AVALON CARE CENTER - HONOLULU, LLC
Certified for Medicare and Medicaid since 1971-01-26, AVALON CARE CENTER - HONOLULU, LLC is a 108-bed nursing home in HONOLULU, Hawaii, averaging 99.1 residents a day.
Has AVALON CARE CENTER - HONOLULU, LLC been cited for violations?
CMS lists 55 health-inspection deficiencies for AVALON CARE CENTER - HONOLULU, LLC since 2023-03-17, 38 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is F; the most recent health inspection was 2026-05-22.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-22 | F0656, F0688 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 |
| 2025-04-03 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-04-03 | F0558, F0725 | Reasonably accommodate the needs and preferences of each resident. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-04-03 | F0583, F0641, F0655, F0656, F0657, F0679, F0684, F0688, F0689, F0695, F0698, F0755, F0756, F0759, F0761 | Keep residents' personal and medical records private and confidential. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / 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 |
| 2024-04-05 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-04-05 | F0578, F0623, F0625, F0697 | 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide safe, appropriate pain management for a resident who requires such services. | E |
| 2024-04-05 | F0550, F0568, F0584, F0641, F0656, F0657, F0684, F0688, F0689, F0726, F0761, F0842, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Keep all essential equipment working safely. | D |
| 2023-03-17 | F0623, F0625, F0880 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide and implement an infection prevention and control program. | F |
| 2023-03-17 | F0550, F0732, F0761, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Post nurse staffing information every day. / 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. / Keep all essential equipment working safely. | E |
| 2023-03-17 | F0578, F0584, F0600, F0656, F0657, F0676, F0689, F0726, F0804, F0842 | 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. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
How is AVALON CARE CENTER - HONOLULU, LLC staffed relative to the HI average?
| Measure | This facility | HI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.62030 | 4.97232 |
| Total nursing staff turnover (%) | 40.0 | 36.4 |
| Average number of residents per day | 99.1 | 81.9 |
Who owns AVALON CARE CENTER - HONOLULU, LLC, and what chain is it in?
AVALON CARE CENTER - HONOLULU, LLC is registered with CMS as For profit - Corporation, operates under the legal business name AVALON CARE CENTER - HONOLULU, LLC and belongs to the AVALON HEALTH CARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | AVALON OF HAWAII LLC | since 07/20/2004 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | AVALON CARE LLC | since 11/26/2003 |
| MANAGING CONTROL - GOVERNING BODY | DANGERFIELD, DAVID, KIRTON, BYRON, KIRTON, HYRUM, KIRTON, SPENCER, WOLTIL, ROBERT | since 04/05/2007 |
| CORPORATE DIRECTOR | DANGERFIELD, DAVID, KIRTON, BYRON, KIRTON, HYRUM, KIRTON, SPENCER, WOLTIL, ROBERT | since 04/05/2007 |
| CORPORATE OFFICER | BORISEVICH, MARIA, HASH, ALAN, KIRTON, HYRUM, SMITH, NICOLE | since 01/08/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | AVALON HEALTH CARE INC, AVALON HEALTH CARE MANAGEMENT INC, BEN, BERNADETTE, BLANCHETTE, PATRICIA, BORISEVICH, MARIA, HASH, ALAN, KAALEKAHI, KAIULANI, KIRTON, HYRUM, SMITH, NICOLE | since 01/08/2024 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | KIRTON, HYRUM | since 02/11/2026 |
| ADP OF THE SNF | AVALON HEALTH CARE INC, AVALON HEALTH CARE MANAGEMENT INC, BEN, BERNADETTE, BLANCHETTE, PATRICIA, BORISEVICH, MARIA, HASH, ALAN, KAALEKAHI, KAIULANI, KIRTON, HYRUM, SMITH, NICOLE | since 01/08/2024 |
Were you or a family member harmed at AVALON CARE CENTER - HONOLULU, LLC?