Home Health Aides in Hilo, HI: Hire In-Home Help

Local figures

Home Health Aides in Hilo, HI: the local picture

4

Medicare-certified home health agencies list Hilo ZIP codes in their service area

$18.32

median hourly wage of home care aides in Hawaii (BLS, May 2025)

11,451

residents 65 or older (23% of Hilo)

32%

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

4 Medicare-certified home health agencies list Hilo ZIP codes in their service area; the highest-rated are below, and 3 of those list home health aide services. Agency aides are usually part of care a doctor orders. For help beyond those visits, families hire an aide directly.

Home health and personal care aides in Hawaii earn a median $18.32 an hour (BLS, May 2025), with the middle half between $17.18 and $20.95.

Hilo has about 11,451 residents aged 65 or older, 32% of whom report a disability.

Hilo compared with Hawaii County and Hawaii

Census figure	Hilo	Hawaii County	Hawaii
Residents 65+ with a disability	32%	33%	32%
Residents 65 or older	23%	24%	20%
Residents 85 or older	4.0%	2.3%	2.8%
Residents 65+ in households who live alone	26%	22%	20%
Residents 65+ below the poverty line (approx.)	9.1%	11%	9.2%
Residents 5+ who speak a language other than English at home	23%	23%	25%
Median income, households headed by someone 65+	$67,894	$69,877	—

Older residents in towns around Hilo

Town	Distance	Residents 65+	65+ with a disability
Kurtistown, HI	7.1 mi	833	48%
Hawaiian Paradise Park, HI	10 mi	3,062	36%
Orchidlands Estates, HI	10 mi	450	26%
Hawaiian Acres, HI	11 mi	664	18%
Mountain View, HI	13 mi	651	36%
Ainaloa, HI	13 mi	993	52%

Medicare-certified home health agencies serving Hilo

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Bayada Home Health Care	Hilo, HI	1.2 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 933-1702
Home Health Kauai	Lihue, HI	319 mi	2.5 of 5	nursing, physical therapy, occupational therapy, home health aides	(808) 245-5121
Kaiser Permanente Care At Home, Big Island Home Health	Kailua Kona, HI	58 mi	2 of 5	—	(808) 334-4440
Kohala Home Health Care Of North Hi Comm Hosp	Kamuela, HI	46 mi	1.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(808) 881-4711

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

What it covers

What a home health aide can help with

Bathing, grooming, dressing and toileting
Transfers, walking and positioning
Meals and help with eating
Medication reminders

Cost

What home health aides costs in Hilo

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 28% of the $5,658 monthly median income of Hilo 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 home health aide

Federal rules require home health aides who work for Medicare-certified agencies to complete at least 75 hours of training, including 16 hours of supervised practical training, or pass a competency evaluation (42 CFR 484.80). Many states add their own requirements.

Questions worth asking: Where did you train, and can I see the certificate? Have you worked for a home health agency? Which transfers and equipment are you trained on? More in our home health aides guide.

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

Questions

Home Health Aides in Hilo: common questions

Which home health agencies serve Hilo?

Medicare lists 4 certified agencies whose service area includes Hilo ZIP codes. The highest-rated on Medicare’s quality stars include Bayada Home Health Care (3 of 5), Home Health Kauai (2.5 of 5), Kaiser Permanente Care At Home, Big Island Home Health (2 of 5). Compare them on Medicare Care Compare.

How much does home health aides cost in Hilo?

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 28% of the $5,658 monthly median income of Hilo 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 is the difference between a home health aide and a CNA?

Both are trained in personal care. A certified nursing assistant (CNA) has passed a state exam and is on the state nurse aide registry, and often works in nursing homes and hospitals. A home health aide is trained for care in the home. Neither does skilled nursing.

More near Hilo

More senior care near Hilo

Home Health Aides in nearby cities

Other care in Hilo

More for Hilo 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.

Home Health Aides in Hilo, HI