Best places to open an assisted living home in Hawaii
The top markets for residential assisted living in Hawaii, ranked by demand versus supply — plus the cities where the homes are.
Updated July 2026
The top markets for assisted living in Hawaii right now are Hawaii, Maui, Kauai counties — ranked by RAL Market Scout's opportunity score, which weighs 75+ demand and projected senior growth against current bed supply. Statewide there are 17 licensed assisted living homes serving 130,643 residents aged 75+, at a median cost of about $12,096/mo.
Licensed homes
17
state roster
Population 75+
130,643
ACS
Median AL cost
$12,096/mo
above the national median
Bed supply
39.8/1k
moderate supply
Top 4 markets for assisted living in Hawaii
RAL Market Scout's opportunity score blends 75+ demand and projected senior growth against current bed supply — a saturated market is scored down even when demand is high. Higher means more room for a new small home.
Hawaii County — opportunity 8.2/10 (Strong); 18,512 seniors 75+, growing 25.0%, with 1 licensed homes.
Maui County — opportunity 8.1/10 (Strong); 13,502 seniors 75+, growing 21.4%, with 1 licensed homes.
Kauai County — opportunity 8.0/10 (Strong); 6,802 seniors 75+, growing 24.1%, with 1 licensed homes.
Honolulu County — opportunity 6.9/10 (Moderate); 91,819 seniors 75+, growing 17.3%, with 14 licensed homes.
Where the homes actually are. Each linked city has its own page with local supply and market context.
City
County
Homes
Beds
Avg size
Honolulu
Oahu
9
0
—
Frequently asked questions
What are the top markets for assisted living in Hawaii?
The strongest Hawaii markets on RAL Market Scout's opportunity scoring are Hawaii, Maui, Kauai, Honolulu counties — based on 75+ demand and projected senior growth versus current bed supply.
Which Hawaii city has the most assisted living homes?
Honolulu has the most, with 9 licensed assisted living homes (about 0 beds).
How much does assisted living cost in Hawaii?
The median assisted living cost in Hawaii is about $12,096 per month — above the national median.
How many assisted living homes are in Hawaii?
Hawaii has approximately 17 licensed assisted living homes serving 130,643 residents aged 75 and older.
See the full Hawaii picture
RAL Market Scout scores every county and ZIP in Hawaii on demand, supply gaps, and referral capacity — and builds a site-level report for any address you're evaluating.
Sources: Licensed-home and city counts from Hawaii state licensing rosters (RAL Market Scout data pipeline). 75+ population and growth from U.S. Census ACS. Bed supply from NIC MAP / state surveys. Cost figures are market medians. Data snapshot: 2026-07. Informational only — not legal, financial, or investment advice.