Assisted Living in Hawaii

Known as the “Aloha State,” Hawaii is a tropical paradise known for its white sand beaches, crystal blue waters, majestic volcanoes, and dense rain forests home to a plethora of flora and fauna. Hawaii is one of the premier vacation destinations in the United States, making it an excellent spot to retire and relax in the sun. Many seniors enjoy exploring the local culture and historic sites of the islands, especially Pearl Harbor and the USS Arizona Memorial.

Currently, A Place for Mom partners with more than 15 senior living communities in Hawaii that provide assisted living. The median monthly cost of assisted living in Hawaii is about $4,100.

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Assisted Living in Hawaii

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Hawaii Assisted Living Regulations

Assisted living communities in Hawaii are regulated by the Department of Health, Office of Health Care Assurance. Public access to assisted living records and violations history in Hawaii is rated as high. You can use the state’s Healthcare Facilities Inspection Reports to research the violation history of an assisted living community.

In Hawaii, assisted living communities are licensed under two different terms depending on the care they provide:

Assisted living facilities provide housing to individuals, and are designed to maximize the independence of residents, provide services to assist with performing all activities of daily living, and routine nursing tasks. Assisted living facilities can provide care to residents with physical or mental decline.

An Adult Residential Care Home means any facility that provides twenty four hour living accommodations and minimal assistance in the activities of daily living, personal care services, protection, and health care services. An adult residential care home may not provide care equivalent to skilled nursing or an acute care facility. There are two types of care homes: Type I, which is licensed to provide care for 5 or less residents, and Type II, which is licensed to provide care for 6 or more residents.

Cost of Living

Hawaii has some of the highest costs of living in the entire country. This is due to the relative isolation of the Hawaiian Islands coupled with their pristine scenery, making it a highly coveted place to live. The housing cost index for the state as a whole is the highest in the country. All index scores are based on a scale with the national average set at 100.

Price Indexes

  • Cost of living index: 190
  • Groceries: 169
  • Housing: 319
  • Utilities: 173
  • Transportation: 149


About 1/5 of Hawaii’s population is over the age of 65. In the 2016 presidential election, Hawaii leaned very liberal. Over 10% of the population are Native Hawaiians, and there is a large Asian population on the islands, as well.

2016 Presidential Election

  • 62% voted Democratic
  • 30% voted Republican
  • 8% voted third party


  • Median age: 39
  • Over the age of 55: 31%
  • 2018 population: 1,420,491
  • 2020 population: 1,413,096
  • Estimated 2025 population: 1,394,776


  • 28% regularly attend a religious service
  • 38% consider themselves atheist, agnostic, or a non-believer
  • The state has a total of 1,314 congregations
  • There are 16 Masonic lodges in the state

Climate and Weather

Although Hawaii is traditionally thought of as having a tropical climate, the state has a number of different climate classifications across its islands. These classifications range from rainforest and monsoon climates to oceanic and savanna climates. However, temperatures remain consistent across the state year-round despite the wide climate variety. Hawaii receives lots of precipitation during its rainy season in the spring. The combination of year-round pleasant weather and countless beaches makes Hawaii one of the top vacation destinations in the country.

Humidity and Precipitation

  • Average humidity level: 73%
  • Average monthly precipitation: 4”
  • Average maximum monthly precipitation: 16” (March)

Air Quality

  • Average air quality index rating: 42 (Good)
  • Average maximum air quality rating: 58 in July (Moderate)

Moderate air quality means that those who are sensitive to particulates in the air should limit the amount of time they spend on outdoor exertion.

Seasonal Temperatures

  • Average temperature: 72°F
  • Average summer temperature: 75°F
  • Typical summer high: 89°F (August)
  • Typical summer low: 47°F (June)
  • Average winter temperature: 69°F
  • Typical winter high: 83°F (December)
  • Typical winter low: 42°F (February)

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Cities in Hawaii
and surrounding area