Senior care in Hawaii: assisted living $12,096 a month, a nursing home $15,473 a month, home care about $41 an hour

OCTOBER 10, 2026 Families in Hawaii pay a median $12,096 a month for assisted living, 94% above the national median, and $15,473 a month for a nursing home, according to The ElderCareCosts 2026 Cost of Senior Care Index, published October 10, 2026 by ElderCareCosts.

Agency home care in Hawaii works out to about $41 an hour at the survey's 44-hour week, against a median wage of $18.27 an hour for the home health and personal care aides who deliver it (Bureau of Labor Statistics, May 2025). The difference carries payroll taxes, insurance, scheduling and backup coverage, not only margin.

Hawaii ranks 1st of 50 states for assisted living cost and 4th of 51 states for nursing home cost (first is most expensive). The index lists 1,838 assisted living communities, 45 nursing homes, 37 adult day programs and 11 hospice agencies in Hawaii, drawn from state licensing registries and federal files.

Hawaii medians at a glance

In-home and home health figures assume 44 hours of care a week. Every figure is a modeled statewide median anchored to the latest published national cost survey and adjusted with federal wage data; it is an estimate to plan against, not a quote from any provider.

Paying for it in Hawaii

How Hawaii Medicaid covers nursing home care and care at home, who in a family may be paid to provide it, and the waiver programs that apply are on the Hawaii Medicaid guide. Licensed providers, with inspection records where the state or CMS publishes them, are on the Hawaii assisted living directory and the nursing home directory.

Where the numbers live

• Hawaii page of the 2026 index, with hourly math, the wage comparison and an embeddable table.
• Hawaii data as CSV, every state and city row with its source and period.
• The national index, archived under DOI 10.5281/zenodo.23005532 and listed in the NIH National Library of Medicine Dataset Catalog.

Reuse any figure with attribution to ElderCareCosts Research and a link to the page it came from. No permission is needed.

About ElderCareCosts

ElderCareCosts is a cost-first senior care resource. We publish care costs by care type, state, and city with the source and date on every number. We list licensed providers from government records, not just the ones that pay. We explain how families actually pay: Medicaid, veterans benefits, insurance, and what happens when the money runs out.

We do not hide prices behind forms. We do not have commissioned advisors. We do not remove providers for bad inspection results, and we do not let anyone pay to bury them.

Authorship: ElderCareCosts Research (Organization). Not medical, legal, or financial advice.

Media contact

[email protected]
eldercarecosts.com/press/
The research desk is available for comment, state and metro data cuts, and a CSV of any table on the site.

###