Total health inspections
6
Hawaii average 4.4
Last Health inspection on Jan 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Kalākaua Gardens
Nursing Home, Assisted Living, Independent Living & Memory Care · Honolulu, HI
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Kalākaua Gardens
Nursing Home, Assisted Living, Independent Living & Memory Care · Honolulu, HI
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Kalākaua Gardens accepts Medicare, Medicaid, and private pay.
Kalākaua Gardens, located in Honolulu, HI, is a senior living community primarily offering independent living, assisted living, memory care, and skilled nursing services. Their independent living option provides residents with studio-style and one bedroom accommodations featuring emergency alert systems, and personalized climate control. All utilities are also already covered except for telephone, and in room wifi and cable services are also available.
This senior living community’s amenities provides residents with so many things to enjoy; from their chef-prepared meals in a restaurant style dining room, to their housekeeping services, and scheduled transportation. Additionally, the residents may also participate in fitness classes as well as social and cultural outings, providing opportunities to create new relationships in their retirement years, as well as memories to look back on.
Quality ratings
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.
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.
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.
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 32nd out of 32 homes in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 32nd out of 32 homes in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
22m per day
Rank #32 / 32Nurse hours — State benchmarkedThis home is ranked 32nd out of 32 homes in Hawaii for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 32 Hawaii SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Hawaii avg
-91%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 27m per day | ▼ 89% State avg: 3h 59m per day · National avg: 3h 25m per day |
Capacity and availability
This home usually has availability
Occupancy rate
71.4%
Rank #17 / 27Occupancy rate — State benchmarkedThis home is ranked 17th out of 27 homes in Hawaii for occupancy rate. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 27. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
54 days
Walk Score: 98 / 100 Rank #3 / 178Walk Score — State benchmarkedThis home is ranked 3rd out of 178 homes in Hawaii for walk score. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
About this community
Facility TypeAssisted Living Facility
StatusActive
ExpirationSeptember 30, 2026
License Number21-ALF
IslandOahu
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.
Since 2022 · 4 years of data
25 deficiencies
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Hawaii state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2022 vs. Hawaii state average
Overall vs. HI average
0 Worse
No metrics in this bucket.
2 At Avg
Metrics at Hawaii average:
• Total deficiencies (at HI avg)
• Deficiencies per year (at HI avg) 0 Better No metrics in this bucket.
• Total deficiencies (at HI avg)
• Deficiencies per year (at HI avg) 0 Better No metrics in this bucket.
Latest Inspection
June 25, 2025
Annual Inspection
Deficiencies
| This Facility | HI Average | vs. HI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 25 | 25 | This facility has total deficiencies in line with the Hawaii average (25 vs. HI avg 25).— At avg |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 6.3 | 6.3 | This facility has deficiencies per year in line with the Hawaii average (6.3 vs. HI avg 6.3).— At avg |
Inspection Reports Summary
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
- The June 25, 2025 inspection found five deficiencies related to medication administration, service plans, and health monitoring, with no complaints or immediate jeopardy cited.
- The June 13, 2024 inspection identified nine deficiencies including untrained medication aides, missing documentation for nursing assessments, and untreated bedsores.
- Deficiencies from 2022 and 2023 showed recurring issues with untimely service plan updates, medication delegation without RN oversight, and lack of documented health monitoring.
Health Inspection History
Inspections
Total health citations
35
Rank #17 / 33Health citations — State benchmarkedThis home is ranked 17th out of 33 homes in Hawaii for health citations. Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 33 HI SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Hawaii average 35.5
Citations per inspection
5.83
Rank #10 / 33Citations per inspection — State benchmarkedThis home is ranked 10th out of 33 homes in Hawaii for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 33 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 35 citations resulted from standard inspections; and 10 of 35 resulted from complaint investigations.
Breakdown of citation severity (last 4 years)
Critical health citations
0
100% better than Hawaii averageHawaii average: 0.1
Serious health citations
3
200% worse than Hawaii averageHawaii average: 1
Citations history (last 4 years)
Nutrition moderate citation
Jan 17, 2025
Corrected
Pharmacy moderate citation
Jan 17, 2025
Corrected
Pharmacy moderate citation
Jan 17, 2025
Corrected
Quality of Care serious citation
Jan 17, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
90
Employees
57
Contractors
33
Staff to resident ratio
1.91 : 1
16% more staff per resident than Hawaii average
Avg staff/day
32
Average shift
8.1 hours
0% compared with Hawaii average
Total staff hours (quarter)
23,741
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
18 total: 17 full-time employees and 1 contractor.
18
18 total: 17 full-time employees and 1 contractor.
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
4 total: 3 full-time employees and 1 contractor.
4
4 total: 3 full-time employees and 1 contractor.
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
33 total: 32 full-time employees and 1 contractor.
33
33 total: 32 full-time employees and 1 contractor.
