Live-In Caregivers in Pearl City, 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 Pearl City for free and hire a caregiver directly, with no agency mark-up.

Live-In Caregivers in Pearl City, HI: the local picture
About 2,277 Pearl City 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. 81% of homes in Pearl City have three or more bedrooms (57% in Honolulu County), while 7.5% have one bedroom or none, where live-in care rarely works; the median home has 5.4 rooms.
Of Pearl City households headed by someone 65 or older, 5,828 own their home and 828 rent; among householders 85 and older it is 1,116 owners and 149 renters. Renters should check that the lease allows another adult to live in before anyone moves in.
Pearl City compared with Honolulu County and Hawaii
| Census figure | Pearl City | Honolulu County | Hawaii |
|---|---|---|---|
| Residents 85 or older | 5.1% | 3.0% | 2.8% |
| Residents 65+ in households who live alone | 18% | 19% | 20% |
| Residents 65+ with a disability | 35% | 33% | 32% |
| Residents 65+ below the poverty line (approx.) | 6.1% | 9.0% | 9.2% |
| Residents 65 or older | 27% | 20% | 20% |
| Residents 5+ who speak a language other than English at home | 21% | 26% | 25% |
| Median income, households headed by someone 65+ | $114,821 | $94,383 | — |
Older residents in towns around Pearl City
| Town | Distance | Residents 65+ | Residents 85+ |
|---|---|---|---|
| Waimalu, HI | 1.7 mi | 3,181 | 306 |
| Aiea, HI | 2.4 mi | 2,307 | 593 |
| Waipio, HI | 2.7 mi | 2,706 | 334 |
| Halawa, HI | 3.1 mi | 3,562 | 651 |
| Waikele, HI | 3.1 mi | 1,017 | 72 |
| Waipahu, HI | 3.7 mi | 8,634 | 1,680 |
Emergency hospitals near Pearl City
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Tripler Amc (Ft Shafter) | Honolulu, HI | 0.4 mi | not rated | (808) 433-2778 |
| Pali Momi Medical Center | Aiea, HI | 1.7 mi | 4 of 5 | (808) 486-6000 |
| Kaiser Foundation Hospital | Honolulu, HI | 6.4 mi | 4 of 5 | (808) 432-0000 |
Straight-line miles from the center of Pearl City. 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 Pearl City
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 (41% of the $9,568 monthly median income of Pearl City 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 (139% of the $9,568 monthly median income of Pearl City 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 Pearl City: common questions
Where is the nearest emergency hospital to Pearl City?
Tripler Amc (Ft Shafter) in Honolulu, about 0.4 mi in a straight line from the center of Pearl City (Medicare hospital file). Its listed phone number is (808) 433-2778. In an emergency, call 911.
How much does live-in care cost in Pearl City?
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 (41% of the $9,568 monthly median income of Pearl City 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 (139% of the $9,568 monthly median income of Pearl City 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 Pearl City?
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 Pearl City 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 Pearl City
Live-In Caregivers in nearby cities
- Live-In Caregivers in Waimalu, HI
- Live-In Caregivers in Aiea, HI
- Live-In Caregivers in Waipio, HI
- Live-In Caregivers in Halawa, HI
- Live-In Caregivers in Waikele, HI
- Live-In Caregivers in Waipahu, HI
- Live-In Caregivers in Mililani Town, HI
- Live-In Caregivers in Royal Kunia, HI
- Live-In Caregivers in Hickam Housing, HI
- Live-In Caregivers in West Loch Estate, HI
- Live-In Caregivers in Mililani Mauka, HI
- Live-In Caregivers in Iroquois Point, HI
- Live-In Caregivers in Waipio Acres, HI
- Live-In Caregivers in East Kapolei, HI
- Live-In Caregivers in Ewa Gentry, HI
- Live-In Caregivers in Ewa Villages, HI
Other care in Pearl City
- Companion Care in Pearl City
- Dementia Care in Pearl City
- Respite Care in Pearl City
- Post-Surgery Care in Pearl City
- Senior Transportation in Pearl City
- Home Health Aides in Pearl City
- Nursing Assistants in Pearl City
- Personal Care in Pearl City
- Overnight Caregivers in Pearl City
- 24-Hour Home Care in Pearl City
- Mobility Assistance in Pearl City
- Parkinson’s Care in Pearl City
- Stroke Recovery Support in Pearl City
- Disability Care for Adults in Pearl City
- Hospice Support in Pearl City
- Senior Meal Preparation in Pearl City
- Senior Housekeeping in Pearl City
- Medication Reminders in Pearl City
- Veterans’ Home Care in Pearl City
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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