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

Local figures

Live-In Caregivers in Kailua, HI: the local picture

1,236

residents 85 or older (3.1% of all residents)

4,640

households headed by someone 65+ own their home (92%)

76%

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

$16.00

Hawaii minimum wage per hour

About 1,236 Kailua 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. 76% of homes in Kailua have three or more bedrooms (57% in Honolulu County), while 8.5% have one bedroom or none, where live-in care rarely works; the median home has 5.9 rooms.

Of Kailua households headed by someone 65 or older, 4,640 own their home and 419 rent; among householders 85 and older it is 774 owners and 27 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Kailua compared with Honolulu County and Hawaii

Census figure	Kailua	Honolulu County	Hawaii
Residents 85 or older	3.1%	3.0%	2.8%
Residents 65+ in households who live alone	17%	19%	20%
Residents 65+ with a disability	32%	33%	32%
Residents 65+ below the poverty line (approx.)	5.5%	9.0%	9.2%
Residents 65 or older	22%	20%	20%
Residents 5+ who speak a language other than English at home	10%	26%	25%
Median income, households headed by someone 65+	$113,947	$94,383	—

Older residents in towns around Kailua

Town	Distance	Residents 65+	Residents 85+
Kaneohe Base, HI	3.5 mi	3	0
Kaneohe, HI	3.6 mi	9,612	1,856
Waimanalo, HI	3.8 mi	1,002	38
Waimanalo Beach, HI	5.3 mi	1,153	207
Heeia, HI	5.6 mi	1,299	161
Ahuimanu, HI	7.3 mi	1,864	142

Emergency hospitals near Kailua

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Adventist Health Castle	Kailua, HI	0.9 mi	4 of 5	(808) 263-5015
The Queens Medical Center	Honolulu, HI	9.3 mi	3 of 5	(808) 538-9011
Kuakini Medical Center	Honolulu, HI	9.3 mi	4 of 5	(808) 536-2236

Straight-line miles from the center of Kailua. 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 Kailua

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 (42% of the $9,496 monthly median income of Kailua 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 (140% of the $9,496 monthly median income of Kailua 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 Kailua: common questions

Where is the nearest emergency hospital to Kailua?

Adventist Health Castle in Kailua, about 0.9 mi in a straight line from the center of Kailua (Medicare hospital file). Its listed phone number is (808) 263-5015. In an emergency, call 911.

How much does live-in care cost in Kailua?

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 (42% of the $9,496 monthly median income of Kailua 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 (140% of the $9,496 monthly median income of Kailua 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 Kailua?

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 Kailua 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 Kailua

More senior care near Kailua

Live-In Caregivers in nearby cities

Other care in Kailua

More for Kailua 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 Kailua, HI