Pearl City, Hawaii

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.

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Local figures

Disability Care for Adults in Pearl City, HI: the local picture

8.9%
of residents aged 18 to 64 have a disability (8.8% in Honolulu County)
644
residents aged 18 to 64 have difficulty doing errands alone
7.3%
of households have no vehicle (9.7% in Honolulu County)
8
Medicare-certified home health agencies list Pearl City ZIP codes in their service area

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 figurePearl CityHonolulu CountyHawaii
Residents 18 to 64 with a disability8.9%8.8%9.2%
Residents 18 to 64 with difficulty doing errands alone2.8%3.3%3.4%
Households with no vehicle7.3%9.7%8.2%
Residents 5+ who speak a language other than English at home21%26%25%
Residents 65+ with a disability35%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

TownDistanceResidents 65+Disability (18 to 64)
Waimalu, HI1.7 mi3,1815.4%
Aiea, HI2.4 mi2,3076.3%
Waipio, HI2.7 mi2,7066.2%
Halawa, HI3.1 mi3,5629.5%
Waikele, HI3.1 mi1,0177.8%
Waipahu, HI3.7 mi8,6348.2%

Home health agencies serving Pearl City

AgencyOfficeDistanceCMS quality starsServices listedPhone
Adventist Health Home Care ServicesKaneohe, HI9.5 mi4 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(808) 263-5077
Bayada Home Health CareHonolulu, HI8.9 mi3.5 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides(808) 591-6068
Home Health HonoluluHonolulu, HI6.4 mi3 of 5nursing, physical therapy, occupational therapy, speech therapy, medical social work(808) 531-0050
Neogen Care LLCHonolulu, HI8.9 mi3 of 5—(808) 808-6364
Kaiser Home Health Agency - OahuHonolulu, HI6.4 mi2.5 of 5nursing, 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 it covers

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
Cost

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.

Before you hire

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.

Questions

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 near Pearl City

More senior care near Pearl City

Disability Care for Adults 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.

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