Home Care Services Built Around Your ʻOhana
Steadfast provides personal care, homemaker services, companion care, respite care, 24-hour and overnight care, and specialized non-medical support. Every service is based on a professional assessment of your loved one’s needs, documented in a written service plan, and delivered by trained care staff.

Personal Care Services
Personal care assists your loved one with the activities of daily living, the essential personal tasks that keep each day safe, comfortable, and dignified. Every task is delivered with patience and respect, based on the assessment of your loved one’s needs.
Bathing, Dressing & GroomingFull personal care support, including skin care, oral hygiene, and hair care, always delivered with dignity first.
Toileting SupportRespectful, discreet assistance with toileting routines.
Incontinence ManagementDignified, professional incontinence care that protects comfort and skin health.
Feeding Assistance & Meal SupervisionHelp with eating and attentive supervision at mealtimes to support nutrition and safety.
Mobility, Transfers & PositioningHands-on physical assistance with ambulation, mobility, transfers, and positioning.
Standby AssistanceA steady, attentive presence for safety during transfers, walking, and daily activities.
Range of Motion & Mobility SupportAssistance with range of motion exercises recommended for your loved one.
A Clear Boundary, for Your Protection
Personal care services never include the management of a client’s money or finances or the balancing of a client’s checkbook. Our caregivers are also prohibited from accepting cash payments. These protections are built into our policies and our staff conduct rules.

Homemaker Services
Homemaker services support a safe, healthy, and comfortable living environment, so the home keeps working for the person who lives in it. These services are performed by the same trained Personal Care Aides your family already knows.
Light HousekeepingSweeping, mopping, dusting, making beds, washing dishes, cleaning bathrooms, and disposing of rubbish.
Care of Clothing & LinensWashing, drying, ironing, and mending, so closets and beds stay fresh.
Meal Planning & PreparationFresh, nutritious meals planned and made right at home, including shopping for food.
Grocery & Supply ErrandsShopping for household supplies, clothing, and personal essentials, and picking up medication.
Transportation & AccompanimentEscorting your loved one to medical appointments and to nutritional or recreational programs.
Medication Reminders & Simple RoutinesReminders to take oral medication, follow diet restrictions, and perform recommended exercises.
Medication Reminders, Done Right
As a simple health care routine, our caregivers may remind clients to take oral medication, maintain diet restrictions, and perform recommended exercises. Caregivers never administer medication and never make dosing decisions. Every reminder, and any refusal, is recorded in the client log, so your family always has an accurate picture.

