Honolulu, Hawaii

In-Home Dementia and Alzheimer's Care in Honolulu, HI

Help at home for someone living with Alzheimer’s or another dementia: steady routines, safety and patience with changes in memory and mood. Post what you need in Honolulu for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Dementia Care in Honolulu, HI: the local picture

12,150
residents 85 or older (3.5% of all residents)
75,965
residents 65 or older (22% of Honolulu)
32%
of residents 65+ report a disability (33% in Honolulu County)
6+
Medicare-certified nursing homes within 25 miles

Honolulu has about 12,150 residents aged 85 or older among 75,965 aged 65 or older. The risk of Alzheimer’s rises steeply with age, and the Alzheimer’s Association estimates that about a third of people 85 and older have Alzheimer’s dementia.

32% of residents 65 and older report a disability (33% in Honolulu County). The Census counts cognitive difficulty as one kind, alongside hearing, vision, walking, self-care and living independently.

27% of older Honolulu residents in households live alone. For someone with memory loss who lives alone, a few hours of daily check-ins are often the first step.

Honolulu compared with Honolulu County and Hawaii

Census figureHonoluluHonolulu CountyHawaii
Residents 85 or older3.5%3.0%2.8%
Residents 65 or older22%20%20%
Residents 65+ with a disability32%33%32%
Residents 65+ in households who live alone27%19%20%
Residents 65+ below the poverty line (approx.)12%9.0%9.2%
Residents 5+ who speak a language other than English at home35%26%25%
Median income, households headed by someone 65+$76,241$94,383—

Older residents in towns around Honolulu

TownDistanceResidents 65+Residents 85+
Halawa, HI5.8 mi3,562651
Aiea, HI6.5 mi2,307593
Heeia, HI6.9 mi1,299161
Hickam Housing, HI6.9 mi1200
Kaneohe, HI7.0 mi9,6121,856
Waimalu, HI7.2 mi3,181306

Nursing homes near Honolulu

Nursing homeTownDistanceCMS overall ratingCertified bedsPhone
The Care Center Of HonoluluHonolulu, HI0.2 mi3 of 5182(808) 531-5302
15 CraigsideHonolulu, HI0.2 mi5 of 545(808) 523-7000
The Ching VillasHonolulu, HI0.3 mi4 of 5163(808) 547-6000
Kuakini Geriatric Care, IncHonolulu, HI0.8 mi1 of 5187(808) 547-9357
Liliha Healthcare CenterHonolulu, HI0.8 mi3 of 592(808) 537-9557
MaluhiaHonolulu, HI0.9 mi5 of 5158(808) 832-3000

Hospices serving Honolulu

HospiceOfficeDistancePhone
Bristol Hospice - Hawaii, LLCHonolulu, HI0.5 mi(808) 536-8012
Islands HospiceHonolulu, HI0.5 mi(808) 550-2552
St Francis HospiceHonolulu, HI1.0 mi(808) 595-7566
Navian HawaiiHonolulu, HI1.0 mi(808) 924-9255

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

What it covers

What a dementia caregiver can help with

  • Keeping a predictable daily routine
  • Gentle help with bathing, dressing and toileting
  • Meals, hydration and medication reminders
  • Calming approaches for sundowning, agitation and repeated questions
Cost

What dementia care costs in Honolulu

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 25% of the $6,353 monthly median income of Honolulu 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 dementia caregiver

An estimated 7.2 million Americans aged 65 and older are living with Alzheimer’s dementia, according to the Alzheimer’s Association 2025 Facts and Figures. Most live at home, cared for by family. The Association’s 24/7 Helpline (1-800-272-3900) is free.

Questions worth asking: Tell me about someone with dementia you cared for. What worked? What do you do when a client becomes agitated in the late afternoon? How do you keep someone safe who tries to leave the house? More in our dementia care guide.

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

Questions

Dementia Care in Honolulu: common questions

What nursing homes are near Honolulu?

The closest Medicare-certified nursing homes are The Care Center Of Honolulu in Honolulu (0.2 mi, 3 of 5 overall); 15 Craigside in Honolulu (0.2 mi, 5 of 5 overall); The Ching Villas in Honolulu (0.3 mi, 4 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Honolulu?

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 25% of the $6,353 monthly median income of Honolulu 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).

When does someone with dementia need care at home?

Common signs are missed meals or medication, getting lost in familiar places, unsafe cooking or driving, and a family caregiver who is exhausted. Many families start with a few hours a day and add hours, nights or live-in help as the disease progresses.

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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