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

Local figures

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

8.4%

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

2,277

residents 85 or older (5.1% of all residents)

35%

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

$114,821

median yearly income of households headed by someone 65+

992 Pearl City residents 65 or older have difficulty dressing or bathing (8.4%; 7.4% in Honolulu County), and 2,583 have serious difficulty walking. Round-the-clock care is usually for people who need hands-on help at any hour.

About 2,277 residents are 85 or older (5.1% of the population).

If you are weighing home care against a nursing home, the nearest Medicare-certified ones are Pearl City Post Acute in Pearl City (1.1 mi) and Kulana Malama in Ewa Beach (6.0 mi).

Pearl City compared with Honolulu County and Hawaii

Census figure	Pearl City	Honolulu County	Hawaii
Residents 65+ with difficulty dressing or bathing	8.4%	7.4%	7.2%
Residents 65+ with serious difficulty walking	22%	20%	20%
Residents 65+ with serious difficulty remembering	10%	9.5%	9.5%
Residents 85 or older	5.1%	3.0%	2.8%
Residents 65+ in households who live alone	18%	19%	20%
Residents 65+ below the poverty line (approx.)	6.1%	9.0%	9.2%
Median income, households headed by someone 65+	$114,821	$94,383	—

Older residents in towns around Pearl City

Town	Distance	Residents 65+	Self-care difficulty (65+)
Waimalu, HI	1.7 mi	3,181	4.4%
Aiea, HI	2.4 mi	2,307	11%
Waipio, HI	2.7 mi	2,706	4.5%
Halawa, HI	3.1 mi	3,562	7.9%
Waikele, HI	3.1 mi	1,017	1.1%
Waipahu, HI	3.7 mi	8,634	13%

Home health agencies serving Pearl City

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Adventist Health Home Care Services	Kaneohe, HI	9.5 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	8.9 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	6.4 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(808) 531-0050
Neogen Care LLC	Honolulu, HI	8.9 mi	3 of 5	—	(808) 808-6364
Kaiser Home Health Agency - Oahu	Honolulu, HI	6.4 mi	2.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 432-4660

Nursing homes near Pearl City (to compare)

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pearl City Post Acute	Pearl City, HI	1.1 mi	5 of 5	122	(808) 453-1919
Kulana Malama	Ewa Beach, HI	6.0 mi	5 of 5	33	(808) 681-1200
Avalon Care Center - Honolulu, LLC	Honolulu, HI	6.9 mi	2 of 5	108	(808) 847-4834
Nuuanu Hale	Honolulu, HI	7.6 mi	2 of 5	75	(808) 595-6311

Straight-line miles from the center of Pearl City. 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 Pearl City

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, 139% of the $9,568 monthly median income of Pearl City 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 Pearl City: common questions

How much does 24-hour home care cost in Pearl City?

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, 139% of the $9,568 monthly median income of Pearl City 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 Pearl City

More senior care near Pearl City

24-Hour Home Care in nearby cities

Other care in Pearl City

More for Pearl City 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 Pearl City, HI