About Assisted Living in Hawaii

While the diverse Hawaiian landscape may seem an ideal place to retire, the cost of living is substantially higher than the national average. However, social security, and military, as well as state, federal, and local pensions are exempt from income tax. There are less expensive options in the state, but the cost of living in each city is still higher than the national average.

What Options are Available for Assisted Living?

In the state of Hawaii, an assisted living facility is a building offering homes to individuals as well as services to allow residents to maintain an independent assisted lifestyle.

Each assisted living facility must meet both county building and occupancy and fire code requirements.

What are the Alzheimer’s Requirements for Assisted Living Facilities in Hawaii?

There are no specified requirements for Alzheimer’s units or the training of Alzheimer’s staff.

Senior Assisted Living Details and Costs for Cities in Hawaii

Listed below are some of the larger cities in Hawaii. Each city details page provides details on senior care facilities, independent living, senior group homes, and memory care. Details include costs, amenities, services provided, as well as other useful information.

What Training is Required for Assisted Living Facility Staff?

All facility staff must complete orientation and at least 6 hours in-service training annually.

Is an Assessment Required Before Move-In?

There is no specific resident form required for resident assessment, but the facility must conduct a comprehensive assessment of each resident’s needs, plan and implement responsive services, and maintain and update resident records, as well as periodically update their plan of care.

What Care is Available in an Assisted Living Facility?

  • 24-hour onsite direct care.
  • Services to assist residents in performing activities of daily living (ADLs).
  • Nursing assessment.
  • Health monitoring.
  • Routine nursing tasks.

The facility may arrange a 3rd party for medically related care and social work services.

How is Medication Managed?

The facility must have medication management policies in place for self-medication and administration of medication.

What are the Bathroom Requirements for an Assisted Living Facility?

Each resident unit shall have a separate bathroom.

What are the Move-In or Move-Out Requirements?

There are no specific limitations on resident admission. A resident must receive a written 14-day notice of discharge if his or her behavior imposes an imminent danger to themselves or other residents or if the facility is unable to meet the resident’s needs.

Is an Assisted Living Facility Covered by Medicaid in the State of Hawaii?

Yes. Medicaid home and community-based services waiver covers services in assisted living facilities for residents that are eligible for Medicaid.

Who can I contact for more information?

Department of Health, Office of Health Care Assurance
Contact OHCA
(808) 692-4400