30 nursing homes communities across 4 cities in Hawaii. Hawaii's senior care market is concentrated on Oahu, with smaller markets on Maui and the Big Island. Costs run higher than the US median.
A skilled nursing facility (SNF, often called a nursing home) provides 24-hour licensed medical care and rehabilitation for seniors with serious health conditions.
Pick a city to see communities, compare amenities, and request pricing.
Honolulu, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Honolulu, HI

Hilo, HI

Honolulu, HI
Nursing Homes (typical US range)
$7,500 - $11,000 per month (US, 2026, semi-private room)
Skilled nursing is the most expensive senior-care setting. Medicare pays for short-term skilled nursing (up to 100 days) after a qualifying hospital stay, with cost-sharing after day 20. Long-term stays are usually paid by Medicaid, long-term care insurance, or private pay; most long-stay residents end up on Medicaid after spending down their savings.
Hawaii's cost of living is nearly double the average cost of living in the rest of the US. If you want to retire here, you'll have to have some money saved. While many believe it's worth it, nothing in Hawaii is nowhere near the national average. The housing cost is triple the norm, with the median home price over double. When retiring to Hawaii, it's crucial to be strategic with how you approach it. Is it possible to retire in Hawaii without stress? Yes. However, paradise does require planning and finding the ideal place to live. Hawaii's cost-of-living index is 192.9 (100 = US average). The median home price is around $615,300. Average rent runs about $1,617 a month.
Skilled nursing fits seniors who need 24-hour licensed medical care, short-term rehabilitation after a hospital stay, or active treatment for conditions assisted living can't safely manage. It is not the right level of care for someone who's mostly independent - that's assisted living or independent living. Many families use skilled nursing only as a final stage, or for short-term rehab.
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Tell us the city, budget, and care level you're considering. We'll send pricing for Hawaii nursing homes communities that fit. No phone calls until you ask.
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