Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

KALAKAUA GARDENS

HONOLULU, HI · 49 certified beds · Last Life Safety survey February 20, 2026

CMS Certification Number 125066 · first certified June 2017

Ownership

Independently operated (no chain recorded by CMS) · For profit - Partnership

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within HI

29 citations — more than 100% of the 43 certified nursing homes in HI. Compared within HI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 22 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens March 2027 — about 5 months from now. This facility’s last Life Safety survey was February 2026. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. HI has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 29 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 29 Life Safety citations above. The Physical Environment Index

F-0584 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.
F-0880 Provide and implement an infection prevention and control program.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in HI, and nationally. Surveyors differ markedly between states, so the HI figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	29
Median facility in HI	4
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
June 16, 2023	7
January 17, 2025	0
February 20, 2026	22

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2026-02-20
K-0541	Install properly constructed and protected linen or trash chutes.	2	2026-02-20
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2026-02-20
K-0531	Have elevators that firefighters can control in the event of a fire.	2	2026-02-20
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	1	2026-02-20
K-0920	Ensure proper usage of power strips and extension cords.	1	2026-02-20
K-0363	Install corridor and hallway doors that block smoke.	1	2026-02-20
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	1	2026-02-20

What the citations cover

Citations by CMS category

Smoke Deficiencies 9
Gas, Vacuum, and Electrical Systems Deficiencies 6
Miscellaneous Deficiencies 5
Services Deficiencies 5
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	9
Gas, Vacuum, and Electrical Systems Deficiencies	6
Miscellaneous Deficiencies	5
Services Deficiencies	5
Emergency Preparedness Deficiencies	3
Egress Deficiencies	1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 20, 2026 — 22 citations

Citations issued on February 20, 2026
Tag	What the surveyor checks	Status
E-0018	Establish procedures for tracking staff and patients during an emergency.	Deficient, Provider has date of correction (May 25, 2026)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (May 30, 2026)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 30, 2026)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 30, 2026)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (May 30, 2026)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (May 30, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has plan of correction
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 30, 2026)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (May 30, 2026)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 30, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (May 30, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (May 30, 2026)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has plan of correction
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (May 30, 2026)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 30, 2026)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (May 30, 2026)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (May 30, 2026)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 30, 2026)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Deficient, Provider has plan of correction
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 1, 2026)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 30, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (May 30, 2026)

June 16, 2023 — 7 citations

Citations issued on June 16, 2023
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (July 18, 2023)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (July 18, 2023)
K-0531	Have elevators that firefighters can control in the event of a fire.	Deficient, Provider has date of correction (July 18, 2023)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (July 18, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (July 18, 2023)
K-0771	Ensure that smoke control systems are tested and documented in accordance with established engineering principles.	Deficient, Provider has date of correction (July 18, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 18, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.