3/5
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.
3/5
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, 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.
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.
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.
This home is ranked 33rd out of 33 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 55m per day | ▲ 17% State avg: 1h 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 19m per day | ▼ 7% State avg: 20m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 53m per day | ▲ 7% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
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.
| 4h 53m per day | ▲ 19% State avg: 4h 6m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 7m per day | ▲ 23% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 40m per day | ▲ 35% State avg: 1h 14m per day · National avg: 29m per day |
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.
This scorecard compares key inspection, deficiency, 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.
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 |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Hawaii average 4.4
Last Health inspection on Jan 2025
Hawaii average 35.5
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.
100% better than Hawaii averageHawaii average: 0.1
200% worse than Hawaii averageHawaii average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
16% more staff per resident than Hawaii average
0% compared with Hawaii average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
18 total: 17 full-time employees and 1 contractor.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursAssists with medical care and medications.
4 total: 3 full-time employees and 1 contractor.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
33 total: 32 full-time employees and 1 contractor.
33
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,096 contractor hours this quarter
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 |
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)
60% higher than Hawaii averageHawaii average: $38K
97% more fines than Hawaii averageHawaii average: 1.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 17, 2025 · $56K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 17, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
37.7%
114% worse than Hawaii averageHawaii average: 17.6%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.1%
188% worse than Hawaii averageHawaii average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
6.5%
78% worse than Hawaii averageHawaii average: 3.6%
Percent of long-stay residents with a urinary tract infection
3.5%
47% worse than Hawaii averageHawaii average: 2.4%
Percent of long-stay residents who lose too much weight
4.3%
10% better than Hawaii averageHawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
4.9%
234% worse than Hawaii averageHawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
5.5%
46% better than Hawaii averageHawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
61.4%
36% worse than Hawaii averageHawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
84.9%
11% worse than Hawaii averageHawaii average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
67.8%
19% worse than Hawaii averageHawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
29% worse than Hawaii averageHawaii average: 1.2%
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.
49% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
28% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
47Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Kalākaua Gardens from 2017–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #8 / 29Payroll — State benchmarkedThis home is ranked 8th out of 29 homes in Hawaii. 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.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #16 / 29Payroll % — State benchmarkedThis home is ranked 16th out of 29 homes in Hawaii. Shows payroll as a percentage of revenue versus the Hawaii average. Well-run Hawaii facilities typically land around 52–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
