Kalakaua Gardens
1723 KALAKAUA AVENUE, Honolulu, HI 96826
Honolulu, Hawaii · CMS verdict
On the federal five-star scale, Kalakaua Gardens carries a 3 of 5 CMS overall rating, average quality that runs below Hawaii's state average of 3.6.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Kalakaua Gardens in Honolulu, Hawaii holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 52 of 100 (grade F). The 49-bed facility operates where a semi-private nursing-home room in Hawaii runs a median of $15,473 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 3 of 5 stars. How this is calculated.
How the 52 is built
Each segment is a dimension's weighted points toward the score, summing to 52.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
Kalakaua Gardens holds a CMS overall quality rating of 3 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (3/5), staffing (4/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Honolulu, Hawaii, this facility operates 49 certified beds with an average daily census of roughly 44 residents - an occupancy rate of about 90%. The facility is classified under for profit - partnership ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 90% occupancy, this facility runs close to its typical range for a stabilized operation.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (35 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Kalakaua Gardens compares to Hawaii
CMS five-star sub-ratings (0–5) for this facility against the Hawaii facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Hawaii state average. Higher is better on all four CMS measures.
Facility details
| Attribute | Value |
|---|---|
| Beds | 49 |
| Residents | 44 |
| Ownership | For profit - Partnership |
| County | Honolulu |
| Penalties | 1 |
| Deficiencies | 35 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Kalakaua Gardens? ▾
Kalakaua Gardens has an overall CMS quality rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 4/5, and quality measures rating of 3/5.
How much does a nursing home cost per month in Hawaii? ▾
CareScout's 2025 survey puts Hawaii's median semi-private nursing home rate at $15,473 per month ($185,679 per year), with private rooms averaging $16,395 per month.
What services does Kalakaua Gardens offer? ▾
Kalakaua Gardens operates as a skilled nursing facility (49 beds with approximately 44 current residents) under for profit - partnership ownership. CMS inspections have recorded 35 deficiencies and 1 penalties there.
Does Kalakaua Gardens have any deficiencies or penalties? ▾
Kalakaua Gardens has multiple deficiencies (35 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Hawaii? ▾
In Hawaii, alternatives include assisted living ($12,096/mo), home health aides ($7,817/mo), and adult day care ($2,551/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Hawaii elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 125066.
Read our methodology - how this data is sourced, computed, and verified.