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Retirement Home

Arcadia Retirement Residence

Retirement Home

Arcadia Retirement Residence

1434 Punahou St, Honolulu, HI 96822 View map
Overview of Arcadia Retirement Residence

Arcadia, a cherished haven for Honolulu’s seniors since 1967, is a hidden gem nestled in the heart of Makiki. Spread across three picturesque acres, this vibrant retirement community provides a safe and comfortable sanctuary for the elderly. Its prime location offers easy access to the bustling Downtown district, the sun-soaked Waikiki Beach, and the thriving Ala Moana Center via public transport or car. Additionally, several houses of worship are within walking distance, providing spiritual solace to residents.
Upon entering Arcadia, you’ll be enchanted by its elegance and tranquility. The state-of-the-art facilities cater to all needs, including a well-equipped fitness center, indoor pool, and exquisite restaurant-style dining room, and a spacious lobby. For those seeking solitude and relaxation, the computer and garden areas are the perfect retreats. Residents can shop for basic essentials at the resident store, and ample parking and private group transportation to selected events are available for their convenience. With 24-hour security and linen service, residents can rest assured knowing they’re in good hands. At Arcadia, the cost of living is a mere concern, which is why they offer a one-time entrance fee followed by a monthly service charge that covers all amenities and services. Residents can bask in the joys of life and create beautiful memories that will last a lifetime at Arcadia, the place they can call home.

(808) 941-0941

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
5/5
Hawaii average: 3.4/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
3/5
Hawaii average: 2.7/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
5/5
Hawaii average: 3.9/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
5/5
Hawaii average: 4.2/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
5h 5m per day

This home provides 21% more nursing time per resident than the Hawaii average.

Hawaii average: 4h 13m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 91

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Hawaii average
Occupancy rate 84.3%
Residents per day (avg) 86
Occupancy rate
84.3%
Residents per day (avg)
86

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Might be optimal for
Post-acute recovery Temporary care Transitional stays

Breakdown by payment type

Medicare

32% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

68% of new residents, often for short stays.

Typical stay 7 - 8 months

Finances and operations

Voluntary non-profit community
Operated by a church.
Home revenue
$19.0M
Surplus of revenue
$4.5M
Voluntary non-profit community Operated by a church.
Home revenue
$18,995,472.00
Surplus of revenue
$4,476,666.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.9M
30.8% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$8.7M
Total costs $14.5M
Walk Score
Walk Score: 86 / 100
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
BBB Rating
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

License details

Facility type
Assisted Living Facility
Status Active
Expiration August 31, 2027

Additional licensing details

License number: 1-ALF
CMS Certification Number: 125014
Island: Oahu

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Ms. Vivian Lai, CFO

Care Services

Alzheimer's Certification

Inspection History

In Hawaii, the Department of Health, Office of Health Care Assurance performs regular inspections and unannounced surveys to verify that healthcare facilities maintain high standards of resident care.

4 visits/inspections

Latest inspection

Date:May 20, 2025
Type:Annual Inspection

5 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Inspection Report Summary for Arcadia Retirement Residence

Most inspections of Arcadia Retirement Residence found some deficiencies, though several reports were clean. The most recent inspection on May 20, 2025, cited a single deficiency for not updating a resident’s service plan to include new tasks and interventions related to nutrition and fluid status. Earlier reports noted issues with emergency evacuation plan documentation and incomplete service plans and nursing documentation, particularly related to resident assessments and treatment updates. No fines, enforcement actions, or severe harm-level findings were reported in the available records. The facility’s record shows some recurring documentation issues, but the most recent inspection suggests these problems continue at a minor level without worsening.

Health Inspection History

Inspections
Total health inspections 4

Hawaii average 4.4


Last Health inspection on Oct 2024

Total health citations 36

Hawaii average 35.5

Citations per inspection
9

Hawaii average 8.23


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

30 of 36 citations resulted from standard inspections; 4 of 36 resulted from complaint investigations; and 2 of 36 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
900% worse than Hawaii average

Hawaii average: 0.1


Serious Health citations More info 1
In line with Hawaii average

Hawaii average: 1

1 critical citation More info Hawaii average: 0.1

1 serious citation More info Hawaii average: 1

34 moderate citations More info Hawaii average: 34.2

0 minor citations More info Hawaii average: 0.1
Citations history (last 3 years)
Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Oct 04, 2024
Corrected

Nutrition moderate citation Info Issues related to food quality, meal service, and resident's nutritional needs. Oct 04, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 04, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Oct 04, 2024
Corrected

Compare Retirement Homes around Honolulu The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

Kalākaua Gardens
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Honolulu (Ala Moana)
236
No
-
98
Studio / 1 Bed
Arcadia Retirement Residence
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
91
No
A+
86
-
King Lunalilo Trust
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Honolulu (Hawaii Kai)
40
No
-
48
-
Aiea Heights Senior Living
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Aiea
22
No
A+
21
-

Places of interest near Arcadia Retirement Residence

Address 1.6 miles from city center — 0.15 miles to nearest hospital (Robert Peterson, MD)

Address 1434 Punahou St, Honolulu, HI 96822

Calculate Travel Distance to Arcadia Retirement Residence

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Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 123
Employees 92
Contractors 31
Staff to resident ratio 1.60:1
0% compared with Hawaii average

