Preparing for aging and care is not easy and many do not anticipate the costs associated with long-term care. Some of us assume that relatives will be able to provide care, however this doesn’t always pan out. Those who are not prepared for long-term care costs are left wondering how they will afford their care or the care of a loved one. Whether assisted living, in-home care or a nursing home is the type of long-term care needed, the costs can be overwhelming. Nursing homes on O‘ahu can charge $6,000 to $10,000 per month. This is why it is important for families to explore all of their options.

For example, a program called the Community Care Foster Family Home Program under the State of Hawai‘i offers long-term care in licensed adult foster homes within the community. The cost for this program ranges from $3,000 to $5,500 per month. This is half the cost of a nursing home. Moreover, Medicaid covers the cost for care and services under the program for those who qualify.

For more information, visit online at, scroll down and click on the Adult Foster Care Program tab.

Nightingale Case Management, Inc. has been a part of the CCFFH Program for over 12 years. For a free assessment and consultation, please contact: (808) 484-2205,, or visit

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