Dementia Care in Pearl City, HI: In-Home Alzheimer's Care

Local figures

Dementia Care in Pearl City, HI: the local picture

2,277

residents 85 or older (5.1% of all residents)

11,990

residents 65 or older (27% of Pearl City)

35%

of residents 65+ report a disability (33% in Honolulu County)

6+

Medicare-certified nursing homes within 25 miles

Pearl City has about 2,277 residents aged 85 or older among 11,990 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.

35% 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.

18% of older Pearl City 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.

Pearl City compared with Honolulu County and Hawaii

Census figure	Pearl City	Honolulu County	Hawaii
Residents 85 or older	5.1%	3.0%	2.8%
Residents 65 or older	27%	20%	20%
Residents 65+ with a disability	35%	33%	32%
Residents 65+ in households who live alone	18%	19%	20%
Residents 65+ below the poverty line (approx.)	6.1%	9.0%	9.2%
Residents 5+ who speak a language other than English at home	21%	26%	25%
Median income, households headed by someone 65+	$114,821	$94,383	—

Older residents in towns around Pearl City

Town	Distance	Residents 65+	Residents 85+
Waimalu, HI	1.7 mi	3,181	306
Aiea, HI	2.4 mi	2,307	593
Waipio, HI	2.7 mi	2,706	334
Halawa, HI	3.1 mi	3,562	651
Waikele, HI	3.1 mi	1,017	72
Waipahu, HI	3.7 mi	8,634	1,680

Nursing homes near Pearl City

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Pearl City Post Acute	Pearl City, HI	1.1 mi	5 of 5	122	(808) 453-1919
Kulana Malama	Ewa Beach, HI	6.0 mi	5 of 5	33	(808) 681-1200
Avalon Care Center - Honolulu, LLC	Honolulu, HI	6.9 mi	2 of 5	108	(808) 847-4834
Nuuanu Hale	Honolulu, HI	7.6 mi	2 of 5	75	(808) 595-6311
Maluhia	Honolulu, HI	8.0 mi	5 of 5	158	(808) 832-3000
Liliha Healthcare Center	Honolulu, HI	8.3 mi	3 of 5	92	(808) 537-9557

Hospices serving Pearl City

Hospice	Office	Distance	Phone
Malama Ola Health Services LLC	Honolulu, HI	3.9 mi	(808) 543-1188
Kaiser Permanente Care At Home, Oahu Hospice	Honolulu, HI	6.4 mi	(808) 432-7660
Navian Hawaii	Honolulu, HI	8.0 mi	(808) 924-9255
St Francis Hospice	Honolulu, HI	8.0 mi	(808) 595-7566

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 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 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 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 Pearl City: common questions

What nursing homes are near Pearl City?

The closest Medicare-certified nursing homes are Pearl City Post Acute in Pearl City (1.1 mi, 5 of 5 overall); Kulana Malama in Ewa Beach (6.0 mi, 5 of 5 overall); Avalon Care Center - Honolulu, LLC in Honolulu (6.9 mi, 2 of 5 overall). Ratings are from Medicare Care Compare.

How much does dementia care 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).

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 near Pearl City

More senior care near Pearl City

Dementia Care 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.

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