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Nursing HomeMedicaid

Avalon Care Center - Honolulu, LLC

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1930 Kamehameha IV Rd, Kalihi Valley · Honolulu, HI 96819108 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 68 Google reviews

5
4
3
2
1
Avalon Care Center - Honolulu, LLC Nursing Home in Honolulu, HI — Street View
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What this means for your family

Avalon Care Center offers a strong rehabilitation program that has helped many patients regain mobility, but families must be vigilant. Given the recurring reports of slow response times to call lights and occasional communication gaps, we recommend visiting frequently and establishing a clear point of contact with the administration upon admission.

Google Reviews

Google Reviews

68 reviews on Google
Avalon Care Center - Honolulu receives polarized feedback, with many families praising the dedicated nursing and therapy staff for successful rehabilitation outcomes. However, significant concerns persist regarding inconsistent care, including reports of neglect, poor responsiveness to patient call lights, and administrative communication failures. Families should be aware that while many report a positive experience, there are recurring accounts of inadequate staffing levels and lapses in basic patient care.

Quality Themes

Tap a score for details
Food8.0Staff6.0Clean8.0Activities7.0Meds4.0MemoryN/AComms5.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Friendly and compassionate nursing staff
  • Clean and well-maintained facility
  • Strong communication from specific department heads

Concerns

  • Unresponsive to patient call lights and basic needs (mentioned by 4 reviewers)
  • Inconsistent or poor communication with family members (mentioned by 3 reviewers)
  • Loss of patient personal belongings (mentioned by 2 reviewers)
  • Understaffing leading to delayed care (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(2)'21(10)'23(9)'25(14)'26(4)

Distribution · 64 analyzed

5
41
4
5
3
2
2
2
1
14

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; what is the best way for families to stay in the loop regarding their loved one's daily care?
  • 2Given the recent focus on medication management, could you walk me through the safety protocols and oversight your nursing team uses to ensure residents receive the correct dosages on time?
  • 3When a resident needs assistance, what is the typical process for monitoring and responding to call lights to ensure no one is waiting too long for help?
  • 4Since many families appreciate your therapy programs, how do you balance those active sessions with the need for consistent, one-on-one attention for basic daily living needs?
  • 5What specific systems do you have in place to help residents keep track of their personal belongings and ensure they remain secure within their rooms?
  • 6How does your staff handle communication during busy shifts to ensure that families are kept informed if there is a change in a resident's health status or care plan?

Personalized based on this facility's data


Key Review Excerpts

The people here are very good and helpful. I love the food. They got real meat, pork, and chicken; it’s not imitation. It’s soft and flavorful so it’s helpful because my teeth are not so good.

Rehab patient · 2024★★★★★

I had to step in to assist the aid with changing out my mom’s liner twice (a 2 person job due to her surgery) because they were “short staffed” and the aid said there was no one to call to help her.

Long-term resident's family · 2022☆☆☆☆

Staff members DO NOT respond to calls from patients using their buzzers. We just had our mother in the facility, and two nights in less than a week she was calling for help and not one staff member responded.

Long-term resident's family · 2022☆☆☆☆
Source: 68 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.84hrs
OK
Registered nurses for medical care
Total Nursing
4.56hrs
OK
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
38%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

2

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility2.0%
Better than Avg
Here
2.0%
US
19.5%
HI
8.6%
Honolulu
8.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
15.5%
HI
11.3%
Honolulu
9.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
HI
1.2%
Honolulu
0.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.4%
Better than Avg
Here
9.4%
US
19.4%
HI
17.6%
Honolulu
19.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
93.4%
HI
96.0%
Honolulu
94.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.2%
Better than Avg
Here
11.2%
US
14.4%
HI
16.4%
Honolulu
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.6%
Better than Avg
Here
91.6%
US
79.8%
HI
84.7%
Honolulu
84.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.6%
Better than Avg
Here
83.6%
US
81.8%
HI
82.8%
Honolulu
81.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
HI
1.0%
Honolulu
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
Well above state avg (10.4)
2 complaint-triggered
$12,838 in fines

This facility shows persistent problems across all three surveys with recurring deficiencies in care planning, resident rights, and medication management. Most concerning is the pattern of repeat violations in infection control, care planning, and safety supervision that reappear year after year despite corrections. Families have filed complaints that triggered additional inspections, indicating ongoing concerns about resident treatment and environment. While the facility corrects issues when cited, the consistent recurrence of fundamental care problems suggests systemic challenges in maintaining quality standards.

Apr 3, 2025Routine
19
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0558Potential for harm · PatternCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Apr 5, 2024Routine
18
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0697Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0568Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0908Potential for harm · IsolatedCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0761Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Apr 5, 2024Complaint
2
0623Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Mar 17, 2023Routine
20
0623Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

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.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0732Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0200Potential for harm · Isolated

Egress Deficiencies

Meet other general requirements.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0726Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avalon Care Center - Honolulu, LLC

Organization Type

for profit

Chain Affiliation

Chain Name

Avalon Health Care

Chain Size

16 facilities nationwide

Chain avg rating: 3.6/5 · Rank 11 of 13

Ownership & Management

Owners

Avalon of Hawaii LLC

Owner · Organization

100%

Avalon Care LLC

Owner (parent company) · Organization

100%

Kirton, Hyrum

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Dangerfield, DavidManaging Control - Governing BodyKirton, ByronManaging Control - Governing BodyKirton, CharlesManaging Control - Governing BodyKirton, HyrumManaging Control - Governing BodyKirton, SpencerManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

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