In-Home Support for Adults With Disabilities in Pearl City, HI
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Pearl City for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Pearl City, HI: the local picture
About 2,037 Pearl City residents aged 18 to 64 report a disability (8.9%; 8.8% in Honolulu County).
644 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
7.3% of Pearl City households have no vehicle (9.7% in Honolulu County); say in your posting if you need a caregiver who drives.
Pearl City compared with Honolulu County and Hawaii
| Census figure | Pearl City | Honolulu County | Hawaii |
|---|---|---|---|
| Residents 18 to 64 with a disability | 8.9% | 8.8% | 9.2% |
| Residents 18 to 64 with difficulty doing errands alone | 2.8% | 3.3% | 3.4% |
| Households with no vehicle | 7.3% | 9.7% | 8.2% |
| Residents 5+ who speak a language other than English at home | 21% | 26% | 25% |
| Residents 65+ with a disability | 35% | 33% | 32% |
| 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+ | Disability (18 to 64) |
|---|---|---|---|
| Waimalu, HI | 1.7 mi | 3,181 | 5.4% |
| Aiea, HI | 2.4 mi | 2,307 | 6.3% |
| Waipio, HI | 2.7 mi | 2,706 | 6.2% |
| Halawa, HI | 3.1 mi | 3,562 | 9.5% |
| Waikele, HI | 3.1 mi | 1,017 | 7.8% |
| Waipahu, HI | 3.7 mi | 8,634 | 8.2% |
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 |
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 a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Pearl City
At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 17% of the $9,568 monthly median income of Pearl City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Pearl City: common questions
How much does disability care for adults cost in Pearl City?
At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 17% of the $9,568 monthly median income of Pearl City households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Hawaii.
More senior care near Pearl City
Disability Care for Adults in nearby cities
- Disability Care for Adults in Waimalu, HI
- Disability Care for Adults in Aiea, HI
- Disability Care for Adults in Waipio, HI
- Disability Care for Adults in Halawa, HI
- Disability Care for Adults in Waikele, HI
- Disability Care for Adults in Waipahu, HI
- Disability Care for Adults in Mililani Town, HI
- Disability Care for Adults in Royal Kunia, HI
- Disability Care for Adults in Hickam Housing, HI
- Disability Care for Adults in West Loch Estate, HI
- Disability Care for Adults in Mililani Mauka, HI
- Disability Care for Adults in Iroquois Point, HI
- Disability Care for Adults in Waipio Acres, HI
- Disability Care for Adults in East Kapolei, HI
- Disability Care for Adults in Ewa Gentry, HI
- Disability Care for Adults in Ewa Villages, HI
Other care in Pearl City
- Companion Care in Pearl City
- Dementia Care in Pearl City
- Respite Care in Pearl City
- Live-In Caregivers in Pearl City
- Post-Surgery Care in Pearl City
- Senior Transportation in Pearl City
- Home Health Aides in Pearl City
- Nursing Assistants in Pearl City
- Personal Care in Pearl City
- Overnight Caregivers in Pearl City
- 24-Hour Home Care in Pearl City
- Mobility Assistance in Pearl City
- Parkinson’s Care in Pearl City
- Stroke Recovery Support in Pearl City
- Hospice Support in Pearl City
- Senior Meal Preparation in Pearl City
- Senior Housekeeping in Pearl City
- Medication Reminders in Pearl City
- Veterans’ Home Care in Pearl City
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.
Find disability care for adults in Pearl City
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