Show Inspection Reports
Total health inspections
6
State 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
Independent Living in Hawaii
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Kalākaua Gardens
Independent Living in Hawaii
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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 25th out of 25 homes in Hawaii.
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 25th out of 25 homes in Hawaii.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 #25 / 25Nurse hours — state benchmarkedThis home is ranked 25th out of 25 homes in Hawaii.Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 25 Hawaii SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Hawaii avg
-91%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
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 |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
71.4%
Rank #17 / 24Occupancy rate — state benchmarkedThis home is ranked 17th out of 24 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its statewide rank out of 24. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
54 days
Occupancy rate
71.4%
Rank #17 / 24Occupancy rate — state benchmarkedThis home is ranked 17th out of 24 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its statewide rank out of 24. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
54 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
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
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 #8 / 24Revenue — state benchmarkedThis home is ranked 8th out of 24 homes in Hawaii.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 %.
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 #13 / 24Payroll — state benchmarkedThis home is ranked 13th out of 24 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.
$8.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #13 / 24Payroll — state benchmarkedThis home is ranked 13th out of 24 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$18.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$25.9M
Walk Score: 98 / 100 Rank #1 / 27Walk Score — state benchmarkedThis home is ranked 1st out of 27 homes in Hawaii.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii SNFs. Higher scores benefit residents, families, and staff.
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
What does this home offer?
Housing Options: Private Suites
Building Type: High-rise
Dining Services
Transportation Services
Social and Recreational Activities
Parking Available
Security Systems
On-site Medical Care and Health Services
Types of Care at Kalākaua Gardens
Assisted Living
Independent Living
Memory Care
Nursing Home
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
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
June 25, 2025
Annual Inspection25 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Hawaii average: 25 deficiencies
6.3 deficiencies per inspection
Inspection Report Summary for Kalākaua Gardens
The most recent inspection on June 25, 2025, identified deficiencies related to service plans, medication administration, health monitoring, and medication review. Earlier inspections also noted issues with service plan updates, medication delegation and documentation, staff training, and nursing assessments. Common themes across reports included incomplete or delayed service plans, unclear medication orders or administration by unlicensed personnel without proper delegation, and insufficient health monitoring during treatment. Complaint investigations were not listed in the available reports. The pattern of deficiencies has remained consistent over time, with no clear indication of improvement or worsening.
Health Inspection History
Inspections
Total health citations
35
Rank #10 / 26Health citations — state benchmarkedThis home is ranked 10th out of 26 homes in Hawaii.Shows this facility's total health deficiency citations benchmarked to the Hawaii state average, with a ranking across all 26 HI SNFs. Lower citation counts earn a better rank.
State average 35.5
Citations per inspection
5.83
Rank #4 / 26Citations per inspection — state benchmarkedThis home is ranked 4th out of 26 homes in Hawaii.Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 26 SNFs with citation data. Lower is better.
State 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 3 years)
Critical Health citations
0
100% better than State averageState average: 0.1
Serious Health citations
3
3
200% worse than State averageState average: 1
0 critical citations
3 serious citations
32 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 17, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Jan 17, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 17, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 17, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 17, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Jan 17, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Independent Living in Hawaii
Kalākaua Gardens is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
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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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
24
Employees
0
Contractors
24
Staff to resident ratio
0.51:1
69% worse than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
6
Average shift
6.7 hours
14% worse than Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
3,678
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
100%
3,678 contractor hours this quarter
Speech Language Pathologist: 6
Registered Nurse: 3
Respiratory Therapy Technician: 3
Physical Therapy Aide: 3
Qualified Social Worker: 2
Licensed Practical Nurse: 2
Certified Nursing Assistant: 2
Occupational Therapy Aide: 1
Medical Director: 1
Physical Therapy Assistant: 1
Staff by category
| Registered Nurse | 0 | 3 | 3 | 770 | 49 | 54% | 11.6 |
| Speech Language Pathologist | 0 | 6 | 6 | 667 | 67 | 74% | 6.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 440 | 60 | 66% | 7.2 |
| Certified Nursing Assistant | 0 | 2 | 2 | 415 | 67 | 74% | 5.7 |
| Physical Therapy Assistant | 0 | 1 | 1 | 406 | 67 | 74% | 6.1 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 316 | 58 | 64% | 5.2 |
| Licensed Practical Nurse | 0 | 2 | 2 | 292 | 36 | 40% | 7.5 |
| Qualified Social Worker | 0 | 2 | 2 | 168 | 33 | 36% | 5.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 157 | 38 | 42% | 4.1 |
| Medical Director | 0 | 1 | 1 | 48 | 39 | 43% | 1.2 |
3 Registered Nurse
% of Days
54%
6 Speech Language Pathologist
% of Days
74%
3 Physical Therapy Aide
% of Days
66%
2 Certified Nursing Assistant
% of Days
74%
1 Physical Therapy Assistant
% of Days
74%
3 Respiratory Therapy Technician
% of Days
64%
2 Licensed Practical Nurse
% of Days
40%
2 Qualified Social Worker
% of Days
36%
1 Occupational Therapy Aide
% of Days
42%
1 Medical Director
% of Days
43%
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.
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.
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
$61K
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
Compare Memory Care around Honolulu The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
| 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 | Private Suites | 4 | 25 |
| Furukawa Living Treasure |
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 (Kalihi - Palama) | - | No | 81 | Private Suites | 0 | 0 |
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
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