Hawaii’s cost of senior care is lower than the national average. It’s important to understand the main differences between living and care arrangements when deciding the best setting for an older adult transitioning to senior care. The cost of home care, assisted living, and nursing homes can be significant, depending on your location and necessary care level. Here, we describe these differences and introduce some options to help you pay for senior care in Hawaii.

Cost of assisted living in Hawaii

Multiple factors influence the cost of assisted living in Hawaii. Many of these factors depend on the type and level of care you need. Long-term care financial company Genworth reported in 2024 that the average cost of assisted living in Hawaii is $9,340 per month. This cost has increased by 73.77% since the last report in 2021.

The level of care a person requires will impact the cost of assisted living, but where you live also matters. The monthly cost varies depending on where you live in the state. In the Honolulu area, it can be as high as $9,908.

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senior couple with the woman sitting in bed eating breakfast

Cost of nursing homes in Hawaii

The difference between nursing homes and assisted living facilities is in their accommodations and the level of care they provide. In nursing homes, the living environment is more clinical, where residents live in a private or semi-private room without a living room or kitchen area. In assisted living facilities, residents live in apartments with a private bathroom and kitchenette.

The cost of nursing homes in Hawaii is nearly 30% greater than that of assisted living facilities. The average cost for a semi-private room is $12,167 per month, and a private room is $12,197 per month. These costs vary across the state. Honolulu costs $12,167 for a semi-private room and $12,197 for a private room.

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Read more: How to Pay for Nursing Home Care

Cost of home care in Hawaii

If you can stay at home but need a little help, home care is an excellent alternative to moving into a facility which allows you to stay at home and brings care to you. There are two types of home care that can help meet your needs. One option is homemaker services, where a non-medical caregiver goes to your home to help with basic living activities, like grocery shopping, meal preparation, housekeeping, and cleaning. The other option is to hire a home health aide. A home health aide assists with bathing and toileting and can provide health monitoring, like taking pulse and blood pressure readings. Home health aides can also monitor the person’s mental health condition they are helping.

The average hourly cost for homemaker services averages $28.90 an hour. The cost of homemaker services in Honolulu is $35.22, higher than the state average.

Cost of memory care in Hawaii

Memory care is the fastest-growing care segment in the U.S. as measured by the number of individuals needing the care and the number of memory care providers. Memory care specializes in the care of residents or patients with Alzheimer’s disease or other forms of dementia. Memory care is provided at a standalone memory care facility or at an additional cost in an assisted living facility or nursing home.

Memory care is typically an additional cost above assisted living or a nursing home. The incremental cost is due to these residents’ receiving 24-hour long-term care. This additional cost is between $1,075 and $1,125 per month in Hawaii.