facebook tracking Kalakaua Gardens, Honolulu HI: CMS Ratings & Inspections
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Kalakaua Gardens

All states › Hawaii › Honolulu › Kalakaua Gardens

1723 Kalakaua Avenue Honolulu, HI 96826 · Honolulu County

(808) 518-2273

All 18 nursing homes in Honolulu, HI (16 take Medicaid)

Accepts Medicare Accepts Medicaid 49 certified beds For profit

CMS certification number 125066 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Kalakaua Gardens a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Kalakaua Gardens as of October 2026.

CMS rates it 3 out of 5 stars overall, below the Hawaii average of 3.8. Inspectors issued 30 citations in the last three years. CMS imposed 1 penalty, including $55,692 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 5.17 hours per resident per day at Kalakaua Gardens, above the Hawaii median of 4.62 (US median: 3.72). About 1.89 of those hours are from registered nurses. On weekends it falls to 4.86 hours, 6% below its all-week average. 30% of nursing staff left within a year (Hawaii median 32.8%).

Nursing care per resident per day 5.17 hours
Above the Hawaii median of 4.62 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.89 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.86 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 30% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 35% a year Share of registered nurses who left over a year.
Administrators who left — Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds49
Residents per day 43 About 88% of beds filled, on average
OwnershipFor profit - Partnership
Payment acceptedMedicare and Medicaid
Certified sinceJune 2017
Legal business nameISLAND PARADISE INVESTMENTS LP

Paying for care at Kalakaua Gardens: Medicare and Medicaid

Kalakaua Gardens is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Hawaii's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 20, 2026 and found 10 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 30 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 30 citations at Kalakaua Gardens across 5 inspection dates, 6 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on January 17, 2025. The most common areas cited were pharmacy service (5) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, January 17, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

February 20, 2026 · 10 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 6, 2026)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 6, 2026)

EProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 6, 2026)

DEnsure that residents are fully informed and understand their health status, care and treatments.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0552 · Deficient, Provider has date of correction (Apr 6, 2026)

DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Apr 6, 2026)

DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Deficient, Provider has date of correction (Apr 6, 2026)

DProvide activities to meet all resident's needs.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Apr 6, 2026)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Apr 6, 2026)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 6, 2026)

DProvide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0826 · Deficient, Provider has date of correction (Apr 6, 2026)

December 18, 2025 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (Feb 12, 2026)

January 17, 2025 · 7 citations, includes actual harm

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Mar 3, 2025)

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 3, 2025)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Mar 3, 2025)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Mar 3, 2025)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Mar 3, 2025)

DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Mar 3, 2025)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Mar 3, 2025)

January 26, 2024 · 5 citations, includes actual harm · includes complaint inspection

GEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Actual harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 2024)

DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 2024)

DEnsure that the resident and his/her doctor meet face-to-face at all required visits.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0712 · Complaint inspection · Deficient, Provider has date of correction (Mar 11, 2024)

June 16, 2023 · 7 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jul 7, 2023)

EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jul 7, 2023)

DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0561 · Deficient, Provider has date of correction (Jul 7, 2023)

DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Jul 7, 2023)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Deficient, Provider has date of correction (Jul 7, 2023)

DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Jul 7, 2023)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 7, 2023)

Questions to ask on a tour of Kalakaua Gardens

  1. Inspectors cited the home at the actual-harm level on January 17, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on February 20, 2026. How are staff trained, and how are concerns reported?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $55,692 in fines.

DateTypeAmount or length
Jan 17, 2025 Fine $55,692

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 5/5 4/5
August 2026 2/5 2/5 4/5 4/5
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Location

Hospitals near Kalakaua Gardens

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Hale Ola Kino by Arcadia Hon · 0.7 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 32 beds · Medicaid
Oahu Care Facility Honolulu · 0.8 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 82 beds · Medicaid
Islands Skilled Nursing & Rehabilitation Honolulu · 0.8 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 42 beds · Medicaid
Arcadia Retirement Residence Honolulu · 0.9 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 91 beds
Hale Nani Rehabilitation and Nursing Center Honolulu · 1.2 mi away Not rated Inspection — · Staffing — 288 beds · Medicaid

More nursing homes near Kalakaua Gardens ›   All nursing homes in Honolulu ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/hawaii/honolulu/kalakaua-gardens/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.