Federal inspection record · CMS data as of October 1, 2026
Kalakaua Gardens
1723 Kalakaua Avenue, Honolulu, HI · (808) 518-2273
- Certified beds
- 49
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 27, 2017
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Hawaii.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Hawaii homes
Kalakaua Gardens carries 77 inspection points. That is fewer than 27% of Hawaii's 41 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Hawaii: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–48 pts
- 3★ 48–69 pts
- 2★ 69–86 pts
- 1★ over 86 pts
Bars show every rated home in Hawaii by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
30 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
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.
Everything else, by area of care
Resident Rights5D
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
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.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service5E
- D
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care3E
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide activities to meet all resident's needs.
- D
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.
Nursing and Physician Services3D
- D
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.
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspection history
2026-02-20
11 health deficiencies · 22 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2025-01-17
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-06-16
12 health deficiencies · 7 fire-safety deficiencies
Top issue: Nursing and Physician Services (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 10 min of nursing staff time a day, 1 h 54 min of it from a registered nurse.
This home
5 h 10 min
Hawaii average
5 h
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 30% of nursing staff and 35% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$55,692 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-01-17 | Fine | $55,692 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts better | 0 | 1.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 0 | 0.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine36.1 pts worse | 60.2% | 96.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.3 pts worse | 93.3% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 2.9% | 2.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 0.0% | 1.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.3 pts better | 3.0% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better | 6.1% | 9.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.7 pts better | 6.7% | 12.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.9 pts worse | 29.8% | 16.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence11.5 pts worse | 28.6% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts worse | 4.8% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.4 pts worse | 71.7% | 83.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts better | 9.6% | 11.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts worse | 1.6% | 1.5% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.9 pts better | 85.6% | 84.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.9 pts worse | 26.7% | 18.8% | 23.4% |
·
Who owns and runs it
16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 1723 Kalakaua LLC | 5% Or Greater Direct Ownership Interest · Organization | 43% | 1 facilities |
| P E And M LLC | 5% Or Greater Indirect Ownership Interest · Organization | 29% | 1 facilities |
| Chi Wai Cheung | 5% Or Greater Indirect Ownership Interest · Organization | 9% | 1 facilities |
| Hua Dai | 5% Or Greater Indirect Ownership Interest · Organization | 9% | 1 facilities |
| John T S Hung And Siew Yoong Hung Trust | 5% Or Greater Indirect Ownership Interest · Organization | 6% | 1 facilities |
| American Savings Bank Fsb | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Hpl Development LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Kojima, Colleen | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Leong, Louis | Corporate Director · Individual | 0% | 1 facilities |
| Leong, Louis | Corporate Officer · Individual | 0% | 1 facilities |
| Leong, Louis | General Partnership Interest · Individual | 0% | 1 facilities |
| Masuda, Ryuchi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tony K & Rebecca C Yung 1996 Fam Irrv Tr | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Yu, Paul | Corporate Director · Individual | 0% | 1 facilities |
| Yu, Paul | Corporate Officer · Individual | 0% | 1 facilities |
| Yu, Paul | General Partnership Interest · Individual | 0% | 1 facilities |
·
Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Services5F
- F
Have elevators that firefighters can control in the event of a fire.
- F
Install properly constructed and protected linen or trash chutes.
- E
Have properly installed electrical wiring and gas equipment.
- D
Install properly constructed and protected linen or trash chutes.
- C
Have elevators that firefighters can control in the event of a fire.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
Have restrictions on the use of highly flammable decorations.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Ensure that smoke control systems are tested and documented in accordance with established engineering principles.
Emergency Preparedness3F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Conduct testing and exercise requirements.
- C
Conduct risk assessment and an All-Hazards approach.
Egress1F
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
Hale Ola Kino By Arcadia
Hon, HI
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 26 min
- Fines
- $0
-
Oahu Care Facility
Honolulu, HI
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 54 min
- Fines
- $8,278
-
Islands Skilled Nursing & Rehabilitation
Honolulu, HI · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 28 min
- Fines
- $108,251