The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
KALAKAUA GARDENS
HONOLULU, HI · Medicare-certified · 49 beds
Needs attention
For-profit
3 of 5 overall
KALAKAUA GARDENS (HONOLULU, HI) has a 3 out of 5 star overall rating, with 3-star health inspections and stronger 4-star staffing and quality measures; reported nurse staffing is 5.11 hours per resident per day, above the 4.1 federal benchmark. It also has $55,692 in fines over the last 24 months and a recent federal penalty, with recent inspection concerns in accident prevention/supervision, staff competencies, and food handling.
Facility ratings
Health inspections
Staffing
5.1076 hrs/resident/day
Quality measures
Last inspection: December 18, 2025Penalties, last 24 months: $55,692recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1076.
Staffing detail
- Registered nurses
- 1.92
- Licensed practical nurses
- 0.31
- Nurse aides
- 2.88
- Weekend nursing
- 4.88
Hours per resident per day.
Total staff turnover: 100%
Registered nurse turnover: 100%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—0%—
Residents with a fall causing major injury
6.7%3.8%Improving
Residents with pressure ulcers (bedsores)
10.5%2.2%Improving
Residents with a urinary tract infection
3.4%0%Improving
Residents who lost too much weight
4.8%10%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—26.3%—
Long-stay residents on antianxiety or sleep medication
4.5%5%No change
Short-stay residents newly given an antipsychotic
1.4%1.2%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.4%29.3%Worsening
Residents with depressive symptoms
9.1%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—84.8%—
Long-stay residents given the pneumonia vaccine
53.3%30.8%Worsening
Short-stay residents given the seasonal flu vaccine
—73.5%—
Short-stay residents given the pneumonia vaccine
68.4%63.3%Worsening
What the inspectors found
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $55,692 was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $55,692 in total fines.
- $55,692
Federal fine
Jan 17, 2025
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 41.5 residents on an average day (85% of 49 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 8 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.