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

Local figures

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

307

residents 85 or older (1.5% of all residents)

1,309

households headed by someone 65+ own their home (95%)

75%

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

$16.00

Hawaii minimum wage per hour

About 307 Makakilo 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. 75% of homes in Makakilo have three or more bedrooms (57% in Honolulu County); the median home has 5.6 rooms.

Of Makakilo households headed by someone 65 or older, 1,309 own their home and 62 rent; among householders 85 and older it is 186 owners and 4 renters. Renters should check that the lease allows another adult to live in before anyone moves in.

Makakilo compared with Honolulu County and Hawaii

Census figure	Makakilo	Honolulu County	Hawaii
Residents 85 or older	1.5%	3.0%	2.8%
Residents 65+ in households who live alone	8.5%	19%	20%
Residents 65+ with a disability	31%	33%	32%
Residents 65+ below the poverty line (approx.)	5.0%	9.0%	9.2%
Residents 65 or older	14%	20%	20%
Residents 5+ who speak a language other than English at home	20%	26%	25%
Median income, households headed by someone 65+	$118,240	$94,383	—

Older residents in towns around Makakilo

Town	Distance	Residents 65+	Residents 85+
Kapolei, HI	1.6 mi	2,492	257
East Kapolei, HI	2.6 mi	338	0
Ewa Villages, HI	3.0 mi	867	85
Kalaeloa, HI	3.3 mi	181	0
West Loch Estate, HI	3.7 mi	1,018	117
Ewa Gentry, HI	3.9 mi	2,816	283

Emergency hospitals near Makakilo

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Tripler Amc (Ft Shafter)	Honolulu, HI	8.4 mi	not rated	(808) 433-2778
Pali Momi Medical Center	Aiea, HI	9.8 mi	4 of 5	(808) 486-6000
Kaiser Foundation Hospital	Honolulu, HI	13 mi	4 of 5	(808) 432-0000

Straight-line miles from the center of Makakilo. 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 Makakilo

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 (40% of the $9,853 monthly median income of Makakilo 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 (135% of the $9,853 monthly median income of Makakilo 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 Makakilo: common questions

Where is the nearest emergency hospital to Makakilo?

Tripler Amc (Ft Shafter) in Honolulu, about 8.4 mi in a straight line from the center of Makakilo (Medicare hospital file). Its listed phone number is (808) 433-2778. In an emergency, call 911.

How much does live-in care cost in Makakilo?

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 (40% of the $9,853 monthly median income of Makakilo 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 (135% of the $9,853 monthly median income of Makakilo 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 Makakilo?

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 Makakilo 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 Makakilo

More senior care near Makakilo

Live-In Caregivers in nearby cities

Other care in Makakilo

More for Makakilo 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 Makakilo, HI