Hawaii: Overview of Assisted Living Licensing

What types of facilities provide assisted living services for seniors in Hawaii?

Honolulu, HawaiiIn the state of Hawaii, there are several types of facilities that provide care services for adults. Facilities that specifically provide housing and assisted living services, such as bathing, grooming or supervision, for the elderly are called assisted living facilities and residential care homes.

  • An assisted living facility consists of a building complex with dwelling units that allow residents to maintain an independent lifestyle while receiving assisted living services. Meals are provided, staff are available 24 hours a day and services are based upon a resident’s need as per Hawaii Administrative Rules (HAR) §11-90-2.
  • An adult residential care home is a facility that provides 24-hour living accommodations to adults who require minimal assistance with activities of daily living and are unrelated to the family, as per HAR §11-100-.1-2.
    • A Type I home serves five or fewer residents.
    • A Type II home serves six or more residents.
  • An expanded adult residential care home is allowed to provide professional health services, such as those found in an immediate care facility or skilled nursing facility, in addition to assistance with activities of daily living.
    • A Type I home cannot serve more than two nursing facility-level residents, unless otherwise allowed by the discretion of the department.
    • A Type II home’s nursing facility-level residents cannot exceed 20 percent of the home’s licensed capacity, unless otherwise allowed by the discretion of the department.

Who licenses assisted living facilities and adult residential care homes in Hawaii?

The state of Hawaii, Department of Health Office of Health Care Assurance’s State Licensing Section is responsible for licensing assisted living facilities and adult residential care homes.

  • Rules §11-90-3 and §11-100.103 requires the license to be posted on the premises in a conspicuous place visible to the public.

What is required to obtain assisted living facilities and adult residential care home license?

To obtain a licensure, whether for an assisted living community or adult residential care home, applicants are required to submit information that includes compliance with current county and zoning codes, proposed annual budget that identifies sources of revenue and supporting documentation of the qualifications and training of staff (§11-90-4 and §11-100.1-3).

How do I know an assisted living facility is licensed?

The online directory lists the assisted living residences that are licensed, and there is an adult residential care home list available here that lists updates regarding closures or new homes.

How frequently are assisted living facilities and adult residential care homes inspected?

Assisted living communities are inspected no less than every two years for relicensing, as required by §11-90-3(b), while adult residential care homes are inspected on an annual basis as per §11-100.1-3(1).

Where can I find the inspection reports?

The inspections reports of personal care homes and assisted living communities are not available online but may be requested from the State Licensing Section.

Facilities are required to keep summary reports of licensing inspection on file and be available upon request as per §11-90-3(c).

How long are assisted living facilities and adult residential care homes required to keep their copy of inspection reports?

The rules do not specify how long these facilities are required to keep their copy of inspection records.

How can I file a complaint against an assisted living facility or adult residential care home, and what is the complaint process?

To file a complaint, you should contact the Adult Protective and Community Services Branch of the Department of Human Services. You will be requested to give an overview of the situation and may be asked to provide the information in writing. The severity of the situation will determine how quickly an inspector will follow up.

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