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
Data as of July 1, 2026
2 of 5 overall
Kalakaua Gardens in Honolulu has a 2 out of 5 overall rating, with a 2-star health inspection rating but stronger staffing and quality ratings at 4 stars each. It reported 5.78 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it has $55,692 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
5.7768 hrs/resident/day
Quality measures
Last inspection: February 20, 2026Penalties, last 24 months: $55,692recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.7768.
Staffing detail
- Registered nurses
- 2.04
- Licensed practical nurses
- 0.36
- Nurse aides
- 3.38
- Weekend nursing
- 5.51
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
—1.9%—
Residents with a fall causing major injury
6.7%0%Improving
Residents with pressure ulcers (bedsores)
7%9.6%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.3%10%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—22.2%—
Long-stay residents on antianxiety or sleep medication
4.2%5%Worsening
Short-stay residents newly given an antipsychotic
2.5%1.3%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
24.4%27.7%Worsening
Residents with depressive symptoms
0%0%No change
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
46.7%96%Improving
Short-stay residents given the seasonal flu vaccine
—73.5%—
Short-stay residents given the pneumonia vaccine
64.4%80.9%Improving
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 February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- 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
- 38.5 residents on an average day (79% of 49 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 9 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.