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Hawaii Assisted Living Facilities

Search Hawaii Assisted Living Communities by ZIP

Hawaii assisted living facilities are listed by city below. We recommend you search by ZIP code to include nearby facilities. However, you may choose a city to view all assisted living options in that area.


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.

More info on Assisted Living Costs

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

Additional services:

- 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

Read about QExA and its application process on this website

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:

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 Contacts

Hawaii Department of Health, Office of Health Care Assurance

Phone: (808) 586-4080

Keith Ridley
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