Honolulu Senior AdvisorWhat types of senior care are available on Oahu?
Oahu families can choose among in-home care, adult day care, adult residential care homes, expanded ARCHs, community care foster family homes, licensed assisted living, nursing homes and hospice, and in Hawaii the small licensed home is the most common long-term setting.
Each guide below explains what the setting provides, who it fits and how many there are on the island, using the state's own rosters.
How do we know which type of care is right?
Match the care type to the help needed: in-home care or adult day care for part-day help, a care home for daily help and supervision, an expanded ARCH or foster family home for nursing-level needs in a home setting, assisted living for independence with services, and a nursing home for heavy skilled care.
Our comparisons and situation guides walk through the choices.
Care Types guides
Care homes (ARCH) on Oahu
Adult residential care homes (ARCH and expanded ARCH) on Oahu: who they serve, what daily care looks like, how many there are and how to choose one.
Read →Community care foster family homes on Oahu
Community care foster family homes on Oahu: nursing-level care for two or three adults in a family home, how placement works and where the homes are.
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Assisted living on Oahu
Licensed assisted living on Oahu: private apartments, 24-hour staff, service plans, Hawaii's 2025 cost median and how to compare the island's licensed facilities.
Read →
Memory care on Oahu
Dementia and Alzheimer's care options on Oahu in a state with no separate memory care license: care homes, assisted living, nursing homes and what to ask each.
Read →
Nursing homes on Oahu
Nursing homes in the City and County of Honolulu: short-term rehab, long-term care, CMS ratings, costs and how Med-QUEST and Medicare pay.
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In-home care on Oahu
Non-medical home care, Medicare home health and EAD in-home services on Oahu: what each provides, Hawaii's 2025 home care median and how to pay.
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Hospice care on Oahu
How hospice works on Oahu: Medicare coverage, care delivered at home, in a care home or foster family home, and how to choose a hospice.
Read →Adult day care on Oahu
Adult day care on Oahu: what certified centers provide, Hawaii's 2025 adult day health median, how it helps family caregivers and how to pay.
Read →At a glance
| This care type is | This care type is not | |
|---|---|---|
| Choice | One of several Oahu settings to compare | Right for every family |
| Licensing | Defined by Hawaii's rules for that setting | Defined by marketing names |
| Payment | Paid privately, by insurance, VA or Med-QUEST depending on the setting | Paid by Medicare long term |
| Records | Checkable on OHCA rosters or CMS Care Compare | Rated by us |
