In-Home Dementia and Alzheimer's Care in Mililani Town, 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 Mililani Town for free and hire a caregiver directly, with no agency mark-up.

Dementia Care in Mililani Town, HI: the local picture
Mililani Town has about 890 residents aged 85 or older among 7,218 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.
29% 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.
13% of older Mililani Town 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.
Mililani Town compared with Honolulu County and Hawaii
| Census figure | Mililani Town | Honolulu County | Hawaii |
|---|---|---|---|
| Residents 85 or older | 3.2% | 3.0% | 2.8% |
| Residents 65 or older | 26% | 20% | 20% |
| Residents 65+ with a disability | 29% | 33% | 32% |
| Residents 65+ in households who live alone | 13% | 19% | 20% |
| Residents 65+ below the poverty line (approx.) | 2.5% | 9.0% | 9.2% |
| Residents 5+ who speak a language other than English at home | 11% | 26% | 25% |
| Median income, households headed by someone 65+ | $117,612 | $94,383 | — |
Older residents in towns around Mililani Town
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Waipio Acres, HI | 1.5 mi | 977 | 75 |
| Mililani Mauka, HI | 2.4 mi | 2,396 | 203 |
| Waipio, HI | 2.5 mi | 2,706 | 334 |
| Royal Kunia, HI | 3.1 mi | 2,525 | 244 |
| Waikele, HI | 3.1 mi | 1,017 | 72 |
| Wahiawa, HI | 3.7 mi | 3,291 | 561 |
Nursing homes near Mililani Town
| Nursing home | Town | Distance | CMS overall rating | Certified beds | Phone |
|---|---|---|---|---|---|
| Pearl City Post Acute | Pearl City, HI | 4.8 mi | 5 of 5 | 122 | (808) 453-1919 |
| Kulana Malama | Ewa Beach, HI | 6.9 mi | 5 of 5 | 33 | (808) 681-1200 |
| Daniel K Akaka State Veterans Home | Kapolei, HI | 8.2 mi | not rated | — | (808) 861-0926 |
| Ka Punawai Ola | Kapolei, HI | 9.2 mi | 3 of 5 | 120 | (808) 674-9262 |
| Avalon Care Center - Honolulu, LLC | Honolulu, HI | 12 mi | 2 of 5 | 108 | (808) 847-4834 |
| Nuuanu Hale | Honolulu, HI | 12 mi | 2 of 5 | 75 | (808) 595-6311 |
Hospices serving Mililani Town
| Hospice | Office | Distance | Phone |
|---|---|---|---|
| Malama Ola Health Services LLC | Honolulu, HI | 8.6 mi | (808) 543-1188 |
| Kaiser Permanente Care At Home, Oahu Hospice | Honolulu, HI | 11 mi | (808) 432-7660 |
| St Francis Hospice | Honolulu, HI | 13 mi | (808) 595-7566 |
| Navian Hawaii | Honolulu, HI | 13 mi | (808) 924-9255 |
Straight-line miles from the center of Mililani Town. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What dementia care costs in Mililani Town
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 16% of the $9,801 monthly median income of Mililani Town 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 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.
Dementia Care in Mililani Town: common questions
What nursing homes are near Mililani Town?
The closest Medicare-certified nursing homes are Pearl City Post Acute in Pearl City (4.8 mi, 5 of 5 overall); Kulana Malama in Ewa Beach (6.9 mi, 5 of 5 overall); Daniel K Akaka State Veterans Home in Kapolei (8.2 mi, not rated overall). Ratings are from Medicare Care Compare.
How much does dementia care cost in Mililani Town?
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 16% of the $9,801 monthly median income of Mililani Town 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.
More senior care near Mililani Town
Dementia Care in nearby cities
- Dementia Care in Waipio Acres, HI
- Dementia Care in Mililani Mauka, HI
- Dementia Care in Waipio, HI
- Dementia Care in Royal Kunia, HI
- Dementia Care in Waikele, HI
- Dementia Care in Wahiawa, HI
- Dementia Care in Waipahu, HI
- Dementia Care in Schofield Barracks, HI
- Dementia Care in Whitmore Village, HI
- Dementia Care in Pearl City, HI
- Dementia Care in West Loch Estate, HI
- Dementia Care in East Kapolei, HI
- Dementia Care in Helemano, HI
- Dementia Care in Waimalu, HI
- Dementia Care in Aiea, HI
- Dementia Care in Ewa Villages, HI
Other care in Mililani Town
- Companion Care in Mililani Town
- Respite Care in Mililani Town
- Live-In Caregivers in Mililani Town
- Post-Surgery Care in Mililani Town
- Senior Transportation in Mililani Town
- Home Health Aides in Mililani Town
- Nursing Assistants in Mililani Town
- Personal Care in Mililani Town
- Overnight Caregivers in Mililani Town
- 24-Hour Home Care in Mililani Town
- Mobility Assistance in Mililani Town
- Parkinson’s Care in Mililani Town
- Stroke Recovery Support in Mililani Town
- Disability Care for Adults in Mililani Town
- Hospice Support in Mililani Town
- Senior Meal Preparation in Mililani Town
- Senior Housekeeping in Mililani Town
- Medication Reminders in Mililani Town
- Veterans’ Home Care in Mililani Town
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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