Demand, supply, and opportunity for small assisted living homes in Hawaii County — from the RAL Market Scout dataset.
Updated September 2026
Hawaii County, HI scores 5.8/10 (Moderate) for assisted living opportunity. It has 18,512 residents aged 75+, growing 25.0%, against 37 licensed homes — a moderate small-home market on RAL Market Scout's demand-vs-supply scoring.
Opportunity score
5.8/10
Moderate
Population 75+
18,512
25.0% growth
Licensed homes
37
current supply
Demand rating
6.4/10
Moderate
Why Hawaii County ranks here
Hawaii County scores 5.8/10 (Moderate) because its 18,512 seniors 75+ are growing 25.0% against just 37 licensed homes, with referral capacity of 2.8 per 1,000 seniors from nearby hospitals, hospice, and home-health agencies. A senior median income of $69,877 and median home value of $519,300 signal the local private-pay base.
Hawaii County demand & supply detail
Population 75+
18,512
75+ growth (10-yr)
25.0%
Dementia prevalence (65+)
5.0%
Licensed assisted living homes
37
Referral facilities nearby (hospital · hospice · SNF · home health · FQHC)
51
Referral capacity / 1k seniors
2.8
Senior median income
$69,877
Median home value
$519,300
Opportunity score
5.8 / 10 (Moderate)
Licensed assisted living homes in Hawaii County
Facility
City
Beds
Pohai Malama Care Home
Hilo
18
Island Care Home LLC
Hilo
5
Arzaga's Adult Residential Care LLC #2
Hilo
5
Galanto's ARCH
Kailua-Kona
5
A. Nishioka Family Care Home Inc.
Hilo
5
Ellazar, Estela
Keaau
5
Fernandez, Carlina
Hilo
5
A & C Care Home
Hilo
5
Captain Cook Care Home
Captain Cook
5
Cua, Lilia
Hilo
5
Domingo's Care Home
Kailua-Kona
5
E & J Adult Residential Care Home
Kailua-Kona
5
Arzaga's Adult Residential Care LLC
Hilo
5
Elisa Cabal
Hilo
5
Ilar, Emelyn
Hilo
5
Frequently asked questions
How many assisted living homes are in Hawaii County?
Hawaii County has 37 licensed assisted living homes, serving 18,512 residents aged 75 and older.
Is Hawaii County a good market for assisted living?
Hawaii County scores 5.8 out of 10 (Moderate) on RAL Market Scout, which weighs 75+ demand and projected senior growth against current bed supply. Its 75+ population is growing 25.0%.
How fast is the senior population growing in Hawaii County?
The 75+ population in Hawaii County is projected to change 25.0% over the coming decade, with dementia prevalence around 5.0% of seniors 65+.
Go deeper on Hawaii County
RAL Market Scout maps demand and supply down to the ZIP and builds a full site report for any specific address in Hawaii County.
Sources: Licensed-home count from the Hawaii state roster (RAL Market Scout pipeline). 75+ population, growth, income, and home value from U.S. Census ACS. Dementia prevalence from CMS chronic-condition data. Opportunity score is RAL Market Scout's model. Snapshot: 2026-09. Informational only — not legal, financial, or investment advice.