All states › Hawaii › Honolulu › Avalon Care Center - Honolulu
1930 Kamehameha Iv Rd Honolulu, HI 96819 · Honolulu County
All 18 nursing homes in Honolulu, HI (16 take Medicaid)
CMS certification number 125020 · See this home on Medicare Care Compare
Is Avalon Care Center - Honolulu a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avalon Care Center - Honolulu as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Hawaii average of 3.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.68 hours per resident per day at Avalon Care Center - Honolulu, about the same as the Hawaii median of 4.62 (US median: 3.72). About 1.88 of those hours are from registered nurses. On weekends it falls to 4.20 hours, 10% below its all-week average. 33.3% of nursing staff left within a year (Hawaii median 32.8%).
About this nursing home
Paying for care at Avalon Care Center - Honolulu: Medicare and Medicaid
Avalon Care Center - Honolulu is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Hawaii's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on April 3, 2025 and found 18 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 55 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 55 citations at Avalon Care Center - Honolulu across 4 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 55 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (13) and resident rights (13). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level F, April 3, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 22, 2026 · 2 citations · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide 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.
April 3, 2025 · 18 citations
FProvide and implement an infection prevention and control program.
EReasonably accommodate the needs and preferences of each resident.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DKeep residents' personal and medical records private and confidential.
DEnsure each resident receives an accurate assessment.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide activities to meet all resident's needs.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
April 5, 2024 · 18 citations · includes complaint inspection
FProvide and implement an infection prevention and control program.
EHonor 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.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ENotify 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.
EProvide safe, appropriate pain management for a resident who requires such services.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DKeep all essential equipment working safely.
March 17, 2023 · 17 citations
FProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
FNotify 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.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EPost nurse staffing information every day.
EEnsure 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.
EKeep all essential equipment working safely.
DHonor 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.
DHonor 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.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Avalon Care Center - Honolulu
- CMS cited the home under its abuse and neglect rules on March 17, 2023. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 5/5 | 4/5 |
| August 2026 | 2/5 | 1/5 | 4/5 | 5/5 |
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Location
Hospitals near Avalon Care Center - Honolulu
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.7 mi
Tripler AMC (Ft Shafter) HonoluluEmergency roomMedian ER visit 3h 11m for patients treated and sent home
-
1.8 mi
Kuakini Medical Center HonoluluEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 29m for patients treated and sent home
- 1.9 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avalon Care Center - Honolulu › All nursing homes in Honolulu ›
Compare Avalon Care Center - Honolulu with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Maluhia · Honolulu · 5 stars · 1.2 mi
- 15 Craigside · Honolulu · 5 stars · 2.0 mi
- Hale Ola Kino by Arcadia · Hon · 5 stars · 4.4 mi
- Maunalani Nursing and Rehabilitation Center · Honolulu · 5 stars · 6.1 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.