A relatively high 24 percent of nursing homes in Hawaii have earned five-star overall ratings from Medicare, as of this writing. Almost half of the top-rated homes are in Honolulu. Nursing home prices also run high, but adult day-care rates are a little below average.

Approximate number of facilities:

• Nursing homes: 46
• Assisted living residences: 490*

Types of care available:

• Adult day care
• Home care
• Home health-care
• Continuing-care retirement communities
• Assisted living facilities
• Residential care homes
• Nursing homes

Estimated average prices:**

• Adult day-care: $64 per day
• Home care: $22 per hour
• Home health care: $24 per hour
• Assisted living (one-bedroom or private): $4,215 per month
• Nursing home (semi-private room): $314 per day
• Nursing home (private room): $355 per day

State websites for seniors:

• Honolulu Senior Citizens Program
• Department of Health

Where to report elder abuse:

• In domestic/community care:
  • Oahu: 1-808-832-5115
  • Maui, Molokai and Lanai: 1-808-243-5151
  • Kauai: 1-808-241-3432
  • East Hawaii: 1-808-933-8820
  • West Hawaii: 1-808-327-6280

•   In nursing homes:

•  
  • Oahu: 1-808-832-5115
  • Maui, Molokai and Lanai: 1-808-243-5151
  • Kauai: 1-808-241-3432
  • East Hawaii: 1-808-933-8820
  • West Hawaii: 1-808-327-6280

Financial assistance (partial list):

• Med-QUEST Division (Medicaid)

• Sage PLUS Program (Medicare counseling)

Top-10 largest cities:

•  Honolulu 
•  Hilo
•  Kailua
•  Kaneohe
•  Waipahu
•  Pearl City
•  Waimalu
•  Mililani Town
•  Kahului
•  Kihei

Top nursing homes, based on Medicare ratings:***

Ewa Beach
Kulana Malama

Honolulu
Hale Malamalama
Hale Ola Kino
Island Nursing Home
Maunalani Nursing and Rehabilitation Center
Oahu Care Facility

Kaneohe
Harry and Jeanette Weinberg Care Center

Kapaa
Samuel Mahelona Memorial Hospital

Pahala
Kau Hospital

Waianae
Leeward Integrated Health Services

Waimea
Kauai Care Center

*Assisted-living residence numbers are from the Department of Health and Human Services’ 2007 Residential Care and Assisted Living Compendium. According to the National Center for Assisted Living, this is the industry’s only resource for such data. Depending on the state, the number may or may not include small residential-care homes, such as adult foster care.

**Senior-care price estimates are based on the 2011 MetLife Market Survey of Long-Term Care Costs, which reports average rates,and the Genworth 2011 Cost of Care Survey, which reports median rates.

***Medicare rates nursing homes in four categories using a five-star system. These are the nursing homes with five stars in the “Overall” category. The ratings were accessed on Medicare’s Nursing Home Compare site in November or December 2011 and are subject to change. The Medicare ratings system isn’t perfect, so use additional criteria to evaluate nursing homes as well.