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Guides for Oahu families

Written for families across the City and County of Honolulu, sourced against Hawaii and federal records.

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What do these Oahu senior care guides cover?

These guides cover the practical questions Oahu families face: how Hawaii's care homes and foster family homes work, what care costs, how Med-QUEST pays, how to read the state's inspection reports and where to get local help.

There are 12 guides so far, each sourced against Hawaii and federal records and built from the same state rosters as our directory. New guides appear in the footer of every page.

October 29, 2026

Senior Care from Ewa Beach to Makaha: Leeward Oahu's Options

Ewa Beach, Kapolei and the Waianae Coast have very different mixes of care. A town-by-town look using the state's records.

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October 26, 2026

Oahu Nursing Homes by the CMS Numbers: Ratings, Staffing and Inspections

A look at CMS Care Compare data for the 27 certified nursing homes in Honolulu County: how ratings, staffing hours, turnover and deficiencies compare.

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October 21, 2026

VA Aid and Attendance for an Oahu Care Home: A Worked Example

How VA's pension math works for a veteran paying for a care home on Oahu, step by step, with the 2026 rates.

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October 14, 2026

Wheelchairs, Diets and Ambulation: Decoding Hawaii's Care Home Roster

OHCA's care home report has columns most families skip. Here is what each one means and how to use it to shortlist homes.

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October 12, 2026

Med-QUEST Long-Term Care in 2026: The Numbers Hawaii Families Need

Hawaii's higher poverty guideline, the asset limit, the look-back and the spousal standards, in one place, with what each number means for a placement.

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October 7, 2026

Foster Family Homes and Private Pay: What Hawaii's 2017 Law Changed

Community care foster family homes are built around Med-QUEST. Act 30 of 2017 opened a narrow door for private-pay couples. Here is how it works.

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October 5, 2026

Why Hawaii Assisted Living Costs More Than Anywhere Else

CareScout's 2025 survey puts Hawaii's assisted living median at $145,065 a year, first in the nation. What is behind the number, and what Oahu families do about it.

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September 30, 2026

Windward Oahu Senior Care: Kailua and Kaneohe Compared

The windward side has fewer care homes than Leeward Oahu but more nursing homes and assisted living than many families expect. A data-based look at the options.

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September 23, 2026

The First 72 Hours After an Oahu Hospital Says Discharge Is Coming

A practical, hour-by-hour plan for the days between the discharge warning and the move, written for Oahu families.

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September 16, 2026

Expanded ARCH Openings: How Nursing-Level Slots Really Work

An open bed in an expanded care home is not always an open nursing-level slot. Here is how the two-resident and 20% limits play out when you are looking for a placement.

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September 9, 2026

Why Waipahu Has More Care Homes Than Any Other Oahu Town

Waipahu has 122 licensed care homes and 524 certified foster family homes. What that concentration means for families looking for care.

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September 2, 2026

How to Read an OHCA Care Home Inspection Report, Line by Line

Hawaii posts its care home inspection reports online. Here is a walk-through of what each part of the report means and what to look for.

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