Pu‘uwai ‘O Mākaha 808-695-9508 84-390 Jade St. Wai ʻ anae, HI 96792 www.ohanapacific.com/puuwai-o-makaha Residential Care Homes & Adult Foster Homes In Hawai ʻ i, individuals requiring assistance with daily activities have several residential care options. Adult Residential Care Homes (ARCH): Provide a safe environment for those needing help with tasks like bathing, dressing, and meal preparation. Expanded Adult Residential Care Homes (ExpARCH): Offer similar services to ARCH but with additional support for residents with higher care needs. Community Care Foster Family Homes (CCFFH): Provide a family-like setting where residents receive personalized care in a home environment.
The State Department of Health, Office of Health Care Assurance, regulates these facilities. On O ʻ ahu, there are over 1,000 licensed care homes, varying from small private residences to larger facilities. Some specialize in caring for individuals with specific conditions, such as dementia. Costs vary based on location, amenities, and the level of care provided. Consult your primary care physician to see if you meet the criteria to be placed in a facility. What’s the difference? Adult Residential Care Homes (ARCH) : Provides 24-hour supervision, assistance with daily activities (bathing, dressing, meals). Expanded ARCH (ExpARCH) :
Includes ARCH services plus higher-level care (Intermediate Care Facility or ICF-certified). Community Care Foster Family Homes (CCFFH) : Previously regulated by DHS, these provide ICF-level care for Medicaid clients, managed by case management agencies. Some also accept private-pay residents. What are the advantages & considerations? Advantages Home-like setting rather than institutional More affordable than in-home or nursing home care Suitable for those needing assistance but not constant medical supervision 18