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
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (49% of admissions), and a typical Medicare stay runs around 25 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.6 miles from city center
Estimated distance in miles from Honolulu's city center to Kalākaua Gardens's address, calculated via Google Maps.
Add your location
The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
| 15 Craigside | NH ADC AL HC IL | Honolulu (Nuuanu - Punchbowl) | 45
Facility
45
HI AVG
43
Rank
#26 / 87 |
97.7%
Facility
97.7%
HI AVG
74.2%
Rank
#2 / 28 | +32% | 5.04
Facility
5.04
HI AVG
4.20
Rank
#8 / 33 | +1% | +20% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 34 | 5
Facility
5
HI AVG
35.5
Rank
#1 / 34 | 2.5
Facility
2.5
HI AVG
8.2
Rank
#1 / 34 | - | 45 | A+ |
50
Facility
50
HI AVG
49
Rank
#85 / 178 | Bree Komagome | $7.7M
Facility
$7.7M
HI AVG
$20.8M
Rank
#27 / 29 | $5.2M
Facility
$5.2M
HI AVG
$7.1M
Rank
#24 / 29 | 67.8%
Facility
67.8%
HI AVG
38.9%
Rank
#1 / 29 | 125063 | ||||
| Arcadia Retirement Residence | NH ADC HC IL NC | Honolulu (Makiki/Lower/ Punchbowl/Tantalus) | 91
Facility
91
HI AVG
43
Rank
#18 / 87 |
84.3%
Facility
84.3%
HI AVG
74.2%
Rank
#10 / 28 | +14% | 5.08
Facility
5.08
HI AVG
4.20
Rank
#7 / 33 | +26% | +21% | $12.9k
Facility
$12.9k
HI AVG
$43.4k
Rank
#23 / 34 | 36
Facility
36
HI AVG
35.5
Rank
#19 / 34 | 9.0
Facility
9.0
HI AVG
8.2
Rank
#27 / 34 | 2 | 85 | A+ |
86
Facility
86
HI AVG
49
Rank
#27 / 178 | Kathleen Yokouchi | $14.6M
Facility
$14.6M
HI AVG
$20.8M
Rank
#14 / 29 | $7.5M
Facility
$7.5M
HI AVG
$7.1M
Rank
#11 / 29 | 51.1%
Facility
51.1%
HI AVG
38.9%
Rank
#11 / 29 | 125014 | ||||
| Kalākaua Gardens | NH AL IL MC RC | Honolulu (Ala Moana) | 49
Facility
49
HI AVG
43
Rank
#24 / 87 |
71.4%
Facility
71.4%
HI AVG
74.2%
Rank
#20 / 28 | -4% | 0.37
Facility
0.37
HI AVG
4.20
Rank
#33 / 33 | -3% | -91% | $55.7k
Facility
$55.7k
HI AVG
$43.4k
Rank
#30 / 34 | 35
Facility
35
HI AVG
35.5
Rank
#18 / 34 | 5.8
Facility
5.8
HI AVG
8.2
Rank
#10 / 34 | 3 | 42 | - |
98
Facility
98
HI AVG
49
Rank
#3 / 178 | 1723 Kalakaua LLC | $21.3M
Facility
$21.3M
HI AVG
$20.8M
Rank
#10 / 29 | $9.5M
Facility
$9.5M
HI AVG
$7.1M
Rank
#8 / 29 | 44.8%
Facility
44.8%
HI AVG
38.9%
Rank
#16 / 29 | 125066 | ||||
| Avalon Care Center – Honolulu | NH | Honolulu (Kalihi Valley) | 108
Facility
108
HI AVG
43
Rank
#10 / 87 |
90.4%
Facility
90.4%
HI AVG
74.2%
Rank
#7 / 28 | +22% | 4.06
Facility
4.06
HI AVG
4.20
Rank
#17 / 33 | +24% | -3% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 34 | 53
Facility
53
HI AVG
35.5
Rank
#31 / 34 | 17.7
Facility
17.7
HI AVG
8.2
Rank
#34 / 34 | - | 96 | A+ |
47
Facility
47
HI AVG
49
Rank
#93 / 178 | Avalon Of Hawaii LLC | $22.2M
Facility
$22.2M
HI AVG
$20.8M
Rank
#7 / 29 | $10.7M
Facility
$10.7M
HI AVG
$7.1M
Rank
#6 / 29 | 48.4%
Facility
48.4%
HI AVG
38.9%
Rank
#23 / 29 | 125020 | ||||
| The Care Center of Honolulu | NH | Honolulu (Liliha - Kapalama) | 182
Facility
182
HI AVG
43
Rank
#3 / 87 |
66.6%
Facility
66.6%
HI AVG
74.2%
Rank
#22 / 28 | -10% | 3.31
Facility
3.31
HI AVG
4.20
Rank
#30 / 33 | -13% | -21% | $8.0k
Facility
$8.0k
HI AVG
$43.4k
Rank
#20 / 34 | 47
Facility
47
HI AVG
35.5
Rank
#29 / 34 | 9.4
Facility
9.4
HI AVG
8.2
Rank
#28 / 34 | 1 | 170 | A+ |
71
Facility
71
HI AVG
49
Rank
#46 / 178 | Suzanne Darley | $38.4M
Facility
$38.4M
HI AVG
$20.8M
Rank
#6 / 29 | $18.2M
Facility
$18.2M
HI AVG
$7.1M
Rank
#2 / 29 | 47.6%
Facility
47.6%
HI AVG
38.9%
Rank
#15 / 29 | 125019 |
Kalākaua Gardens is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Kalākaua Gardens is in the Ala Moana neighborhood of Honolulu.
Kalākaua Gardens has a walk score of 98. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
According to HI state health department records, Kalākaua Gardens's license number is 21-ALF.
According to HI state health department records, Kalākaua Gardens's license expires on September 30, 2026.
Kalākaua Gardens's occupancy is 71.4%.
Kalākaua Gardens is registered as a for-profit in HI.
Yes — there are 8 photos of Kalākaua Gardens in the photo gallery on this page.
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