Hawaii › Honolulu County › Honolulu
Avalon Care Center - Honolulu, LLC
1930 Kamehameha Iv Rd, Honolulu, HI 96819
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avalon Care Center - Honolulu, LLC, in Honolulu, Hawaii, is certified for 108 beds under for-profit, corporation ownership and belongs to the Avalon Health Care chain.
CMS gives it 2 of 5 stars overall, below the Hawaii median of 4; the health inspection rating is 1, staffing 4 and quality measures 5.
Inspectors recorded 55 health deficiencies across the three most recent survey cycles (20, 18, 17 by cycle, most recent first), none at the actual-harm level. That is 50.9 per 100 beds, more than the state median of 39.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.6 hours per resident per day (1.8 RN), close to the Hawaii median of 4.6; nursing staff turnover is 40.0%.
Compared with county, state and nation
| Measure | This facility | Honolulu Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 55 | 37 | 34 | 28.7 |
| Citations per 100 beds | 50.9 | 42.5 | 39.8 | 26.8 |
| Total nurse hours per resident day | 4.6 | 4.6 | 4.6 | 3.9 |
| RN hours per resident day | 1.8 | 1.7 | 1.6 | 0.7 |
| Nursing staff turnover | 40.0% | 34.6% | 32.2% | 45.8% |
| Fines listed | $0 | $8,278 | $8,018 | — |
County and state figures are medians across facilities (27 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 3 Apr 2025, 5 Apr 2024.
Severity mix: D ×40 E ×10 F ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 22 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Jun 2026 |
| 22 May 2026 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 16 Jun 2026 |
| 3 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 16 May 2025 |
| 3 Apr 2025 | F0761 | 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 | Standard survey | 16 May 2025 |
| 5 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0578 | 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. | E | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Complaint investigation | 7 May 2024 |
| 5 Apr 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0584 | 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 | Complaint investigation | 7 May 2024 |
| 5 Apr 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0726 | 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 | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0761 | 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 | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 7 May 2024 |
| 5 Apr 2024 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 7 May 2024 |
| 17 Mar 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | F | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0732 | Post nurse staffing information every day. | E | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0761 | 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 | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0578 | 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 | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0584 | 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 | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0726 | 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 | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 1 May 2023 |
| 17 Mar 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 May 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 40.0%, RNs 43.1%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Hawaii median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.3% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 1.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.4% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.8% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Chain: Avalon Health Care (16 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Avalon of Hawaii LLC | 5% or greater direct ownership interest | 100% | 07/20/2004 |
| Avalon Care LLC | 5% or greater indirect ownership interest | 100% | 11/26/2003 |
| Avalon Health Care Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2004 |
| Avalon Health Care Management Inc | Operational/managerial control | NOT APPLICABLE | 04/01/2004 |
| Avalon Health Care Inc | Adp of the snf | NOT APPLICABLE | 04/01/2004 |
| Avalon Health Care Management Inc | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Honolulu County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| 15 Craigside | Honolulu | 45 | 5 | 5 | 5 | 5 | 11.1 | — | 23 Jun 2025 |
| Hale Ola Kino By Arcadia | Hon | 32 | 5 | 4 | 5 | 24 | 75.0 | — | 21 Feb 2025 |
| Harry and Jeanette Weinberg Care Center | Kaneohe | 44 | 5 | 5 | 5 | 19 | 43.2 | — | 30 Jan 2025 |
| Hi'Olani Care Center At Kahala Nui | Honolulu | 20 | 5 | 3 | 5 | 24 | 120.0 | — | 27 Jun 2024 |
| Kulana Malama | Ewa Beach | 33 | 5 | 4 | 4 | 25 | 75.8 | $14K | 26 Sep 2025 |
| Leahi Hospital | Honolulu | 155 | 5 | 4 | 5 | 18 | 11.6 | — | 25 Jul 2025 |
| Maluhia | Honolulu | 158 | 5 | 5 | 5 | 20 | 12.7 | $8K | 10 Jul 2025 |
| Maunalani Nursing and Rehabilitation Center | Honolulu | 100 | 5 | 4 | 4 | 23 | 23.0 | $32K | 10 Jun 2026 |
All 27 facilities in Honolulu County
Questions and answers
How many deficiencies has Avalon Care Center - Honolulu, LLC been cited for?
55 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Avalon Care Center - Honolulu, LLC been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Avalon Care Center - Honolulu, LLC compare?
Reported total nurse staffing is 4.6 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Avalon Care Center - Honolulu, LLC?
It is part of the Avalon Health Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Avalon of Hawaii LLC, Avalon Care LLC and Avalon Health Care Inc. Individual owners and managers are not listed on this site.
When was Avalon Care Center - Honolulu, LLC last inspected?
The most recent survey or investigation in the CMS record is dated 22 May 2026; the most recent standard health survey was 3 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.