Honolulu Senior AdvisorWhat does assisted living offer on Oahu?
Licensed assisted living on Oahu offers a private apartment of at least 220 square feet with a bathroom and kitchenette, three meals a day, 24-hour staff, help with daily activities, nursing assessment and health monitoring, housekeeping, laundry and activities, under a service plan reviewed at least once a year.
OHCA licenses 14 assisted living facilities on Oahu, and CareScout's 2025 Hawaii median is $145,065 a year, about $12,089 a month, the highest of any state.
Who is assisted living right for?
Assisted living is right for an older adult who wants their own apartment and independence, needs some help with daily activities or medications, enjoys company and activities, and can afford Hawaii's prices or has insurance to help.
For couples, assisted living can be the only setting where both share a private apartment.
How do we compare Oahu's assisted living facilities?
Compare Oahu's licensed assisted living facilities by their OHCA inspection reports, how they price care beyond the base rent, what happens when needs increase, whether they accept Med-QUEST or long-term care insurance, and location.
Our assisted living roster lists every licensed facility with its license and latest inspection report.
What does assisted living cost on Oahu?
CareScout's 2025 Hawaii median for assisted living is $145,065 a year, about $12,089 a month, up 7% from 2024 and the highest of any state; actual rates depend on apartment size and how care is priced on top of rent.
Ask each building for the base rent, the care fee structure (levels, points or a la carte), the second-person fee for couples, and the annual increase history. Long-term care insurance and VA pension can help; ask whether the building accepts Med-QUEST members for assisted living services.
What can't assisted living do in Hawaii?
Assisted living in Hawaii supports aging in place only within the ability of the facility, so a resident whose needs exceed what the building's staff can provide under the service plan, such as round-the-clock skilled nursing, may be asked to move.
Hawaii does not set a numeric staff-to-resident ratio for assisted living, so ask how many direct-care staff are on duty at night for how many residents.
At a glance
| Hawaii assisted living offers | Hawaii assisted living does not offer | |
|---|---|---|
| Space | A private 220+ sq ft apartment | Shared bedrooms as standard |
| Staff | 24-hour on-site staff | A set staff ratio |
| Care | Help with daily activities and nursing assessment | Unlimited aging in place |
| Cost | Hawaii's highest median, about $12,089/month | Mainland pricing |
Sources include Hawaii Administrative Rules chapters 11-100.1, 11-90 and 11-800, HRS 321-481 and 321-1.8, Office of Health Care Assurance rosters and pages, the 2026 HHS poverty guidelines, CMS, CareScout and VA rate tables as cited above; see our editorial standards.