Hawaii average ratio: 1.64:1

Avg staff/day 63
Average shift 7.4 hours
5% worse than Hawaii average

Hawaii average: 7.8 hours

Total staff hours (quarter) 42,166
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 32
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 3
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 58
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

12.5%

5,252 contractor hours this quarter

Certified Nursing Assistant: 16 Registered Nurse: 4 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Medical Director: 2 Physical Therapy Assistant: 1 Administrator: 1 Occupational Therapy Assistant: 1 Physical Therapy Aide: 1 Qualified Social Worker: 1
Staff by category
Certified Nursing Assistant42165821,66891100%7.6
Registered Nurse2843210,83391100%7.4
Other Dietary Services Staff7072,51391100%7.6
Licensed Practical Nurse3031,1567987%8
Clinical Nurse Specialist4041,0316571%7.6
Mental Health Service Worker2028706268%7.5
Nurse Practitioner2027286167%7.5
Speech Language Pathologist0226626571%5.7
Administrator1125276268%4.7
Occupational Therapy Aide1014355864%7.5
Physical Therapy Assistant0113906369%6.2
Nurse Aide in Training1013334448%7.6
Dietitian1013004044%7.5
Respiratory Therapy Technician0222225763%3.9
Occupational Therapy Assistant0111983640%5.5
Physical Therapy Aide0111582325%6.9
Qualified Social Worker0111302629%5
Medical Director0221578%1
58 Certified Nursing Assistant
% of Days 100%
32 Registered Nurse
% of Days 100%
7 Other Dietary Services Staff
% of Days 100%
3 Licensed Practical Nurse
% of Days 87%
4 Clinical Nurse Specialist
% of Days 71%
2 Mental Health Service Worker
% of Days 68%
2 Nurse Practitioner
% of Days 67%
2 Speech Language Pathologist
% of Days 71%
2 Administrator
% of Days 68%
1 Occupational Therapy Aide
% of Days 64%
1 Physical Therapy Assistant
% of Days 69%
1 Nurse Aide in Training
% of Days 48%
1 Dietitian
% of Days 44%
2 Respiratory Therapy Technician
% of Days 63%
1 Occupational Therapy Assistant
% of Days 40%
1 Physical Therapy Aide
% of Days 25%
1 Qualified Social Worker
% of Days 29%
2 Medical Director
% of Days 8%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
77 residents
Residents by payment source
Medicare
6 residents (7.8%)
Private pay or other
71 residents (92.2%)
Programs & Services
Family Member Group

Family members meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Family Council

Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 9.2
10% better than Hawaii average

Hawaii average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.8
9% worse than Hawaii average

Hawaii average: 20.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 20.5%
16% worse than Hawaii average

Hawaii average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.8%
27% better than Hawaii average

Hawaii average: 25.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.1%
42% worse than Hawaii average

Hawaii average: 18.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.8%
18% better than Hawaii average

Hawaii average: 2.1%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.5%
60% better than Hawaii average

Hawaii average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.7%
70% better than Hawaii average

Hawaii average: 2.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 3.6%
24% better than Hawaii average

Hawaii average: 4.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Hawaii average

Hawaii average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.2%
9% better than Hawaii average

Hawaii average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.5%
In line with Hawaii average

Hawaii average: 96.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
In line with Hawaii average

Hawaii average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.8%
10% better than Hawaii average

Hawaii average: 83.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Hawaii average

Hawaii average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 97.9%
16% better than Hawaii average

Hawaii average: 84.7%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $13K
66% lower than Hawaii average

Hawaii average: $38K

Number of fines 1
34% fewer fines than Hawaii average

Hawaii average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Hawaii average

Hawaii average: 0.1

Fines amount comparison
Fines amount comparison
This facility $13K
Hawaii average $38K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 3, 2023
$13K

Last updated: Jan 2026

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Financial Aid for Hawaii Seniors

Get financial aid guidance

QUEST Integration

Hawaii Medicaid QUEST Integration

Age 65+ or disabled, Hawaii resident, Medicaid-eligible, long-term care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

High cost of living adjustments.

Kupuna Care

Hawaii Kupuna Care

Age 60+, Hawaii resident, unable to perform 2+ ADLs.

No strict limit; prioritizes low-income.

Not applicable.

Limited funding; island-specific delivery.

Program of All-Inclusive Care for the Elderly (PACE)

Hawaii Medicaid PACE

Age 55+, Hawaii resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR).

$2,000 (individual), $3,000 (couple).

Limited to Oahu (e.g., Maluhia in Honolulu); few providers.

Medicare Savings Program (MSP)

Hawaii Medicare Savings Program

Age 65+ or disabled, Hawaii resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Senior Community Service Employment Program (SCSEP)

Hawaii SCSEP (Federally Funded, State-Administered)

Age 55+, unemployed, low-income, Hawaii resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

~800 slots; prioritizes veterans, rural residents.

National Family Caregiver Support Program (NFCSP) Respite

Hawaii NFCSP Respite Care

Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

Four county AAAs; prioritizes low-income.

VA Aid and Attendance (A&A) and Housebound Benefits

Hawaii VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/surviving spouse, Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (2025 net worth limit).

Applies statewide; high demand due to veteran population.

Senior Companion Program (SCP)

Hawaii Senior Companion Program

Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.

Volunteers: ~$24,980/year (200% FPL); recipients: no limit.

Not specified for volunteers; need-based for recipients.

Statewide; managed by DHS Social Services.

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