Dementia Care in Royal Kunia, HI: In-Home Alzheimer's Care

Local figures

Dementia Care in Royal Kunia, HI: the local picture

244

residents 85 or older (1.8% of all residents)

2,525

residents 65 or older (19% of Royal Kunia)

37%

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

6+

Medicare-certified nursing homes within 25 miles

Royal Kunia has about 244 residents aged 85 or older among 2,525 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.

37% 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.

14% of older Royal Kunia 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.

Royal Kunia compared with Honolulu County and Hawaii

Census figure	Royal Kunia	Honolulu County	Hawaii
Residents 85 or older	1.8%	3.0%	2.8%
Residents 65 or older	19%	20%	20%
Residents 65+ with a disability	37%	33%	32%
Residents 65+ in households who live alone	14%	19%	20%
Residents 65+ below the poverty line (approx.)	5.4%	9.0%	9.2%
Residents 5+ who speak a language other than English at home	29%	26%	25%
Median income, households headed by someone 65+	$105,813	$94,383	—

Older residents in towns around Royal Kunia

Town	Distance	Residents 65+	Residents 85+
Waikele, HI	1.7 mi	1,017	72
Waipahu, HI	1.9 mi	8,634	1,680
Waipio, HI	2.4 mi	2,706	334
East Kapolei, HI	3.0 mi	338	0
Mililani Town, HI	3.1 mi	7,218	890
West Loch Estate, HI	3.1 mi	1,018	117

Nursing homes near Royal Kunia

Nursing home	Town	Distance	CMS overall rating	Certified beds	Phone
Kulana Malama	Ewa Beach, HI	3.9 mi	5 of 5	33	(808) 681-1200
Pearl City Post Acute	Pearl City, HI	4.1 mi	5 of 5	122	(808) 453-1919
Daniel K Akaka State Veterans Home	Kapolei, HI	5.2 mi	not rated	—	(808) 861-0926
Ka Punawai Ola	Kapolei, HI	6.3 mi	3 of 5	120	(808) 674-9262
Avalon Care Center - Honolulu, LLC	Honolulu, HI	11 mi	2 of 5	108	(808) 847-4834
Nuuanu Hale	Honolulu, HI	12 mi	2 of 5	75	(808) 595-6311

Hospices serving Royal Kunia

Hospice	Office	Distance	Phone
Malama Ola Health Services LLC	Honolulu, HI	7.6 mi	(808) 543-1188
Kaiser Permanente Care At Home, Oahu Hospice	Honolulu, HI	11 mi	(808) 432-7660
St Francis Hospice	Honolulu, HI	12 mi	(808) 595-7566
Navian Hawaii	Honolulu, HI	12 mi	(808) 924-9255

Straight-line miles from the center of Royal Kunia. 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 Royal Kunia

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 18% of the $8,818 monthly median income of Royal Kunia 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 Royal Kunia: common questions

What nursing homes are near Royal Kunia?

The closest Medicare-certified nursing homes are Kulana Malama in Ewa Beach (3.9 mi, 5 of 5 overall); Pearl City Post Acute in Pearl City (4.1 mi, 5 of 5 overall); Daniel K Akaka State Veterans Home in Kapolei (5.2 mi, not rated overall). Ratings are from Medicare Care Compare.

How much does dementia care cost in Royal Kunia?

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 18% of the $8,818 monthly median income of Royal Kunia 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 Royal Kunia

More senior care near Royal Kunia

Dementia Care in nearby cities

Other care in Royal Kunia

More for Royal Kunia 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 Royal Kunia, HI