Pearl City, Hawaii

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.

A younger woman and an older woman looking at a phone together on a park bench
Local figures

Live-In Caregivers in Pearl City, HI: the local picture

2,277
residents 85 or older (5.1% of all residents)
5,828
households headed by someone 65+ own their home (88%)
81%
of Pearl City homes have 3 or more bedrooms (57% in Honolulu County)
$16.00
Hawaii minimum wage per hour

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 figurePearl CityHonolulu CountyHawaii
Residents 85 or older5.1%3.0%2.8%
Residents 65+ in households who live alone18%19%20%
Residents 65+ with a disability35%33%32%
Residents 65+ below the poverty line (approx.)6.1%9.0%9.2%
Residents 65 or older27%20%20%
Residents 5+ who speak a language other than English at home21%26%25%
Median income, households headed by someone 65+$114,821$94,383—

Older residents in towns around Pearl City

TownDistanceResidents 65+Residents 85+
Waimalu, HI1.7 mi3,181306
Aiea, HI2.4 mi2,307593
Waipio, HI2.7 mi2,706334
Halawa, HI3.1 mi3,562651
Waikele, HI3.1 mi1,01772
Waipahu, HI3.7 mi8,6341,680

Emergency hospitals near Pearl City

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Tripler Amc (Ft Shafter)Honolulu, HI0.4 minot rated(808) 433-2778
Pali Momi Medical CenterAiea, HI1.7 mi4 of 5(808) 486-6000
Kaiser Foundation HospitalHonolulu, HI6.4 mi4 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 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 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.

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 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 near Pearl City

More senior care near 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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