In-Home Personal Care in Hilo, HI
Hands-on help with bathing, dressing, toileting and grooming, at home and on the person’s own schedule. Post what you need in Hilo for free and hire a caregiver directly, with no agency mark-up.

Personal Care in Hilo, HI: the local picture
About 863 Hilo residents aged 65 or older have difficulty dressing or bathing (7.9%; 6.6% in Hawaii County). The Census Bureau calls this a self-care difficulty, and it is what personal care is for.
2,273 have serious difficulty walking or climbing stairs (21%), so many personal care visits also mean help getting to the bathroom or shower safely.
2,020 of the 11,451 older residents are 85 or older; needs for hands-on help rise with age.
Hilo compared with Hawaii County and Hawaii
| Census figure | Hilo | Hawaii County | Hawaii |
|---|---|---|---|
| Residents 65+ with difficulty dressing or bathing | 7.9% | 6.6% | 7.2% |
| Residents 65+ with serious difficulty walking | 21% | 20% | 20% |
| Residents 85 or older | 4.0% | 2.3% | 2.8% |
| Residents 65+ with a disability | 32% | 33% | 32% |
| Residents 65+ in households who live alone | 26% | 22% | 20% |
| Residents 65+ below the poverty line (approx.) | 9.1% | 11% | 9.2% |
| Median income, households headed by someone 65+ | $67,894 | $69,877 | — |
Older residents in towns around Hilo
| Town | Distance | Residents 65+ | Self-care difficulty (65+) |
|---|---|---|---|
| Kurtistown, HI | 7.1 mi | 833 | 34% |
| Hawaiian Paradise Park, HI | 10 mi | 3,062 | 4.9% |
| Orchidlands Estates, HI | 10 mi | 450 | 4.2% |
| Hawaiian Acres, HI | 11 mi | 664 | 0.0% |
| Mountain View, HI | 13 mi | 651 | 11% |
| Ainaloa, HI | 13 mi | 993 | 11% |
Home health agencies with aides serving Hilo
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Bayada Home Health Care | Hilo, HI | 1.2 mi | 3 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (808) 933-1702 |
| Home Health Kauai | Lihue, HI | 319 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, home health aides | (808) 245-5121 |
| Kohala Home Health Care Of North Hi Comm Hosp | Kamuela, HI | 46 mi | 1.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (808) 881-4711 |
Straight-line miles from the center of Hilo. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a personal care aide can help with
- Bathing or showering, with a shower chair if needed
- Dressing and undressing
- Toileting and incontinence care
- Grooming: hair, shaving and oral care
What personal care costs in Hilo
At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 28% of the $5,658 monthly median income of Hilo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. 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 personal care aide
The Census Bureau asks whether a person has difficulty dressing or bathing, which it calls a self-care difficulty; it is the clearest sign that someone needs personal care. Medicare does not pay for personal care when it is the only care needed (Medicare.gov), but many state Medicaid programs do for people who qualify.
Questions worth asking: How do you protect a client’s dignity during bathing and toileting? Are you trained in safe transfers? Can you keep the same morning or evening hours each day? More in our personal care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Personal Care in Hilo: common questions
How much does personal care cost in Hilo?
At the Hawaii median aide wage of $18.32 an hour, 20 hours of help a week comes to about $1,588 a month in wages, which is 28% of the $5,658 monthly median income of Hilo households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Hawaii's minimum wage is $16.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
What is the difference between personal care and companion care?
Companion care is company and help around the house. Personal care is hands-on help with the body: bathing, dressing, toileting and grooming. Many caregivers offer both; say in your posting which you need.
More senior care near Hilo
Personal Care in nearby cities
- Personal Care in Kurtistown, HI
- Personal Care in Hawaiian Paradise Park, HI
- Personal Care in Orchidlands Estates, HI
- Personal Care in Hawaiian Acres, HI
- Personal Care in Mountain View, HI
- Personal Care in Ainaloa, HI
- Personal Care in Hawaiian Beaches, HI
- Personal Care in Waimea, HI
- Personal Care in Waikoloa Village, HI
- Personal Care in Honaunau-Napoopoo, HI
- Personal Care in Captain Cook, HI
- Personal Care in Holualoa, HI
- Personal Care in Kahaluu-Keauhou, HI
- Personal Care in Kaiminani, HI
- Personal Care in Hawaiian Ocean View, HI
Other care in Hilo
- Companion Care in Hilo
- Dementia Care in Hilo
- Respite Care in Hilo
- Live-In Caregivers in Hilo
- Post-Surgery Care in Hilo
- Senior Transportation in Hilo
- Home Health Aides in Hilo
- Nursing Assistants in Hilo
- Overnight Caregivers in Hilo
- 24-Hour Home Care in Hilo
- Mobility Assistance in Hilo
- Parkinson’s Care in Hilo
- Stroke Recovery Support in Hilo
- Disability Care for Adults in Hilo
- Hospice Support in Hilo
- Senior Meal Preparation in Hilo
- Senior Housekeeping in Hilo
- Medication Reminders in Hilo
- Veterans’ Home Care in Hilo
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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