33
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
13%
3,096 contractor hours this quarter
Speech Language Pathologist: 8
Physical Therapy Aide: 6
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 5
Qualified Social Worker: 3
Certified Nursing Assistant: 1
Registered Nurse: 1
Licensed Practical Nurse: 1
Occupational Therapy Aide: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 32 | 1 | 33 | 10,972 | 92 | 100% | 8.3 |
| Registered Nurse | 17 | 1 | 18 | 6,463 | 92 | 100% | 9.7 |
| Licensed Practical Nurse | 3 | 1 | 4 | 1,198 | 84 | 91% | 8.5 |
| Speech Language Pathologist | 0 | 8 | 8 | 884 | 77 | 84% | 6.5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 592 | 76 | 83% | 6.4 |
| Dietitian | 1 | 0 | 1 | 510 | 64 | 70% | 8 |
| Physical Therapy Aide | 0 | 6 | 6 | 475 | 57 | 62% | 7 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 449 | 68 | 74% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 400 | 50 | 54% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 271 | 42 | 46% | 6.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 123 | 37 | 40% | 3.3 |
| Medical Director | 0 | 1 | 1 | 45 | 39 | 42% | 1.2 |
33 Certified Nursing Assistant
% of Days
100%
18 Registered Nurse
% of Days
100%
4 Licensed Practical Nurse
% of Days
91%
8 Speech Language Pathologist
% of Days
84%
5 Physical Therapy Assistant
% of Days
83%
1 Dietitian
% of Days
70%
6 Physical Therapy Aide
% of Days
62%
1 Administrator
% of Days
62%
1 Mental Health Service Worker
% of Days
62%
6 Respiratory Therapy Technician
% of Days
74%
1 Nurse Practitioner
% of Days
61%
1 Clinical Nurse Specialist
% of Days
54%
3 Qualified Social Worker
% of Days
46%
1 Occupational Therapy Aide
% of Days
40%
1 Medical Director
% of Days
42%
Penalties and fines
Includes penalties issued in 2025
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
$61K Rank #28 / 33Federal fines — State benchmarkedThis home is ranked 28th out of 33 homes in Hawaii for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 33 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
60% higher than Hawaii averageHawaii average: $38K
Number of fines
3
97% more fines than Hawaii averageHawaii average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$61K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 17, 2025 · $56K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 17, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 17, 2025
$56K
Last updated: Jan 2026
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.6
34% worse than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
34.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
34.2
71% worse than Hawaii averageHawaii average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
37.7%
Percent of long-stay residents whose need for help with daily activities has increased
37.7%
114% worse than Hawaii averageHawaii average: 17.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
30.7%
67% worse than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
188% worse than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.5%
Percent of long-stay high risk residents with pressure ulcers
6.5%
78% worse than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
3.5%
Percent of long-stay residents with a urinary tract infection
3.5%
47% worse than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.3%
Percent of long-stay residents who lose too much weight
4.3%
10% better than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
4.9%
Percent of long-stay residents who have depressive symptoms
4.9%
234% worse than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
5.5%
Percent of long-stay residents who received an antipsychotic medication
5.5%
46% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.4%
36% worse than Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
11% worse than Hawaii averageHawaii average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.8%
19% worse than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
29% worse than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.5%
13% worse than Hawaii averageHawaii average: 84.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
49% of new residents, usually for short-term rehab.
Typical stay
25 days
Private pay
22% of new residents, often for short stays.
Typical stay
2 - 3 years
Medicaid
28% of new residents, often for long-term daily care.
Typical stay
7 days
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47
Medicare
17
36.2% of residents
Medicaid
3
6.4% of residents
Private pay or other
27
57.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Kalākaua Gardens based on CMS SNF Cost Reports.
Occupancy Rate
71.4%
↓ 3.4pp vs 2022
Net Income
-$1.3M
↓ ~$905.7K vs 2022
Total Payroll
$10.6M
↑ ~$629.5K vs 2022
Profit Margin
-5.6%
↓ 3.7pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$24.6M
Operating loss
-$1.3M
Privately-owned community
Operated by a business corporation.
Home revenue
$24.6M Rank #10 / 28Revenue — State benchmarkedThis home is ranked 10th out of 28 homes in Hawaii for revenue. Shows this facility's annual revenue compared to the Hawaii SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$1.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 28Payroll — State benchmarkedThis home is ranked 8th out of 28 homes in Hawaii for payroll. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$10.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 28Payroll — State benchmarkedThis home is ranked 8th out of 28 homes in Hawaii for payroll. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$25.9M
What does this home offer?
Housing Options: Private Suites
Building Type: High-rise
Transportation Services
Social and Recreational Activities
Parking Available
Security Systems
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Kalākaua Gardens
2.6 miles from city center
Estimated distance in miles from Honolulu's city center to Kalākaua Gardens's address, calculated via Google Maps.
— 0.62 miles to nearest hospital (Kapiu02bbolani Medical Center for Women & Children)
Calculate Travel Distance to Kalākaua Gardens
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Financial Assistance for
Nursing Home in Hawaii
Kalākaua Gardens is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Frequently Asked Questions about Kalākaua Gardens
What neighborhood is Kalākaua Gardens in?
Kalākaua Gardens is in the Ala Moana neighborhood of Honolulu.
Is Kalākaua Gardens in a walkable area?
Kalākaua Gardens has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
What is the license number of Kalākaua Gardens?
According to HI state health department records, Kalākaua Gardens's license number is 21-ALF.
When does Kalākaua Gardens's license expire?
According to HI state health department records, Kalākaua Gardens's license expires on September 30, 2026.
Are there photos of Kalākaua Gardens?
Yes — there are 8 photos of Kalākaua Gardens in the photo gallery on this page.
What is the phone number of Kalākaua Gardens?
(808) 518-2273 will put you in contact with the team at Kalākaua Gardens.
Is Kalākaua Gardens Medicare or Medicaid certified?
Yes — Kalākaua Gardens is a CMS-certified provider of Medicare and Medicaid.
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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