Companion Care for Seniors in Kailua, HI
Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Kailua for free and hire a caregiver directly, with no agency mark-up.

Companion Care in Kailua, HI: the local picture
About 1,479 residents of Kailua aged 65 or older live alone, 17% of older residents in households (19% in Honolulu County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
3.2% of Kailua households have no vehicle (9.7% in Honolulu County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 8,855 Kailua residents aged 65 or older, 1,236 are 85 or older (14%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.
4,640 Kailua households headed by someone 65 or older own their home and 419 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.
About 490 older Kailua residents (5.5%) live below the poverty line (9.0% in Honolulu County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.
About 10% of Kailua residents aged 5 and over speak a language other than English at home. The most common are other Asian and Pacific Island languages (1,411), Spanish (726), other Indo-European languages (345). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.
Kailua compared with Honolulu County and Hawaii
| Census figure | Kailua | Honolulu County | Hawaii |
|---|---|---|---|
| Residents 65+ in households who live alone | 17% | 19% | 20% |
| Residents 65 or older | 22% | 20% | 20% |
| Residents 5+ who speak a language other than English at home | 10% | 26% | 25% |
| Households with no vehicle | 3.2% | 9.7% | 8.2% |
| Residents 65+ below the poverty line (approx.) | 5.5% | 9.0% | 9.2% |
| Residents 65+ with a disability | 32% | 33% | 32% |
| Median income, households headed by someone 65+ | $113,947 | $94,383 | — |
Older residents in towns around Kailua
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| Kaneohe Base, HI | 3.5 mi | 3 | 0.0% |
| Kaneohe, HI | 3.6 mi | 9,612 | 16% |
| Waimanalo, HI | 3.8 mi | 1,002 | 10% |
| Waimanalo Beach, HI | 5.3 mi | 1,153 | 9.5% |
| Heeia, HI | 5.6 mi | 1,299 | 9.7% |
| Ahuimanu, HI | 7.3 mi | 1,864 | 16% |
Hospitals near Kailua (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Adventist Health Castle | Kailua, HI | 0.9 mi | 4 of 5 | (808) 263-5015 |
| The Queens Medical Center | Honolulu, HI | 9.3 mi | 3 of 5 | (808) 538-9011 |
| Kuakini Medical Center | Honolulu, HI | 9.3 mi | 4 of 5 | (808) 536-2236 |
Straight-line miles from the center of Kailua. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a companion caregiver can help with
- Conversation, cards, puzzles and shared hobbies
- Walks and outings to the park, library or senior center
- Company at meals, and help preparing them
- Rides or escort to appointments, church and visits
What companion care costs in Kailua
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 $9,496 monthly median income of Kailua 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 companion caregiver
Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).
Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Companion Care in Kailua: common questions
How many seniors live alone in Kailua?
About 1,479 residents aged 65 or older, 17% of older residents in households (Census ACS 2020–2024) (19% in Honolulu County).
How much does companion care cost in Kailua?
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 $9,496 monthly median income of Kailua 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).
What does a companion caregiver do in Kailua?
A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.
More senior care near Kailua
Companion Care in nearby cities
- Companion Care in Kaneohe Base, HI
- Companion Care in Kaneohe, HI
- Companion Care in Waimanalo, HI
- Companion Care in Waimanalo Beach, HI
- Companion Care in Heeia, HI
- Companion Care in Ahuimanu, HI
- Companion Care in East Honolulu, HI
- Companion Care in Kahaluu, HI
- Companion Care in Honolulu, HI
- Companion Care in Halawa, HI
- Companion Care in Aiea, HI
- Companion Care in Waimalu, HI
- Companion Care in Pearl City, HI
- Companion Care in Hickam Housing, HI
- Companion Care in Iroquois Point, HI
- Companion Care in Waipio, HI
Other care in Kailua
- Dementia Care in Kailua
- Respite Care in Kailua
- Live-In Caregivers in Kailua
- Post-Surgery Care in Kailua
- Senior Transportation in Kailua
- Home Health Aides in Kailua
- Nursing Assistants in Kailua
- Personal Care in Kailua
- Overnight Caregivers in Kailua
- 24-Hour Home Care in Kailua
- Mobility Assistance in Kailua
- Parkinson’s Care in Kailua
- Stroke Recovery Support in Kailua
- Disability Care for Adults in Kailua
- Hospice Support in Kailua
- Senior Meal Preparation in Kailua
- Senior Housekeeping in Kailua
- Medication Reminders in Kailua
- Veterans’ Home Care in Kailua
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 companion care in Kailua
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