Live-In Caregivers in Kahaluu-Keauhou, HI
A caregiver who lives in the home, for someone who needs help across the day and a person nearby at night. Post what you need in Kahaluu-Keauhou for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Kahaluu-Keauhou, HI: the local picture
About 69 Kahaluu-Keauhou 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. 57% of homes in Kahaluu-Keauhou have three or more bedrooms (64% in Hawaii County), while 11% have one bedroom or none, where live-in care rarely works; the median home has 4.6 rooms.
Of Kahaluu-Keauhou households headed by someone 65 or older, 816 own their home and 174 rent; among householders 85 and older it is 35 owners and 0 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Kahaluu-Keauhou compared with Hawaii County and Hawaii
| Census figure | Kahaluu-Keauhou | Hawaii County | Hawaii |
|---|---|---|---|
| Residents 85 or older | 1.3% | 2.3% | 2.8% |
| Residents 65+ in households who live alone | 12% | 22% | 20% |
| Residents 65+ with a disability | 22% | 33% | 32% |
| Residents 65+ below the poverty line (approx.) | 3.4% | 11% | 9.2% |
| Residents 65 or older | 34% | 24% | 20% |
| Residents 5+ who speak a language other than English at home | 7.6% | 23% | 25% |
| Median income, households headed by someone 65+ | $111,600 | $69,877 | — |
Older residents in towns around Kahaluu-Keauhou
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Captain Cook, HI | 6.6 mi | 787 | 130 |
| Holualoa, HI | 7.1 mi | 790 | 34 |
| Honaunau-Napoopoo, HI | 10 mi | 754 | 61 |
| Kaiminani, HI | 13 mi | 2,659 | 191 |
| Waikoloa Village, HI | 27 mi | 1,521 | 52 |
| Hawaiian Ocean View, HI | 35 mi | 1,436 | 0 |
Emergency hospitals near Kahaluu-Keauhou
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Kona Community Hospital | Kealakekua, HI | 3.7 mi | 2 of 5 | (808) 322-9311 |
| North Hawaii Community Hospital, Inc | Kamuela, HI | 34 mi | 3 of 5 | (808) 885-4444 |
| Kau Hospital | Pahala, HI | 40 mi | not rated | (808) 932-4200 |
Straight-line miles from the center of Kahaluu-Keauhou. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
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
What live-in care costs in Kahaluu-Keauhou
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 (43% of the $9,300 monthly median income of Kahaluu-Keauhou 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 (143% of the $9,300 monthly median income of Kahaluu-Keauhou 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.
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.
Live-In Caregivers in Kahaluu-Keauhou: common questions
Where is the nearest emergency hospital to Kahaluu-Keauhou?
Kona Community Hospital in Kealakekua, about 3.7 mi in a straight line from the center of Kahaluu-Keauhou (Medicare hospital file). Its listed phone number is (808) 322-9311. In an emergency, call 911.
How much does live-in care cost in Kahaluu-Keauhou?
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 (43% of the $9,300 monthly median income of Kahaluu-Keauhou 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 (143% of the $9,300 monthly median income of Kahaluu-Keauhou 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 Kahaluu-Keauhou?
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 Kahaluu-Keauhou 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 senior care near Kahaluu-Keauhou
Live-In Caregivers in nearby cities
- Live-In Caregivers in Captain Cook, HI
- Live-In Caregivers in Holualoa, HI
- Live-In Caregivers in Honaunau-Napoopoo, HI
- Live-In Caregivers in Kaiminani, HI
- Live-In Caregivers in Waikoloa Village, HI
- Live-In Caregivers in Hawaiian Ocean View, HI
- Live-In Caregivers in Waimea, HI
- Live-In Caregivers in Mountain View, HI
- Live-In Caregivers in Hilo, HI
- Live-In Caregivers in Kurtistown, HI
- Live-In Caregivers in Hawaiian Acres, HI
- Live-In Caregivers in Orchidlands Estates, HI
- Live-In Caregivers in Ainaloa, HI
- Live-In Caregivers in Hawaiian Paradise Park, HI
- Live-In Caregivers in Hawaiian Beaches, HI
Other care in Kahaluu-Keauhou
- Companion Care in Kahaluu-Keauhou
- Dementia Care in Kahaluu-Keauhou
- Respite Care in Kahaluu-Keauhou
- Post-Surgery Care in Kahaluu-Keauhou
- Senior Transportation in Kahaluu-Keauhou
- Home Health Aides in Kahaluu-Keauhou
- Nursing Assistants in Kahaluu-Keauhou
- Personal Care in Kahaluu-Keauhou
- Overnight Caregivers in Kahaluu-Keauhou
- 24-Hour Home Care in Kahaluu-Keauhou
- Mobility Assistance in Kahaluu-Keauhou
- Parkinson’s Care in Kahaluu-Keauhou
- Stroke Recovery Support in Kahaluu-Keauhou
- Disability Care for Adults in Kahaluu-Keauhou
- Hospice Support in Kahaluu-Keauhou
- Senior Meal Preparation in Kahaluu-Keauhou
- Senior Housekeeping in Kahaluu-Keauhou
- Medication Reminders in Kahaluu-Keauhou
- Veterans’ Home Care in Kahaluu-Keauhou
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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