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B

77/100

Above average

Kalakaua Gardens

1723 Kalakaua Avenue, Honolulu, HI 96826

CMS 2/5 stars #18 of 26 in Honolulu County (808) 518-2273
Certified beds
49
Occupancy
79%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $55,692 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 100%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

Our read on Kalakaua Gardens

Kalakaua Gardens has a staffing story that cuts both ways. At 5.78 nurse hours per resident day, it runs about 50 percent above the national average, and residents get roughly the same coverage on weekends as weekdays. But that staffing comes at a cost: annual turnover hits 100 percent, more than double the national figure, meaning the aides and nurses at the bedside are largely new faces year after year. The inspection record is the bigger concern. Thirty-one deficiencies, two of them at the harm or jeopardy level and one tied to abuse, plus a $55,692 fine. The most recent inspection was in February 2026.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing30/30Stability0/15Outcomes12/15Enforcement5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

30/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →6.07 total nurse hours per resident per day (national median 3.77)
  • →2.04 RN hours per resident per day
  • →Weekend staffing holds steady

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →100% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$55,692 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day5.78 hrs
National average 3.86 hrsBetter than average
Registered nurse (RN) hours2.04 hrs
National average 0.69 hrsBetter than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours5.51 hrs
National average 3.42 hrsBetter than average

The shift most families visit, and the one thinned first.

Nursing staff turnover100.00%
National average 45.80%Below average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: February 20, 2026 (8 months ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Kalakaua Gardens

What is the ElderGrade for Kalakaua Gardens? +

Kalakaua Gardens holds an ElderGrade of B (77 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Kalakaua Gardens? +

Residents receive an average of 5.78 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Kalakaua Gardens been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Kalakaua Gardens accept Medicaid? +

Yes, Kalakaua Gardens is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.