USDA Feasibility Study for Assisted Living and Elder Care in Hawaii
NAICS 623312
Assisted living and elder care projects in rural Hawaii face licensed-capacity gaps on every neighbor island, high construction costs and leasehold land tenure. An independent USDA feasibility study consultant models payer mix, staffing and certificate-of-need status; the independent USDA feasibility study company tests occupancy against the regulatory cap.
Program Fit
Community Facilities or B&I depending on sponsor structure; CF projections for assisted living must be based on no more than 90 percent occupancy under 7 CFR 5001.304.
What the Study Covers
Framed to the scope required by 7 CFR Part 5001 Appendix A for OneRD guaranteed loan submissions.
- Market demand and competitive supply analysis
- Technical and site feasibility, including environmental considerations
- Five to ten year financial projections with DSCR, DCF, and sensitivity analysis
- Management and operational capacity assessment
- Economic feasibility and rural community impact
Hawaii Market Evidence
Hawaii's elder-care demand is documented at the county level, but land tenure (ground lease term past loan maturity) and staffing pipelines are the two items Hawaii reviewers test first. USDA's Honolulu determination treats only the Urban Honolulu and East Honolulu census-designated places as urban, so most of Oahu and all neighbor-island territory is B&I-eligible; every Hawaii study includes a dated, address-level USDA map determination.
Frequently Asked Questions
Related Case Studies
Related Analysis and Guides
The USDA Rural Capital Atlas — 2026 Edition
Rural Health Clinic Feasibility
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