Nursing Home Alerts

Kalakaua Gardens

1723 Kalakaua Avenue, Honolulu, HI 96826

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Kalakaua Gardens is a nursing home in Honolulu, Hawaii. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(808) 518-2273
Last standard health inspection
February 20, 2026 (8 months ago)
Certified beds
49
Residents per day, on average
43.3
Ownership type
For profit - Partnership
Legal business name
Island Paradise Investments LP
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

Fewer health citations than the Hawaii average (30 vs 34).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 5.8 to 5.2 hours per resident per day.

  2. CMS update of June 24, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

  3. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 4 of 5.

    • Health citation

      CMS changed citation F0726 from severity H to G. It is from the health inspection on January 26, 2024. Severity G: actual harm, isolated.

  5. 10 citations

    Health inspection on February 20, 2026

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0812 3 times since 2023.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0880 3 times since 2023.

    • Citation F0695. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0552. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are fully informed and understand their health status, care and treatments.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0605. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0679. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide activities to meet all resident's needs.

      CMS lists it as corrected on April 6, 2026.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0726 3 times since 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 6, 2026.

      CMS has cited this home for F0761 3 times since 2023.

    • Citation F0826. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor.

      CMS lists it as corrected on April 6, 2026.

    See this home on CMS Care Compare

  6. 22 citations

    Fire safety inspection on February 20, 2026

    CMS lists this as a standard inspection.

    • Citation E0018. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish procedures for tracking staff and patients during an emergency.

      CMS lists it as corrected on May 25, 2026.

    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0346. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Follow proper procedures when the fire alarm was out of service for more than 4 hours.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0351. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

    • Citation K0355. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0531. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have elevators that firefighters can control in the event of a fire.

      CMS has cited this home for K0531 2 times since 2023.

    • Citation K0541. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install properly constructed and protected linen or trash chutes.

      CMS lists it as corrected on May 30, 2026.

      CMS has cited this home for K0541 2 times since 2023.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0916. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have a battery powered remote alarm panel in a location accessible by operating personnel.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for K0918 2 times since 2023.

    • Citation K0362. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0753. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have restrictions on the use of highly flammable decorations.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on May 30, 2026.

      CMS has cited this home for K0761 2 times since 2023.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0324. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on May 30, 2026.

    • Citation K0363. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on May 30, 2026.

    See this home on CMS Care Compare

  7. 1 citation

    Health inspection on December 18, 2025

    CMS lists this as a complaint inspection.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on February 12, 2026.

    See this home on CMS Care Compare

  8. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 4.7 to 0.4 hours per resident per day.

  9. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  10. CMS update of June 25, 2025

    • Fine

      CMS changed the fine from January 17, 2025 from $85,680 to $55,692.

  11. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 5 of 5.

  12. CMS update of March 26, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  13. 7 citations

    Health inspection on January 17, 2025

    CMS lists this as a standard inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    7 of 43 Hawaii homes (16%) got a citation at the actual harm level in 2025.

    • Citation F0689. Severity G: actual harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 3, 2025.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on March 3, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 3, 2025.

      CMS has cited this home for F0656 2 times since 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 3, 2025.

      CMS has cited this home for F0657 2 times since 2024.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on March 3, 2025.

      CMS has cited this home for F0755 2 times since 2023.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 3, 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 3, 2025.

    See this home on CMS Care Compare

  14. Fine

    January 17, 2025 (1 year ago)

    CMS fine of $55,692 on January 17, 2025.

    See this home on CMS Care Compare

  15. CMS update of August 29, 2024

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

  16. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  17. CMS update of April 25, 2024

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 5 of 5 to 3 of 5.

  18. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 5 of 5.

  19. 5 citations

    Health inspection on January 26, 2024

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    9 of 43 Hawaii homes (21%) got a citation at the actual harm level in 2024.

    • Citation F0726. Severity G: actual harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 11, 2024.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 11, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 11, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 11, 2024.

    • Citation F0712. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that the resident and his/her doctor meet face-to-face at all required visits.

      CMS lists it as corrected on March 11, 2024.

    See this home on CMS Care Compare

  20. 7 citations

    Health inspection on June 16, 2023

    CMS lists this as a standard inspection.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

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

      CMS lists it as corrected on July 7, 2023.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 7, 2023.

    • Citation F0561. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on July 7, 2023.

    • Citation F0623. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on July 7, 2023.

    • Citation F0726. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 7, 2023.

    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on July 7, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 7, 2023.

    See this home on CMS Care Compare

  21. 7 citations

    Fire safety inspection on June 16, 2023

    CMS lists this as a standard inspection.

    • Citation K0223. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

      CMS lists it as corrected on July 18, 2023.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on July 18, 2023.

    • Citation K0541. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Install properly constructed and protected linen or trash chutes.

      CMS lists it as corrected on July 18, 2023.

    • Citation K0771. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that smoke control systems are tested and documented in accordance with established engineering principles.

      CMS lists it as corrected on July 18, 2023.

    • Citation K0918. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on July 18, 2023.

    • Citation E0006. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Conduct risk assessment and an All-Hazards approach.

      CMS lists it as corrected on July 18, 2023.

    • Citation K0531. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Have elevators that firefighters can control in the event of a fire.

      CMS lists it as corrected on July 18, 2023.

    See this home on CMS Care Compare

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Kalakaua Gardens last inspected?

CMS lists February 20, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Kalakaua Gardens have?

CMS lists 30 health citations since June 16, 2023. CMS also calls these deficiencies.

Has Kalakaua Gardens been fined?

CMS lists 1 fine in the past three years, $55,692 in total.

What is the CMS star rating of Kalakaua Gardens?

Its CMS overall star rating is 3 of 5.

Is Kalakaua Gardens a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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