Nursing homeActive

Avalon Care Center - Honolulu, LLC

1930 Kamehameha IV Rd, Honolulu, HI 968198088474834108 certified beds · 99 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
55
0550
Penalties · 3 yrs
none on file
Last survey
2026-05-22
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Hawaii Office of Health Care Assurance · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-22Complaint020CMS-2567 (Care Compare)
2025-04-03Standard0180CMS-2567 (Care Compare)
2024-04-05Standard0180CMS-2567 (Care Compare)
2023-03-17Standard0170CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Hawaii Office of Health Care Assurance publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-22Complaint survey · 2 deficienciesOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 125020-20260522-F656
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-16Record 125020-20260522-F688
2025-04-03Standard survey · 18 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F558
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F583
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F657
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F698
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F725
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F755
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F756
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F761
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 125020-20250403-F880
2024-04-05Standard survey · 18 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F550
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F568
F578Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F578
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F584
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F623
F625Notify 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F689
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F697
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F726
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F880
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-07Record 125020-20240405-F908
2023-03-17Standard survey · 17 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F550
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F578
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F584
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F600
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F623
F625Notify 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.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F625
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F657
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F676
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F689
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F726
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F732
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F804
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F842
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F880
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 125020-20230317-F908

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.84
Facility
Hawaii
National
Hawaii 1.75 · National 0.69
Total nurse hours per resident day4.62
Facility
Hawaii
National
Hawaii 4.97 · National 3.86
Weekend total nurse hours4.17
Facility
Hawaii
National
Hawaii 4.41 · National 3.42
Total nursing staff turnover40%
Facility
Hawaii
National
Hawaii 36% · National 46%
Registered nurse turnover43%
Facility
Hawaii
National
Hawaii 32% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityHawaiiNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.8%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.9%1.9%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
0.8%11.9%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.7%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.3%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
13.3%16.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
2.0%4.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
2.0%9.1%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Avalon Of Hawaii LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Avalon Care LLC
Organization
5% OR GREATER INDIRECT OWNERSHIP INTEREST100%
Avalon Health Care Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Avalon Health Care Management Inc
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Ben, Bernadette
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Blanchette, Patricia
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Borisevich, Maria
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hash, Alan
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kaalekahi, Kaiulani
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kirton, Hyrum
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Smith, Nicole
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Avalon Health Care Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Avalon Health Care Management Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Ben, Bernadette
Individual
ADP OF THE SNFNOT APPLICABLE
Blanchette, Patricia
Individual
ADP OF THE SNFNOT APPLICABLE
Borisevich, Maria
Individual
ADP OF THE SNFNOT APPLICABLE
Borisevich, Maria
Individual
CORPORATE OFFICERNOT APPLICABLE
Dangerfield, David
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Dangerfield, David
Individual
CORPORATE DIRECTORNOT APPLICABLE
Hash, Alan
Individual
CORPORATE OFFICERNOT APPLICABLE
Hash, Alan
Individual
ADP OF THE SNFNOT APPLICABLE
Kaalekahi, Kaiulani
Individual
ADP OF THE SNFNOT APPLICABLE
Kirton, Byron
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kirton, Byron
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kirton, Hyrum
Individual
CORPORATE OFFICERNOT APPLICABLE
Kirton, Hyrum
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Kirton, Hyrum
Individual
ADP OF THE SNFNOT APPLICABLE
Kirton, Hyrum
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Kirton, Hyrum
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kirton, Spencer
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kirton, Spencer
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Smith, Nicole
Individual
ADP OF THE SNFNOT APPLICABLE
Smith, Nicole
Individual
CORPORATE OFFICERNOT APPLICABLE
Woltil, Robert
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Woltil, Robert
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Avalon Health Care16 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Hawaii.

No county cost figures on file for Honolulu.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Nuuanu Hale
Honolulu
0.7 mi2026-02-270551
Maluhia
Honolulu
1.2 mi2025-07-100101
Liliha Healthcare Center
Honolulu
1.6 mi2025-06-090240
Kuakini Geriatric Care, Inc
Honolulu
1.7 mi2026-06-120263
The Ching Villas
Honolulu
1.7 mi2026-01-160400
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01