Adult Residential Care Homes in Hawaii
Hawaii Adult Residential Care Homes Directory
456 licensed adult residential care homes across 32 cities.
Hawaii licenses Adult Residential Care Homes (ARCHs) through the Department of Health, Office of Health Care Assurance. The state has more than 450 licensed care homes, with the vast majority located on Oahu. Type I homes provide minimal care while Type II homes offer more intensive personal care services.
See what care costs here, or learn how adult residential care homes work.
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4 countiesCities in Hawaii
32 cities- Aiea 21 homes · avg 5.8 beds
- Captain Cook 2 homes · avg 4.5 beds
- Ewa Beach 12 homes · avg 4.4 beds
- Haleiwa 1 home · avg 4 beds
- Hauula 1 home · avg 26 beds
- Hilo 24 homes · avg 4.7 beds
- Honokaa 1 home · avg 3 beds
- Honolulu 159 homes · avg 5.6 beds
- Kahului 5 homes · avg 7.8 beds
- Kailua 12 homes · avg 6.7 beds
- Kailua-kona 4 homes · avg 5 beds
- Kalaupapa 1 home · avg 5 beds
- Kamuela 1 home · avg 5 beds
- Kaneohe 24 homes · avg 6.5 beds
- Kapaa 3 homes · avg 4.3 beds
- Kapaau 1 home · avg 5 beds
- Kapolei 5 homes · avg 4.8 beds
- Kaunakakai 2 homes · avg 5 beds
- Keaau 7 homes · avg 4.6 beds
- Kihei 1 home · avg 5 beds
- Koloa 1 home · avg 3 beds
- Lihue 2 homes · avg 5 beds
- Makakilo 1 home · avg 5 beds
- Mililani 3 homes · avg 5 beds
- Papaikou 1 home · avg 4 beds
- Pearl City 27 homes · avg 4.9 beds
- Pepeekeo 2 homes · avg 3.5 beds
- Wahiawa 6 homes · avg 5 beds
- Waialua 2 homes · avg 4.5 beds
- Waianae 8 homes · avg 4.9 beds
- Wailuku 4 homes · avg 4.5 beds
- Waipahu 112 homes · avg 4.7 beds
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Hawaii care costs at a glance
Median monthly figures for Hawaii. Small residential homes often price below the assisted living median because they carry lower overhead, though rates rise with care needs. Ask any home for its rate sheet in writing.
| Type of care | Median per month |
|---|---|
| Assisted living Monthly median, one resident | $12,096 |
| In-home care Non-medical caregiver, 44 hours a week | $7,817 |
| Nursing home Semi-private room | $15,473 |
Home care median is CareScout's non-medical caregiver rate at 44 hours per week.
Source: CareScout (formerly Genworth) Cost of Care Survey, 2025.
Full cost breakdown for Hawaii adult residential care homes →Talk through your shortlist with an advisor
A Place For Mom connects families with local senior living advisors. The guidance is free for families; advisors are paid by the communities that participate in their network. An advisor can help you build a shortlist and schedule tours. The judging stays with you: verify any home you are considering against the state license database, whoever recommended it.
Connect with a senior living advisor at no cost to you →AgeSong may receive a fee if you connect with a partner service.
What small care homes are called in Hawaii
- Licensing term
- adult residential care home (ARCH)
- Related license type
- expanded adult residential care home
- Size and capacity
- Type I adult residential care homes serve 5 or fewer residents; Type II homes serve 6 or more.
- Licensed and inspected by
- Hawaii Department of Health, Office of Health Care Assurance
Check any home you are considering against the state license record before you tour or sign anything. The lookup shows current license status and inspection history.
Does Medicaid pay in Hawaii?
Hawaii's managed Medicaid program can cover community-based care in licensed homes for eligible members. The program to ask about by name is QUEST Integration.
How Medicaid covers residential care →Common questions about adult residential care homes in Hawaii
- How many adult residential care homes are there in Hawaii?
- Our Hawaii directory lists 456 licensed adult residential care homes across 32 cities. The largest concentrations are in Honolulu County, Hawaii County, Maui County.
- What is an adult residential care home in Hawaii?
- "Adult Residential Care Home" is the Hawaii licensing term for a residential care setting: a home where a group of older adults live and receive daily personal care. Type I adult residential care homes serve 5 or fewer residents; Type II homes serve 6 or more. Hawaii also licenses homes under the term "expanded adult residential care home".
- How much does assisted living cost in Hawaii?
- The median assisted living rate in Hawaii is $12,096 a month, according to the CareScout (formerly Genworth) Cost of Care Survey, 2025. Small residential homes often price below that median because they carry lower overhead, and rates rise with care needs. Ask each home for its rate sheet in writing, and use our free cost estimator for a figure based on your situation.
- Who licenses adult residential care homes in Hawaii?
- Hawaii Department of Health, Office of Health Care Assurance licenses and inspects every adult residential care home in the state. Check any home you are considering against the official state license record before you tour or sign anything. The lookup shows current license status and inspection history.
- Does Medicaid pay for adult residential care homes in Hawaii?
- Hawaii's managed Medicaid program can cover community-based care in licensed homes for eligible members. The program to ask about by name is QUEST Integration. Eligibility rules and waitlists vary, so confirm current terms with the state before you count on coverage.