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ElderCareCosts
Updated August 2026

Nursing Home in Pearl City, Hawaii

Pearl City, HI has 1 licensed nursing home listed on ElderCareCosts. The median estimated cost is $15,378/mo. That's roughly in line with the Hawaii state median.

Not sure which type of care fits? Take our 3-question care quiz →

Median monthly price, Pearl City

$15,378/mo

Estimated range $14,547 – $17,638

● Pearl City $15,378 ○ National median $10,205

Source: CareScout 2025 survey, adjusted for local wages

See all 1 providers →Compare costs →

What senior care costs in Pearl City

2025 figures

Nursing Homes cost comparison (2025)
Nursing HomesPearl CityHawaiiNational
25th percentile$14,547/mo$14,771/mo$8,951/mo
Median$15,378/mo$15,473/mo$10,205/mo
75th percentile$17,638/mo$16,817/mo$12,642/mo

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Source: CareScout 2025 survey, adjusted for local wages (opens in a new tab)

Staying home instead

Home care in Pearl City runs about $41 an hour. Here is what common schedules cost a month:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$3,531
44 hrs/weekMost of every weekday$7,769
24/7 (168 hrs/week)Round-the-clock coverage~$29,663

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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.

Nearby cities: Urban Honolulu · Kaneohe

What can you afford?

Here is what different monthly budgets cover in Pearl City.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Pearl City runs about $2,535 a month. Income-restricted affordable senior housing is the other common choice, and Pearl City has 4 such properties. The county aging agency at (808) 768-7700 can help you sort through options for free. If money is very tight, ask about Medicaid waivers.
Affordable senior apartments →
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care usually falls here. Full-time care at 44 hours a week runs about $7,769 a month. The local assisted living median is $12,022 a month, and smaller homes often charge less. If Medicaid may apply, ask about waiver programs.
Medicaid & waiver paths →
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Pearl City assisted living median of $12,022 a month with room to spare. It also covers close to full-time home care, about $7,769 a month.
How families pay →
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Pearl City run about $15,378 a month at the median. Around-the-clock home care usually costs more.
How families pay →
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1 nursing home in Pearl City

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In the last 365 days: 105 newly licensed · 6 closed. Counts come from our ingestion diffs, not a complete state registry dump.

Free local help worth saving

Pearl City, in Honolulu County, has about 44,547 residents. About 11,990 of them (27%) are 65 or older. The median household income is $118,112.

Source: US Census Bureau
  • Elderly Affairs Division (Honolulu)(808) 768-7700elderlyaffairs.com

    Area Agency on Aging serving this city.

  • Hawaii Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

  • Hawaii State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

  • Hawaii Aging and Disability Resource Center1-808-643-2372hawaiiadrc.org

    Statewide help for older adults, people with disabilities and caregivers.

  • Spark M. Matsunaga Department of Veterans Affairs Medical Centerva.gov

    VA Medical Center in Honolulu.

  • QUEST Integration (LTSS / HCBS)Official program page

    Can help pay for care if your parent qualifies.

National helplines, including the Eldercare Locator and 211, are listed on paying for care.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →

Questions families ask

Are nursing homes in Pearl City more expensive than the rest of Hawaii?

Pearl City's median nursing home cost is about 1% lower than the Hawaii state median.

Find Pearl City care options

Tell us what you need and your budget, and we will email you licensed options right away.

Find care options →

Reading up first? Nursing Homes across Hawaii → · Nursing Homes cost across Hawaii → · Assisted Living vs Nursing Homes →

Touring this week? Print our checklist: what to ask on a tour, what to notice, and the license paperwork to request. Or email it to yourself to have it on your phone.

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Nursing Homes in Pearl City: 2026 Costs & Licensed Providers