Hawaii Assisted Living Facilities
Cost of Hawaii Assisted Living Facilities
According to the 2015 Genworth Financial cost of care survey, the average cost of assisted living in Hawaii is $4,000 per month.
The monthly base rate for Hawaii assisted living is typically higher when compared to neighboring states. Hawaii is also more expensive compared to the national average.
This cost is the base cost for a one-bedroom assisted living unit in Hawaii. Additional fees beyond the base rate may apply.
Monthly Costs Compared to Neighboring States
Assisted Living Regulations
Hawaii defines assisted living facilities as an Assisted Living Facility that consists of a building complex providing living units to individuals, and services allowing the residents to maintain an independent, assisted living lifestyle.
Hawaii Assisted Living Facility Scope of Care
The facility is required to provide 24-hour on-site direct care staff including providing services assisting residents in daily living activities, nursing assessment, health monitoring, and routine nursing tasks. The facility can arrange outside agency services for medically related care.
Hawaii Assisted Living Admission Requirements
For the admission of residents to an Assisted Living Facility in Hawaii, there are no limitations aside from any restrictions placed by the County Building Department review. Residents must receive a written notice 14 days prior to discharge if their behavior poses danger to themselves or others, or if the facility cannot meet the resident's needs.
Hawaii Assisted Living Care Plan Requirements
Facility staff must conduct a thorough assessment of the needs of every resident, plan and implement responsive services, keep resident records as needed, and update the plan. The resident's level of involvement; support principles of dignity, privacy, choice, individuality, independence, and a homelike environment; including significant others who take part in providing services is required in the plan.
Hawaii Assisted Living Medication Management Requirements
There must be medication management policies governing self-medication and the administration of medication for the facility.
Hawaii Assisted Living Facility Requirements
Each resident with an apartment unit including a bathroom, refrigerator, cooking capacity, a sink; must have a unit that is a minimum of 220 square feet, not including the bathroom; a cooking capacity that may be removed or disconnected depending on the individual needs of residents; a separate and complete bathroom with a sink, shower, and toilet; accommodations for those physically challenged and wheelchair-bound persons, as needed; a call system monitored 24-hours daily by staff; and wiring for telephones and televisions. Resident units must have a separate bathroom.
Hawaii Assisted Living Staffing Requirements
Licensed staff must be available seven days a week. The administrator or director must have a minimum of two years experience in a management role in housing, health care services, or personal care industries. An assisted living facility administrator's course or course equivalent is required. Staff must take part in orientation and complete at least six hours every year of in-service training.
Hawaii Assisted Living Medicaid Policy
A Medicaid home and community-based services waiver will cover the cost of nursing services in assisted living facilities for residents that are eligible for Medicaid.
Hawaii Medicaid Coverage of Assisted Living and Related Services
The State of Hawaii has a Medicaid Waiver which pays for nursing home type care services in assisted living residences. It is called the QUEST Expanded Medicaid (QExA) Waiver. The waiver is expected to expand coverage within the next few years.
The QUEST Expanded Medicaid Waiver is designed for the elderly, the blind and/or the disabled individuals. It is a managed care program and replaces two older Medicaid Waivers which were the Residential Alternative Community Care and Nursing Home without Walls. The acronym for the QUEST Expanded Access is the QExA.
QExA serves low income, elderly and disabled residents to live in Extended Care Adult Residential Care Homes (EC-ARCH), Community Care Foster Family Homes (CCFFH) and to a lesser extent Assisted Living Facilities. In assisted living, QExA will pay for care services but not for monthly rent and meal services costs.
Hawaii's QExA will also pay for home health care, adult day care, personal care and respite care. Individuals have the option to hire family members and friends to be paid as personal caregivers.
QExA Benefits Covered
The individuals who qualify are given a custom care plan. This explains what care services are covered for them. The long term care benefits include:
- Adult Day Care
- Adult Day Health Care
- Adult Foster Care
- Assisted Living
- Chore Services
- Home Health Services
- Homemaker Services
- Nursing Home Care
- Personal Care
- Respite Care
- A doctor called a PCP (primary care provider) who is responsible for their care
- Long-Term Care (LTC) Services
- Regular check-ups to stay healthy
- A way to get healthcare 24 hours a day, 7 days a week through their health plan
A Service Coordinator to work with them to make sure their health needs are met
Hawaii does not have a waiting list for its Medicaid waiver program.
Department of Health, Office of Health Care Assurance Phone (808) 692-7227
Contact: Keith Ridley Phone (808) 692-7227
Web Site: www.state.hi.us/doh/resource/ohca
What is the best number to call to get started? To schedule an intake appointment Call:
Oahu - (808) 733-1689
Hilo - (808) 974-4280
Kauai - (808) 241-3406
Kona - (808) 332-1906
Maui - (808) 243-4625
Molokai - (808) 553-3200
Waimea - (808) 887-6064
Is there a website? hawaii.gov/health/cmisb
Hawaii Department of Health, Office of Health Care AssurancePhone: (808) 586-4080
Phone: (808) 586-4080
Much of the information above was adapted from the National Center of Assisted Living 2010 Regulatory Review.
License information source: Official Site of the State of Hawaii
Hawaii Assisted Living Facilities by City
- What is Assisted Living?
- Who Lives in Assisted Living?
- Services Provided
- Staff and Administration
- Quiz: What type of care is right for me?
- Talking to a Parent
- Assisted Living Costs
- Ways to Pay for Assisted Living
- Putting Together a Financial Plan
- If You Can't Afford Assisted Living
- Planning Your Social Security to Better Pay for Retirement
- Prescription Drug Assistance
- Choosing an Assisted Living Facility
- Moving Out of the Family Home
- Moving Into an Assisted Living Community
- Resident Activities
- Resident Health
- Medication Management and Adherence Education
- How Tech Advanced are Facilities?