Adult Residential Care Home · Hawaii County

Adult Residential Care Homes in Hilo, Hawaii

Hilo has 24 licensed adult residential care homes, ranging from 2 to 5 beds. Every home here is verified against Hawaii Department of Health records for Hawaii County.

Families in Hawaii typically pay $5,500 to $8,000 per month for a shared room and $7,000 to $10,000 for a private room. Estimate your cost or learn how adult residential care homes work.

Filter Hilo care homes

Licensed care homes

24 results

Common questions about care homes in Hilo

How many adult residential care homes are in Hilo, Hawaii?
Hilo has 24 licensed adult residential care homes in Hawaii County. Statewide, Hawaii licenses 456 small residential care homes.
How much does a adult residential care home in Hilo cost?
Across Hawaii, a shared room in a small licensed care home typically runs $5,500 to $8,000 per month and a private room $7,000 to $10,000, based on 2026 Genworth Cost of Care Survey figures and operator data. The exact rate depends on care needs, so use our free cost estimator for a personalized figure.
Who licenses adult residential care homes in Hilo?
Hawaii Department of Health, Office of Health Care Assurance licenses and inspects every adult residential care home in Hilo. You can verify any home's license status in the official state database before you tour.
What size are the care homes in Hilo?
Homes in Hilo are licensed for 2 to 5 residents, with a median of 5 beds. Small homes like these offer higher caregiver-to-resident ratios than large communities.
Estimate monthly costs → Does Medicaid pay? → Verify a license →

Guides for Hawaii families

In-depth articles on finding and evaluating care homes in Hawaii.

Browse all guides →
A suitcase open on a bed in a bright guest room with fresh flowers on the nightstand.

Respite Care and Short Stays in Small Care Homes

Respite care gives family caregivers a break while their loved one stays in a care home temporarily. How it works, what it costs, and how to arrange it.

12 min read
A table set with traditional dishes from multiple cultures, with hands reaching to share food.

Finding a Care Home That Matches Your Culture and Language

Cultural fit and language access matter deeply in residential care. How to find a care home that honors your family traditions and communication needs.

13 min read
A small dog curled up on a couch next to an elderly person in a cozy living room with warm light.

Pet-Friendly Care Homes: What Families Should Know

Some small care homes welcome pets or have resident animals. Learn how to find pet-friendly options and what policies to ask about.

12 min read