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Kalakaua Gardens

⌖ Honolulu, HI · Honolulu County
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Medicare overall rating 2 of 5 stars
Certified beds49
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (partnership)

About Kalakaua Gardens

Kalakaua Gardens is a 49-bed for-profit nursing home in Honolulu, HI. Medicare rates it 2 out of 5 stars overall (below average); the average in Hawaii is 3.7. At its last full inspection (Feb 2026), inspectors found 11 problems, close to the Hawaii average of 9.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 5 hr 47 min a day with each resident, more than the Hawaii average of 4 hr 58 min. About 100% of its nursing staff left in the past year. Medicare fined it $55,692 in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameKalakaua Gardens
LocationHonolulu County, Hawaii
Address1723 Kalakaua Avenue, Honolulu, HI 96826 · Honolulu County
CMS provider number125066
Ownership typeFor-profit (partnership)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJune 27, 2017 (9 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures4 of 5Above average
Staffing4 of 5Above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 4 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Dec 2025.
    Strength
  • Nurse staffing per resident5 hr 47 min a dayHawaii average: 4 hr 58 min
    Strength
  • Registered nurse time per resident2 hr 02 min a dayHawaii average: 1 hr 45 min
    Strength

About average

  • Health citations at last inspection11 (Feb 2026)Hawaii average: 9.5. Most citations are minor and corrected within weeks.
    About average

Things to ask about

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  • Fines and penalties1 fine totaling $55,692Federal penalties from the last three years, most recently in Jan 2025 (about 1 year ago). The national average is $30,972 per home.
    Ask about this
  • Nursing staff turnover100% a yearHawaii average: 36%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Hawaii average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 3 of 5 (average)

  • Sent back to the hospital33.2%State average: 19.4%
    Worse than average
  • Needed an emergency room visit8.3%State average: 10.3%
    About average
  • Newly given antipsychotic drugs1.9%State average: 1.4%
    Worse than average

Physical therapist time: about 5 minutes per resident a day. That is about the same as the state average of 5 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 5 of 5 (much above average)

  • Falls with a major injury4.6%State average: 1.9%
    Worse than average
  • Pressure sores (bedsores)5.6%State average: 3.4%
    Worse than average
  • Given antipsychotic drugs1.9%State average: 11.9%
    Better than average
  • Hospital stays per 1,000 resident days0.5State average: 1.1
    Better than average

Source: Medicare (CMS) quality measures, compared with the Hawaii average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Hawaii, Medicaid pays for 62% of resident days at a typical home.

  • 2% Medicaid
  • 4% Medicare
  • 94% Private pay, insurance and other
Beds in use, on average71%Hawaii typical: 82%
Cost of care per resident day$381Hawaii typical: $564

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 5 stars in April 2019. It has ranged from 2 to 5 stars and changed 17 times.

Overall rating2★
Health inspections2★
Staffing4★
Quality of care4★
Nurse hours per resident per day5.8
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Apr 201955556.1
Jan 202055555.4
Jan 202155534.8
Jan 202242554.6
Jan 202332454.3
Jan 202453554.9
Feb 202532454.9
Feb 202633434.7
Sep 202622445.8

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.