Honolulu Senior AdvisorWhat is senior care like in Mililani, Oahu?
Mililani is the planned community on the central plateau between Pearl City and Wahiawa, including Mililani Town and Mililani Mauka along Kamehameha Highway and the H-2. Wahiawa General Hospital to the north and Pali Momi to the south are the closest hospitals.
Mililani has few licensed care homes for its population and only a handful of foster family homes, but it does have one of the island's purpose-built assisted living buildings. Families here often look to Wahiawa, Waipahu and Pearl City for care homes.
How many licensed care settings are in Mililani?
The state's rosters and CMS list 13 licensed or certified long-term care settings in Mililani: 3 adult residential care homes (1 of them expanded), 9 community care foster family homes, 1 assisted living facility and 0 certified nursing homes.
| Setting | Count | Beds / places |
|---|---|---|
| Care homes (ARCH) | 2 | 9 |
| Expanded care homes (E-ARCH) | 1 | 5 |
| Foster family homes (CCFFH) | 9 | 21 |
| Assisted living facilities | 1 | — |
| CMS-certified nursing homes | 0 | 0 |
| Adult day care centers | 1 | 44 |
About 33% of Mililani's care homes are expanded ARCHs, and 2 of the 3 report wheelchair access on OHCA's roster. Foster family homes are counted from the March 2026 roster; they are private homes, so we do not name them.
Which care homes are licensed in Mililani?
OHCA's April 2026 roster lists 3 licensed care homes in Mililani, with 14 beds; the most common licensed capacity is 5 residents.
| Care home | License type | Capacity | Wheelchair | Latest OHCA report |
|---|---|---|---|---|
| Mililani Care Home LLC | ARCH Type I | 5 | Yes | Sep 2025 |
| Lisa and Letty Care Home, LLC | ARCH Type I | 4 | No | Oct 2025 |
| Rainbow Adult Residential Care Home/Expanded ARCH | E-ARCH Type I | 5 | Yes | Dec 2025 |
Sort and filter these homes with the rest of the island on the full care home roster, which adds license numbers, ambulation and expiration dates.
Is there assisted living or a nursing home in Mililani?
Mililani has 1 licensed assisted living facility (The Plaza at Mililani); there is no certified nursing home in Mililani, and the closest are Pearl City Post Acute (5 of 5), Ann Pearl Nursing Facility (3 of 5), Avalon Care Center - Honolulu, LLC (2 of 5).
Assisted living pages show each facility's license and OHCA inspection reports; nursing home pages show CMS star ratings, inspections and staffing, labelled as CMS's.
Which hospitals serve Mililani?
The nearest hospitals in CMS's hospital list are Pali Momi Medical Center (6.2 miles by straight line) and Tripler Army Medical Center (9.0 miles).
Distances run from the center of the area's main ZIP code and ignore traffic, which on Oahu can matter more than miles. Discharge planners at these hospitals arrange many of the island's care home and nursing home admissions.
What should Mililani families ask before choosing care?
Fewer than half of Mililani's care homes are expanded; if nursing-level care is likely, ask specifically for an E-ARCH.
- Ask every home for its latest OHCA inspection report and read it before visiting.
- Visit at a mealtime and meet the primary care giver, not only the licensee.
