AVALON CARE CENTER - HONOLULU, LLC
1930 KAMEHAMEHA IV RD, HONOLULU, HI 96819 · CCN 125020
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 108
- Avg residents/day
- 98.1
- Phone
- 8088474834
Inspection history vs Hawaii & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Hawaii avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-03 | 18 | 10.7 | 9.5 | +7.3 worse |
| 2 | 2024-04-05 | 18 | 12.4 | 9.8 | +5.6 worse |
| 3 | 2023-03-17 | 17 | 12.4 | 9.3 | +4.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 6 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Pharmacy service | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.59 | 39.5% |
| RN staffing (reported) | 1.91 | 33.3% |
| Total nurse staffing (adjusted) | 4.05 | — |
Fines & penalties
- Total fines
- $12,838
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- AVALON HEALTH CARE
- Facilities in chain
- 13
- Chain avg overall
- 3.60 / 5
Inspection citations (53)
- EF0558Reasonably accommodate the needs and preferences of each resident.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0688Provide 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.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0761Ensure 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.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-04-03 · Health · corrected 2025-05-16
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0578Honor 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.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0584Honor 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.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0625Notify 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.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0688Provide 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.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0761Ensure 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.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2024-04-05 · Health · corrected 2024-05-07
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0578Honor 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.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0584Honor 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.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- FF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- FF0625Notify 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.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- EF0732Post nurse staffing information every day.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- EF0761Ensure 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.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2023-03-17 · Health · corrected 2023-05-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| AVALON OF HAWAII LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2004-07-20 |
| AVALON CARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-11-26 |
| AVALON HEALTH CARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2004-04-01 |
| AVALON HOLDING, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2003-09-04 |
| HYRUM A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| K-TEAM LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| SPENCER K KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| THE BYRON A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, BYRON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, HYRUM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| KIRTON, SPENCER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2025-10-01 |
| AVALON HEALTH CARE MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-04-01 |
| AVALON HEALTH CARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2004-04-01 |
| BEN, BERNADETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-01-18 |
| BLANCHETTE, PATRICIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-17 |
| BORISEVICH, MARIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-08 |
| HASH, ALAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-08-15 |
| KAALEKAHI, KAIULANI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-06-20 |
| KIRTON, HYRUM | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-03-29 |
| SMITH, NICOLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-03-01 |
| DANGERFIELD, DAVID | Individual | CORPORATE DIRECTOR | — | 2007-04-05 |
| KIRTON, BYRON | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| KIRTON, CHARLES | Individual | CORPORATE DIRECTOR | — | 2003-12-01 |
| KIRTON, HYRUM | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| KIRTON, SPENCER | Individual | CORPORATE DIRECTOR | — | 2024-08-27 |
| WOLTIL, ROBERT | Individual | CORPORATE DIRECTOR | — | 2012-05-23 |
| BORISEVICH, MARIA | Individual | CORPORATE OFFICER | — | 2024-01-08 |
| HASH, ALAN | Individual | CORPORATE OFFICER | — | 2017-08-15 |
| KIRTON, CHARLES | Individual | CORPORATE OFFICER | — | 2012-10-23 |
| KIRTON, HYRUM | Individual | CORPORATE OFFICER | — | 2022-03-29 |
| SMITH, NICOLE | Individual | CORPORATE OFFICER | — | 2023-03-01 |
Other facilities in HONOLULU
| Name | Overall | Beds |
|---|---|---|
| 15 CRAIGSIDE | ★★★★★ | 45 |
| MAUNALANI NURSING AND REHABILITATION CENTER | ★★★★★ | 100 |
| ARCADIA RETIREMENT RESIDENCE | ★★★★★ | 91 |
| LEAHI HOSPITAL | ★★★★★ | 155 |
| THE CHING VILLAS | ★★★★☆ | 163 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.