24-Hour Home Care in Makakilo, HI: Round-the-Clock Care

Local figures

24-Hour Home Care in Makakilo, HI: the local picture

7.5%

of residents 65+ have difficulty dressing or bathing (7.4% in Honolulu County)

307

residents 85 or older (1.5% of all residents)

31%

of residents 65+ report a disability (33% in Honolulu County)

$118,240

median yearly income of households headed by someone 65+

216 Makakilo residents 65 or older have difficulty dressing or bathing (7.5%; 7.4% in Honolulu County), and 623 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 307 residents are 85 or older (1.5% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Daniel K Akaka State Veterans Home in Kapolei (1.5 mi) and Ka Punawai Ola in Kapolei (1.8 mi).

Makakilo compared with Honolulu County and Hawaii

Census figure	Makakilo	Honolulu County	Hawaii
Residents 65+ with difficulty dressing or bathing	7.5%	7.4%	7.2%
Residents 65+ with serious difficulty walking	22%	20%	20%
Residents 65+ with serious difficulty remembering	8.0%	9.5%	9.5%
Residents 85 or older	1.5%	3.0%	2.8%
Residents 65+ in households who live alone	8.5%	19%	20%
Residents 65+ below the poverty line (approx.)	5.0%	9.0%	9.2%
Median income, households headed by someone 65+	$118,240	$94,383	—

Older residents in towns around Makakilo

Town	Distance	Residents 65+	Self-care difficulty (65+)
Kapolei, HI	1.6 mi	2,492	4.6%
East Kapolei, HI	2.6 mi	338	24%
Ewa Villages, HI	3.0 mi	867	4.3%
Kalaeloa, HI	3.3 mi	181	15%
West Loch Estate, HI	3.7 mi	1,018	14%
Ewa Gentry, HI	3.9 mi	2,816	9.7%

Home health agencies serving Makakilo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Adventist Health Home Care Services	Kaneohe, HI	18 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 263-5077
Bayada Home Health Care	Honolulu, HI	15 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 591-6068
Home Health Honolulu	Honolulu, HI	13 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(808) 531-0050
Neogen Care LLC	Honolulu, HI	15 mi	3 of 5	—	(808) 808-6364
Kaiser Home Health Agency - Oahu	Honolulu, HI	13 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 432-4660

Nursing homes near Makakilo (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Daniel K Akaka State Veterans Home	Kapolei, HI	1.5 mi	not rated	—	(808) 861-0926
Ka Punawai Ola	Kapolei, HI	1.8 mi	3 of 5	120	(808) 674-9262
Kulana Malama	Ewa Beach, HI	3.4 mi	5 of 5	33	(808) 681-1200
Pearl City Post Acute	Pearl City, HI	7.5 mi	5 of 5	122	(808) 453-1919

Straight-line miles from the center of Makakilo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a 24-hour caregiver can help with

Someone awake and on duty at all hours
Personal care, meals and medication reminders through the day
Help at night without relying on one tired caregiver
Written handover notes between shifts

Cost

What 24-hour home care costs in Makakilo

24-hour care is 168 paid hours a week. At $18.32 an hour (the Hawaii median aide wage) that is about $13,337 a month in wages before any overtime, 135% of the $9,853 monthly median income of Makakilo households headed by someone 65+. Rates are agreed with each caregiver. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a 24-hour caregiver

24-hour care is the most hours a family can arrange at home, and the most costly. Each caregiver works a set shift, often two 12-hour or three 8-hour shifts a day, so nobody works all night after working all day. Minimum wage and overtime rules apply to each caregiver you employ directly; for workers who live in the home see DOL Fact Sheet 79B.

Questions worth asking: How do you hand over to the next caregiver? Can you work fixed shifts on the same days each week? Have you worked on a team caring for one client? More in our 24-hour home care guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

24-Hour Home Care in Makakilo: common questions

How much does 24-hour home care cost in Makakilo?

24-hour care is 168 paid hours a week. At $18.32 an hour (the Hawaii median aide wage) that is about $13,337 a month in wages before any overtime, 135% of the $9,853 monthly median income of Makakilo households headed by someone 65+. Rates are agreed with each caregiver. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

How many caregivers does 24-hour care take?

A week has 168 hours. If each caregiver works about 40 hours, that is four or five people, plus someone to cover sickness and holidays. Fewer caregivers means very long weeks for each of them.

More near Makakilo

More senior care near Makakilo

24-Hour Home Care in nearby cities

Other care in Makakilo

More for Makakilo families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

24-Hour Home Care in Makakilo, HI