Nursing home
Avalon Care Center - Honolulu
1930 Kamehameha Iv Rd, Honolulu, HI 96819 · Map
For profit - Corporation · Part of Avalon Health Care (13 facilities) · 108 certified beds
Avalon Care Center - Honolulu is a Medicare-certified nursing home in Honolulu, Hawaii. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.59 hours per resident per day, below the Hawaii average of 4.71. Its most recent inspection on Apr 3, 2025 cited 18 deficiencies.
- 1 fine totaling $12,838In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avalon Care Center - Honolulu compares
This facility vs. the Hawaii and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Hawaii avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.59 | 4.71 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.91 | 1.63 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.49 | 2.73 | 2.34 | below avg |
| Nursing staff turnover | 39.5% | 36.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 18.0 | 10.4 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $12,838, 1 total penalty.
What inspectors found at Avalon Care Center - Honolulu
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 3, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1930 Kamehameha Iv Rd
Honolulu, HI 96819 - CMS certification #
- 125020
- Ownership
- For profit - Corporation
- Certified beds
- 108
- Avg residents/day
- 98.1
- Provider type
- Medicare and Medicaid
- First certified
- 1971-01-26
- Chain
- Avalon Health Care (13 facilities)
- Setting
- Urban
Part of Avalon Health Care
Avalon Health Care operates 13 nursing facilities across the United States. View all Avalon Health Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avalon Care Center - Honolulu using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2024, 12 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Sep 4, 2024: programmed (planned) inspection, complete (health). Case closed Jan 21, 2025. 12 violations cited (7 serious, 5 other). Penalties: $60,156 proposed, $42,107 now. OSHA record. OSHA recorded the employer as Avalon Care Center - Honolulu, L.l.c.
Details
- Serious: Personal protective equipment (general) (1910.132(d)(1)(i)). Penalty $10,372 proposed, $7,260 now. To be fixed by Dec 31, 2024.
- Serious: Personal protective equipment (general) (1910.132(f)(1)). Penalty $0 proposed, $0 now. To be fixed by Dec 31, 2024.
- Serious: Medical services and first aid (including eyewash stations) (1910.151(c)). Penalty $10,372 proposed, $7,260 now. To be fixed by Dec 31, 2024.
- Serious: Electrical equipment and installation (1910.303(b)(2)). Penalty $8,296 proposed, $5,807 now. To be fixed by Jan 8, 2025.
- Serious: Electrical wiring and grounding (1910.304(g)(5)). Penalty $10,372 proposed, $7,260 now. To be fixed by Jan 8, 2025.
- Serious: Electrical wiring methods and equipment (1910.305(e)(1)). Penalty $10,372 proposed, $7,260 now. To be fixed by Dec 31, 2024.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(d)(4)(iii) A2III). Penalty $10,372 proposed, $7,260 now. To be fixed by Dec 31, 2024.
- Other than serious: Cited rule 1910.165(e). Penalty $0 proposed, $0 now. To be fixed by Jan 8, 2025.
- Other than serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)(ix)). Penalty $0 proposed, $0 now. To be fixed by Dec 31, 2024.
- Other than serious: Electrical wiring methods and equipment (1910.305(g)(2)(iii)). Penalty $0 proposed, $0 now. To be fixed by Dec 31, 2024.
- Other than serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(c)(1)(iv)). Penalty $0 proposed, $0 now. To be fixed by Dec 31, 2024.
- Other than serious: Cited rule 12-60-2(B)(1)(A). Penalty $0 proposed, $0 now. To be fixed by Dec 31, 2024.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Kuakini Medical Center, Honolulu. 1.8 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Nuuanu Hale, Honolulu. 0.7 miles away, straight line.
- Nearest home health agency office
- Kaiser Home Health Agency - Oahu, Honolulu. 1.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 96819 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Usrc Kalihi, Honolulu, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
Liberty Dialysis Hawaii - Siemsen Dialysis Facility, Honolulu, 1.6 miles away, straight line (CMS rating 4 of 5 stars)
Liberty Dialysis Hawaii - Siemsen Dialysis, Honolulu, 1.6 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 96819.
Navian Hawaii, office in Honolulu, 2.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
St Francis Hospice, office in Honolulu, 2.1 miles away, straight line (CMS family survey rating 4 of 5 stars)
Kaiser Permanente Care At Home, Oahu Hospice, office in Honolulu, 2.3 miles away, straight line - Nearest geriatric medicine practice
- Robert Gries, MD, Honolulu. 1.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Urban Honolulu, HI, risk to homes is greater than 88% of communities in Hawaii and 96% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding very low, wildfire relatively moderate, tornado very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Avalon Care Center - Honolulu a good nursing home?
CMS gives Avalon Care Center - Honolulu an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avalon Care Center - Honolulu staffed?
Avalon Care Center - Honolulu reports 4.59 total nurse hours per resident per day, compared with the Hawaii average of 4.71.
Has Avalon Care Center - Honolulu had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Avalon Care Center - Honolulu have?
Avalon Care Center - Honolulu is certified for 108 beds.