Respite Care Services
Caring for a loved one is a labor of love, and it’s exhausting. Respite care provides temporary substitute care so that a family member or other regular caregiver can rest, attend to personal or work obligations, travel, or recover from illness, while your loved one stays safe and comfortable at home.
- The same full scope of care. During a respite visit we provide the same personal care and homemaker services described above, on a temporary substitute basis, following your loved one’s written service plan.
- Flexible scheduling. Arrange respite in advance as a one-time visit, a series of visits, or a recurring schedule. Visits are scheduled in hourly blocks, and short-notice requests are accommodated whenever qualified staff are available.
- A careful handoff. Before the first visit, we gather your loved one’s routines, preferences, meals, mobility and safety needs, and emergency contacts, and we confirm exactly which tasks we will perform.
- Full Reporting Back. Everything delivered during each visit is recorded in the client record, and any change in your loved one’s condition is reported to our Supervisor and to you.
Who Respite Care Is For
Spouses who need an afternoon a week to catch their breath. Adult children balancing work and caregiving. Families planning a trip. Caregivers recovering from their own illness. If you are the one everyone relies on, respite care is for you.
24-Hour & Overnight Care
Steadfast provides continuous non-medical supervision and overnight support through coordinated caregiver shifts.
24-Hour Care
Coordinated caregiver shifts provide continuous personal care, homemaker help, companionship, and supervision across the full day and night.
Overnight Care
An awake caregiver can provide non-medical support, safety supervision, toileting assistance, repositioning help, and reassurance overnight.
Continuous Supervision
A coordinated team follows one written service plan so support remains consistent from one caregiver shift to the next.
Companion Care
Loneliness is one of the greatest health risks facing kūpuna. As part of personal care and homemaker services, we offer companion care focused on the social and emotional well-being of every client.
Companionship & Supervision
Friendly companionship and attentive, non-medical supervision for safety and reassurance throughout the visit.
Conversation & Emotional Support
Meaningful dialogue and active listening, because being truly heard matters at every age.
Recreational Activities
Participation in hobbies, games, and crafts that bring genuine enjoyment to the day.
Cognitive Stimulation
Mental engagement and memory-focused activities that keep the mind active and involved.
Meal Companionship
Sharing mealtimes to encourage good nutrition and the simple pleasure of eating together.
Escort & Accompaniment
Accompanying clients to appointments, community outings, and programs across Oʻahu.
Extra Care for the Situations
That Ask More of a Family
This support is provided entirely within our non-medical scope. It includes no clinical task, no medication administration, and no invasive procedure, and our staff report any change in a client’s condition to our Supervisor.
Dementia & Alzheimer’s Support
Memory loss changes how a person experiences the world. It shouldn’t take away their comfort or dignity. Our caregivers use non-medical techniques and routines that support clients experiencing memory loss or cognitive decline.
- Caregivers trained in dementia and Alzheimer’s support
- Consistent routines and familiar caregiver matching
- Calming redirection for confusion and agitation
- Attentive supervision and home safety awareness
- Regular family updates and care coordination
Sundowning Supervision
Late-day confusion and agitation, often called sundowning, can be the hardest hours for families. We provide increased monitoring during the late afternoon and evening, with calming, reassuring routines that reduce anxiety and help your loved one settle safely.
Learn MorePost-Hospital Recovery Support
The first weeks home after surgery or a hospital stay are when complications happen. We provide non-medical help with daily living and the household during the transition home, including meal preparation, mobility assistance, errands, and medication reminders, so recovery stays on track. We do not provide skilled or clinical care, and we gladly work alongside any home health provider your physician arranges.
Learn MoreEnd-of-Life Comfort Companionship
Compassionate, non-medical companionship and a comforting presence for clients and families in life’s most tender season. This is not hospice care and includes no clinical, palliative-medical, or nursing component. We may serve clients who are enrolled in hospice, providing only non-medical support that complements, and never replaces, hospice services. Families who need skilled or hospice care are referred to an appropriate provider.
Learn MoreProfessional Structure Behind Every Visit
Good caregiving is personal. Reliable caregiving is also managed, documented, and supervised. Here is the professional framework that stands behind every Steadfast visit.
In-Home Assessment
Before services begin, our Supervisor completes an assessment of your loved one’s functional needs, such as bathing, dressing, mobility, and meals, along with home safety considerations and personal preferences and goals.
A Written Service Plan
The service plan is the written roadmap for care. Our Supervisor develops it with you, it specifies exactly which services will be provided, by whom, and how often, and it is signed by both the Supervisor and your family before care begins.
Reviewed and Kept Current
The plan is reviewed at least annually, and any time your loved one’s condition changes. Caregivers report changes to the Supervisor right away so the plan and the level of service always match real needs.
Matching & Continuity
Caregivers are assigned based on your loved one’s needs and each caregiver’s skills and availability. We prioritize keeping the same primary caregiver to build trust and continuity, visit after visit.
Verified Visits & Back-Up Care
Caregivers record arrival and departure for every visit using our verification system. If your caregiver is ever unavailable, we arrange a qualified replacement and notify you promptly, so care never simply fails to show up.
Supervisory Visits
Our Supervisor personally visits every client’s home at least once a year to observe each caregiver, verify that services follow the service plan, and confirm that safety standards are met. Every visit is documented.
Visit Documentation & Family Communication
Caregivers document every visit. Families are contacted promptly for accidents or urgent matters, and supervisory contact occurs weekly.
Confidential Records
Every client record is kept confidential, stored securely, and shared only with authorized persons as required or allowed by law. You or your representative may review the record on written request.
24-Hour On-Call Support
An on-call coordinator is available at all times for urgent scheduling issues and care gaps. For any medical emergency, our caregivers call 911 first, then notify the agency and your designated emergency contact.
Serving All of Oʻahu
From Honolulu to the North Shore, we bring compassionate care to families across the island. Hover a pin to see the areas we serve.
Coastline based on State of Hawaiʻi GIS and USGS data.
Communities We Serve
Steadfast serves the entire island of Oʻahu, City and County of Honolulu, including:
- Honolulu
- Kaimukī
- Kāhala
- Hawaiʻi Kai
- Mānoa
- Kalihi
- ʻAiea
- Pearl City
- Waipahu
- Mililani
- Wahiawā
- Kapolei
- ʻEwa Beach
- Waiʻanae
- Kailua
- Kāneʻohe
- North Shore
Based in Honolulu
Our office is at 1631A Pali Highway, Honolulu, HI 96813. Not sure if we reach your neighborhood? Call (808) 354-3458 and we’ll let you know right away.
Not Sure Which Service Fits? That’s What We’re Here For.
Tell us about your loved one and we’ll recommend the right level of care, honestly, even if that means less care than you expected. Your first consultation is a free in-home visit, with no obligation and no pressure.