It was Kamehameha’s intention to remain on O‘ahu until his death, he decided to move his capitol back to Kona with him. ‘I‘i describes that the “King erected three houses thatched with dried ti leaves,” a sleeping house (hale moe) and separate men’s (hale mua) and women’s (hale ‘āina) eating houses.” Kamehameha first moved into the former residence of Keawe a Mahi. He then built another house on the seaward side of that residence, that was referred to as hale nana mahina ‘ai. At the onset of his illness, Kamehameha was treated by his kahuna.
When the illness would not yield to their treatment, a ship was sent to Honolulu for Marin, a Spaniard who had no formal medical training, but had some basic Western medical knowledge. Ka-iki-o-‘ewa then asked Kamehameha for a last word, saying. “We are all here, your younger brothers, your chiefs, your foreigner (Young.) Give us a word.” “For what purpose?’ asked the chief. “As a saying for us” (I hua na makou.) “E oni wale no ‘oukou i ku‘u pono ‘a‘ole e pau (Endless is the good that I have given you to enjoy.”) Hours later, at two o’clock on the morning of May 8, 1819, Kamehameha passed away at Kamakahonu, Kailua-Kona.