get pricing |
| Maestro Care Home II141 Hoomalu Street | Small home5 residents | Get pricing |
| Maestro Care Home III1988 Hoohai Street | Small home5 residents | Get pricing |
| Malama Makua Care Home LLC1569 Kaweloka Street | Small home5 residents | Get pricing |
| Marina's Adult Residential1344 Hoolaulea Street | Small home5 residents | Get pricing |
| Mary Ann's745 Puu Kala Street | Small home5 residents | Get pricing |
| Mercy Full Care Giving, LLC98-1488 Hoomahie Loop | Small home5 residents | Get pricing |
| Na'Koa Healthcare Services, LLC98-111 Kaulike Drive | Small home5 residents | Get pricing |
| Outreach Care Home LLC98-1282 Hoohuali Place | Small home5 residents | Get pricing |
| Perez ARCH LLC1863 Hookupa Street | Small home5 residents | Get pricing |
| Tanisue Care Home1615 Hoolana Street | Small home5 residents | Get pricing |
| TJ Factora Care Home830 Second Street | Small home5 residents | Get pricing |
| TLC Ohana Hale II, Inc.1185 Hoolaulea Street | Small home5 residents | Get pricing |
| Valley View Pearl City, LLC944 Maiha Circle | Small home5 residents | Get pricing |
| Yoon's Care Home1754 Komo Mai Drive | Small home5 residents | Get pricing |
| Abad, Edna98-312 Kaluamoi Drive | Small home4 residents | Get pricing |
| Maestro Care Home613 Hoohale Street | Small home4 residents | Get pricing |
| Rose Hwang's Care Home1755 Palamoi Street | Small home4 residents | Get pricing |
| Sweet Haven98-1274 Hoohuali Place | Small home4 residents | Get pricing |
| Divine Care Adult Residential Care Home LLC2276 Komo Mai Drive | Small home3 residents | Get pricing |
| Home With The Lucas LLC850A Third Street | Small home3 residents | Get pricing |
| Quitevis, Elena1614 Maluawai Street | Small home1 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 37 assisted living communities in Pearl City as of September 2026: 1 larger communities and 36 small residential homes of 16 or fewer residents, with about 328 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.
