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KALAKAUA GARDENS

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KALAKAUA GARDENS is a for profit - partnership facility in HONOLULU, HI with 49 certified beds and a 3-star overall CMS rating. The facility has 35 deficiency records on file. Total penalties: $56K.

1723 KALAKAUA AVENUE, HONOLULU, HI 96826

Phone: 8085182273

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
125066
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
Beds
49
Residents
44
In Hospital
No
County
Honolulu
Last Inspection
Jan 17, 2025

Staffing Data

RN Hours
1.80 (nat'l avg: 0.68)
LPN Hours
0.23
CNA Hours
2.71
Total Nursing Hours
4.74 (nat'l avg: 3.89)
PT Hours
0.08
Nursing Turnover
94.4%
RN Turnover
95.5%

What the CMS Record Reveals About KALAKAUA GARDENS

KALAKAUA GARDENS operates 49 certified beds in HONOLULU, HI with approximately 44 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 35 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $56K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.74 total nursing hours per resident day (national average 3.89), with RN coverage at 1.80 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Partnership" ownership and operating as a "Medicare and Medicaid" provider, KALAKAUA GARDENS falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 94.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (35 most recent)

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 3, 2025

F — Widespread - Minimal harm Jan 17, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 3, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Mar 3, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 3, 2025

G — Isolated - Actual harm Jan 17, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 3, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 3, 2025

D — Isolated - Minimal harm Jan 17, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 3, 2025

G — Isolated - Actual harm Jan 26, 2024 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Jan 26, 2024 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Jan 26, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Jan 26, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Jan 26, 2024 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Mar 11, 2024

D — Isolated - Minimal harm Aug 29, 2023 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 27, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 7, 2023

F — Widespread - Minimal harm Jun 16, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 7, 2023

E — Pattern - Minimal harm Jun 16, 2023 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Jun 16, 2023 Tag: 0561

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Category: Resident Rights Deficiencies

Corrected: Jul 7, 2023

D — Isolated - Minimal harm Feb 2, 2023 Tag: 0838

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Category: Administration Deficiencies

Corrected: Mar 19, 2023

D — Isolated - Minimal harm Feb 2, 2023 Tag: 0626

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Category: Resident Rights Deficiencies

Corrected: Mar 19, 2023

E — Pattern - Minimal harm Feb 2, 2023 Tag: 0625

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Category: Resident Rights Deficiencies

Corrected: Mar 19, 2023

E — Pattern - Minimal harm Feb 2, 2023 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Mar 19, 2023

D — Isolated - Minimal harm Feb 2, 2023 Tag: 0622

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Category: Resident Rights Deficiencies

Corrected: Mar 19, 2023

D — Isolated - Minimal harm May 27, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 15, 2022

E — Pattern - Minimal harm May 27, 2022 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 15, 2022

D — Isolated - Minimal harm May 27, 2022 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 15, 2022

G — Isolated - Actual harm May 27, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 25, 2022

D — Isolated - Minimal harm May 27, 2022 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2022

D — Isolated - Minimal harm May 27, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2022

D — Isolated - Minimal harm May 27, 2022 Tag: 0655

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2022

D — Isolated - Minimal harm May 27, 2022 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 15, 2022

D — Isolated - Minimal harm May 27, 2022 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jul 15, 2022

D — Isolated - Minimal harm May 27, 2022 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jul 15, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 33.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 4.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 49.1% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 63.9% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 4.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 84.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 73.5% No
Percentage of long-stay residents with pressure ulcers Long Stay 7.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% Yes

Penalty History 1 penalties totaling $56K

Date Type Amount
Jan 17, 2025 Fine $56K

Frequently Asked Questions

What is the overall CMS rating for KALAKAUA GARDENS?
KALAKAUA GARDENS has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at KALAKAUA GARDENS?
KALAKAUA GARDENS reports 4.74 total nursing hours per resident day (national average: 3.89). RN hours are 1.80 per resident day (national average: 0.68). Nursing staff turnover is 94.4%.
How many beds does KALAKAUA GARDENS have?
KALAKAUA GARDENS has 49 certified beds with approximately 44 residents. The facility is located at 1723 KALAKAUA AVENUE, HONOLULU, HI 96826.
Does KALAKAUA GARDENS have any deficiencies on record?
Yes, KALAKAUA GARDENS has 35 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has KALAKAUA GARDENS received any fines or penalties?
Yes, KALAKAUA GARDENS has received 1 penalties totaling $56K.
Who owns KALAKAUA GARDENS?
KALAKAUA GARDENS is classified as "For profit - Partnership" ownership. The facility type is "Medicare and Medicaid".
When was KALAKAUA GARDENS last inspected?
The most recent health inspection for KALAKAUA GARDENS was on Jan 17, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for KALAKAUA GARDENS?
KALAKAUA GARDENS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial