Live-In Caregivers in East Honolulu, HI: 24-Hour Home Care

Local figures

Live-In Caregivers in East Honolulu, HI: the local picture

2,865

residents 85 or older (5.6% of all residents)

7,289

households headed by someone 65+ own their home (90%)

80%

of East Honolulu homes have 3 or more bedrooms (57% in Honolulu County)

$16.00

Hawaii minimum wage per hour

About 2,865 East Honolulu residents are 85 or older. Live-in care is most often arranged for this age group, when help is needed through the day and someone should be close at night.

A live-in caregiver needs a private room. 80% of homes in East Honolulu have three or more bedrooms (57% in Honolulu County); the median home has 5.9 rooms.

Of East Honolulu households headed by someone 65 or older, 7,289 own their home and 781 rent; among householders 85 and older it is 1,542 owners and 130 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

East Honolulu compared with Honolulu County and Hawaii

Census figure	East Honolulu	Honolulu County	Hawaii
Residents 85 or older	5.6%	3.0%	2.8%
Residents 65+ in households who live alone	12%	19%	20%
Residents 65+ with a disability	28%	33%	32%
Residents 65+ below the poverty line (approx.)	5.8%	9.0%	9.2%
Residents 65 or older	28%	20%	20%
Residents 5+ who speak a language other than English at home	20%	26%	25%
Median income, households headed by someone 65+	$127,029	$94,383	—

Older residents in towns around East Honolulu

Town	Distance	Residents 65+	Residents 85+
Waimanalo Beach, HI	3.3 mi	1,153	207
Waimanalo, HI	3.8 mi	1,002	38
Kailua, HI	7.6 mi	8,855	1,236
Honolulu, HI	8.7 mi	75,965	12,150
Kaneohe, HI	9.5 mi	9,612	1,856
Kaneohe Base, HI	11 mi	3	0

Emergency hospitals near East Honolulu

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Kapiolani Medical Center For Women & Children	Honolulu, HI	7.1 mi	not rated	(808) 983-6000
Adventist Health Castle	Kailua, HI	8.3 mi	4 of 5	(808) 263-5015
The Queens Medical Center	Honolulu, HI	8.9 mi	3 of 5	(808) 538-9011

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

What it covers

What a live-in caregiver can help with

Help across the day: meals, housekeeping, personal care
Someone in the home overnight if help is needed
Medication reminders and appointment rides
Companionship and a steady routine

Cost

What live-in care costs in East Honolulu

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.32 an hour (the Hawaii median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,969 a month (37% of the $10,586 monthly median income of East Honolulu households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,337 a month (126% of the $10,586 monthly median income of East Honolulu households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. 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 live-in caregiver

Put the arrangement in writing: hours on duty, sleep time, days off, the room and pay (federal rules: DOL Fact Sheet 79B).

Questions worth asking: Have you lived in with a client before, and for how long? What days off and sleep time do you need? How do you handle being woken at night? More in our live-in caregivers guide.

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

Questions

Live-In Caregivers in East Honolulu: common questions

Where is the nearest emergency hospital to East Honolulu?

Kapiolani Medical Center For Women & Children in Honolulu, about 7.1 mi in a straight line from the center of East Honolulu (Medicare hospital file). Its listed phone number is (808) 983-6000. In an emergency, call 911.

How much does live-in care cost in East Honolulu?

Live-in pay is often agreed by the day or week, but every hour worked counts toward minimum wage. At $18.32 an hour (the Hawaii median aide wage), a live-in caregiver paid for 50 hours a week costs about $3,969 a month (37% of the $10,586 monthly median income of East Honolulu households headed by someone 65+). Round-the-clock shift care, 168 paid hours a week across two or three caregivers, comes to about $13,337 a month (126% of the $10,586 monthly median income of East Honolulu households headed by someone 65+). Private rates are agreed with the caregiver, and overtime rules can add to both. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).

Live-in or 24-hour care in East Honolulu?

A live-in caregiver sleeps in the home and has protected sleep and break time. 24-hour care uses two or three caregivers in shifts so someone is always awake; in East Honolulu it costs more than three times as much a month (see the cost section above). Choose shifts if help is needed several times a night.

More near East Honolulu

More senior care near East Honolulu

Live-In Caregivers in nearby cities

Other care in East Honolulu

More for East Honolulu 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.

Live-In Caregivers in East Honolulu, HI