Total health inspections
3
Hawaii average 4.4
Last Health inspection on Apr 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Senior Living in Honolulu
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avalon Care Center – Honolulu
Senior Living in Honolulu
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Avalon Care Center – Honolulu
Overview of Avalon Care Center – Honolulu
For the past three decades, Avalon Health Care in Honolulu has been showing an unwavering commitment to providing top-notch healthcare services. It has been a source of solace and comfort to patients and residents alike. With a wide array of programs that cater to different needs, including Long-Term Care, Skilled Nursing, Rehabilitation, Memory Care, Assisted Living, Senior Living, Independent Living, and Healthcare, Avalon Health Care has proven to be a reliable partner in health and wellness.
Their services are exceptional, ranging from skilled nursing and assisted living to hospice/home health, therapy services, physicians/medical providers, and care coordination services. This comprehensive approach to healthcare ensures that patients and residents receive the best possible care and assistance with daily living. In Hawaii’s serene and calming environment, Avalon Health Care’s compassionate and dedicated team of healthcare professionals have made it their life’s work to provide excellent care while preserving the dignity and independence of their patients and residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
108
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.4%
Residents per day (avg)
95
Occupancy rate
90.4%
Residents per day (avg)
95
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
24% of new residents, usually for short-term rehab.
Typical stay
30 days
Private pay
72% of new residents, often for short stays.
Typical stay
27 days
Medicaid
4% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$32.9M
Profit
$3.1M
Privately-owned community
Operated by a business corporation.
Home revenue
$32,944,217.00
Profit
$3,119,174.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$21.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$29.8M
21 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 47 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
CMS Certification Number125020
Staffing
Key information about the people who lead and staff this community.
ContactMr. Michael Brogan, Administrator
Rehabilitation Services
Nursing Services
Skilled Nursing
24-Hour Staffing
24-Hour Nursing Care
On-Site Therapy Staff
Medical Staff Coverage
Specialty Medication Systems
Avalon Transportation Network
Advanced Clinical Medical Records Systems
In-House Amenities For Post-Acute Patients
Specific ProgramsShort-term rehabilitation, post-acute care, physical therapy, occupational therapy, speech therapy.
Food DescriptionAvalon Care Center – Honolulu offers meals that are well-received by residents, with a focus on quality and satisfaction.
Meals IncludedYes
Health Inspection History
Inspections
Total health citations
53
Hawaii average 35.5
Citations per inspection
17.67
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
51 of 53 citations resulted from standard inspections; and 2 of 53 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Hawaii averageHawaii average: 0.1
Serious Health citations
0
0
100% better than Hawaii averageHawaii average: 1
0 critical citations
0 serious citations
53 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 03, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 03, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 03, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 03, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Apr 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Senior Living around Honolulu The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
Avalon Care Center – Honolulu
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Honolulu (Kalihi Valley)
108
No
47
21
A+
0
0
15 Craigside
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
N
Nursing
Honolulu (Nuuanu - Punchbowl)
45
No
50
-
A+
2
9
Alexander Manor
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Honolulu (Makiki/Lower/ Punchbowl/Tantalus)
-
No
76
-
-
0
0
Ilima at Leihano
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Kapolei
-
No
67
19
-
0
0
Kīnā ‘Ole Estate
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Kaneohe
-
No
56
-
-
0
0
Places of interest near Avalon Care Center – Honolulu
2.6 miles from city center — 0.02 miles to nearest hospital (Avalon Care Center)
1930 Kamehameha IV Rd, Honolulu, HI 96819
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
176
Employees
125
Contractors
51
Staff to resident ratio
1.85:1
13% better than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
69
Average shift
7.7 hours
0% compared with Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
48,525
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
77
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
13.4%
6,499 contractor hours this quarter
Certified Nursing Assistant: 24
Physical Therapy Assistant: 10
Physical Therapy Aide: 6
Speech Language Pathologist: 5
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Staff by category
| Certified Nursing Assistant | 53 | 24 | 77 | 21,225 | 91 | 100% | 8 |
| Registered Nurse | 41 | 0 | 41 | 13,053 | 91 | 100% | 7.4 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 3,302 | 85 | 93% | 7.8 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 1,300 | 77 | 85% | 8.3 |
| Physical Therapy Aide | 0 | 6 | 6 | 1,203 | 87 | 96% | 7.1 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,172 | 87 | 96% | 7.3 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,071 | 86 | 95% | 7.5 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,011 | 88 | 97% | 7.3 |
| Physical Therapy Assistant | 0 | 10 | 10 | 927 | 83 | 91% | 7.3 |
| Dental Services Staff | 2 | 0 | 2 | 845 | 63 | 69% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 490 | 65 | 71% | 7.3 |
| Occupational Therapy Aide | 3 | 0 | 3 | 488 | 64 | 70% | 6.8 |
| Dietitian | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 62% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 400 | 50 | 55% | 8 |
| Nurse Aide in Training | 3 | 0 | 3 | 181 | 23 | 25% | 7.2 |
77 Certified Nursing Assistant
% of Days
100%
41 Registered Nurse
% of Days
100%
10 Clinical Nurse Specialist
% of Days
93%
3 Respiratory Therapy Technician
% of Days
85%
6 Physical Therapy Aide
% of Days
96%
4 Licensed Practical Nurse
% of Days
96%
5 Speech Language Pathologist
% of Days
95%
4 Other Dietary Services Staff
% of Days
97%
10 Physical Therapy Assistant
% of Days
91%
2 Dental Services Staff
% of Days
69%
3 Qualified Social Worker
% of Days
71%
3 Occupational Therapy Aide
% of Days
70%
1 Dietitian
% of Days
65%
1 Mental Health Service Worker
% of Days
65%
1 Nurse Practitioner
% of Days
64%
1 Administrator
% of Days
62%
1 RN Director of Nursing
% of Days
55%
3 Nurse Aide in Training
% of Days
25%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
95 residents
Residents by payment source
Medicare
53 residents (55.8%)
Medicaid
39 residents (41.1%)
Private pay or other
3 residents (3.2%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.1
19% worse than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.7
14% worse than Hawaii averageHawaii average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
Percent of long-stay residents whose need for help with daily activities has increased
12.7%
28% better than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
40.3%
Percent of long-stay residents whose ability to move independently worsened
40.3%
56% worse than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
15.0%
18% better than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
Percent of long-stay residents experiencing one or more falls with major injury
2.4%
14% worse than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
39% worse than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.6%
Percent of long-stay residents with a urinary tract infection
0.6%
75% better than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.0%
Percent of long-stay residents who lose too much weight
0.0%
100% better than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
3.9%
Percent of long-stay residents who received an antipsychotic medication
3.9%
62% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.4%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
In line with Hawaii averageHawaii average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
In line with Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
65% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.6%
8% better than Hawaii averageHawaii average: 84.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$13K
66% lower than Hawaii averageHawaii average: $38K
Number of fines
1
34% fewer fines than Hawaii averageHawaii average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$13K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 17, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 17, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Avalon Care Center – Honolulu based on CMS SNF Cost Reports.
Occupancy Rate
90.4%
↑ 3.3pp vs 2022
Net Income
$3,119,174
↓ ~$474K vs 2022
Total Payroll
$11,857,305
↑ ~$1.3M vs 2022
Profit Margin
9.5%
↓ 1.4pp vs 2022
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