Avalon Care Center – Honolulu
Nursing Home & Skilled Nursing · Honolulu, HI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Avalon Care Center – Honolulu

Nursing Home & Skilled Nursing · Honolulu, HI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Avalon Care Center – Honolulu accepts Medicare, Medicaid, and private pay.

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 45.4% Above HI avg. ▲ 45.4% Above HI avg.HI average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 39.0% Above HI avg. ▲ 39.0% Above HI avg.HI average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
At HI avg. At HI avg.HI average: 4.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 18.5% Above HI avg. ▲ 18.5% Above HI avg.HI average: 4.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Hawaii averages

Rank #19 / 26Nurse hours — State benchmarkedThis home is ranked 19th out of 26 homes we track in Hawaii for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 26 Hawaii facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 19th out of 26 homes we track in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

4h 3m

4% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 37m
Avg State avg: 1h 38m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
14m
−33% State avg: 21m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 12m
−19% State avg: 2h 44m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 40m
−12% State avg: 4h 11m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
10m
+91% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
1h 23m
+12% State avg: 1h 14m per day · National avg: 28m per day

3 of 6 metrics below state avg

Capacity and availability

This home usually has limited availability

Higher occupancy than the Hawaii average: 83.7%
Occupancy rate
91.8% Rank #5 / 23Occupancy rate — State benchmarkedThis home is ranked 5th out of 23 homes we track in Hawaii for occupancy. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 23. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Residents per day (avg)
99
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
50 days
Bed community size
108-bed community Rank #10 / 84Bed count — State benchmarkedThis home is ranked 10th out of 84 homes we track in Hawaii for bed count. Shows this facility's certified or reported bed count compared to other Hawaii facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
21 years in operation Rank #17 / 43Years in operation — State benchmarkedThis home is ranked 17th out of 43 homes we track in Hawaii for years in operation. Shows how long this facility has been in operation compared to other Hawaii facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 47 / 100 Rank #93 / 174Walk Score — State benchmarkedThis home is ranked 93rd out of 174 homes we track in Hawaii for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Hawaii facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
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

About this community

License Details

CMS Certification Number125020

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Transportation
Specific Programspost-acute care

Contact Avalon Care Center – Honolulu

CMS Health Inspection History

Inspections Since 2023 · 3 years of data
Total health inspections 3

Hawaii average 4.4


Last Health inspection on Apr 2025

Total health citations
53 Rank #24 / 26Health citations — State benchmarkedThis home is ranked 24th out of 26 homes we track in Hawaii for health citations. Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 26 HI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Hawaii average 35.5

Citations per inspection
17.67 Rank #26 / 26Citations per inspection — State benchmarkedThis home is ranked 26th out of 26 homes we track in Hawaii for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 26 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
100% better than Hawaii average

Hawaii average: 0.1


Serious health citations
0
100% better than Hawaii average

Hawaii average: 1

0 critical citations Hawaii average: 0.1

0 serious citations Hawaii average: 1

53 moderate citations Hawaii average: 34.2

0 minor citations Hawaii average: 0.1
Citations history (last 3 years)
Infection Control moderate citation Apr 03, 2025
Corrected

Nursing Services moderate citation Apr 03, 2025
Corrected

Pharmacy moderate citation Apr 03, 2025
Corrected

Pharmacy moderate citation Apr 03, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 157
Employees 129
Contractors 28
Staff to resident ratio 1.65 : 1
0% compared with Hawaii average
Hawaii average ratio: 1.65 : 1 Hawaii average ratio: 1.65 : 1See full Hawaii ranking
Avg staff/day 68
Average shift 7.8 hours
0% compared with Hawaii average
Hawaii average: 7.8 hours Hawaii average shift: 7.8 hoursSee full Hawaii ranking
Total staff hours (quarter) 48,714

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 40 RN Staff are full-time employees. No contractors work on this role. 40
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 4 LPN Staff are full-time employees. No contractors work on this role. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 65 total: 58 full-time employees and 7 contractors. 65
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

10.8%

5,239 contractor hours this quarter

Certified Nursing Assistant: 7 Physical Therapy Aide: 5 Speech Language Pathologist: 5 Respiratory Therapy Technician: 4 Qualified Social Worker: 4 Physical Therapy Assistant: 3

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant5876520,97792100%8
Registered Nurse4004012,85192100%7.6
Clinical Nurse Specialist9093,1237885%7.7
Licensed Practical Nurse4041,5439098%7.5
Respiratory Therapy Technician0441,4078188%8.3
Nurse Aide in Training5051,0898795%6.8
Other Dietary Services Staff30399292100%7.5
Speech Language Pathologist0559428491%7.5
Physical Therapy Assistant0339418390%7.2
Physical Therapy Aide05591992100%7
Dental Services Staff2028436368%7.9
Occupational Therapy Aide3035356975%6.9
Mental Health Service Worker1014725964%8
Dietitian1014605863%7.9
Qualified Social Worker0444345863%6.9
Administrator1014285459%7.9
RN Director of Nursing1014165257%8
Nurse Practitioner1013444347%8
65 Certified Nursing Assistant
% of Days 100%
40 Registered Nurse
% of Days 100%
9 Clinical Nurse Specialist
% of Days 85%
4 Licensed Practical Nurse
% of Days 98%

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 Rank #1 / 26Federal fines — State benchmarkedThis home is ranked 1st out of 26 homes we track in Hawaii for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 26 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
66% lower than Hawaii average

Hawaii average: $38K

Number of fines 1
34% fewer fines than Hawaii average

Hawaii average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Hawaii average

Hawaii average: 0.1

Fines amount comparison
Fines amount comparison
This facility $13K
Hawaii average $38K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Hawaii average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.7
14% worse than Hawaii average

Hawaii average: 20.0

Long-stay resident measures
Above average Hawaii avg: 4.4 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.7%
28% better than Hawaii average

Hawaii average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 40.3%
56% worse than Hawaii average

Hawaii average: 25.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 15.0%
18% better than Hawaii average

Hawaii average: 18.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.4%
14% worse than Hawaii average

Hawaii average: 2.1%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.1%
39% worse than Hawaii average

Hawaii average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
75% better than Hawaii average

Hawaii average: 2.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 0.0%
100% better than Hawaii average

Hawaii average: 4.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Hawaii average

Hawaii average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 3.9%
62% better than Hawaii average

Hawaii average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
In line with Hawaii average

Hawaii average: 96.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.6%
In line with Hawaii average

Hawaii average: 95.4%

Short-stay resident measures
Significantly above average Hawaii avg: 3.0 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.0%
In line with Hawaii average

Hawaii average: 83.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.4%
65% better than Hawaii average

Hawaii average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 91.6%
8% better than Hawaii average

Hawaii average: 84.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 19.7%
In line with Hawaii average

Hawaii average: 19.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 9.6%
12% better than Hawaii average

Hawaii average: 10.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Hawaii average

Hawaii average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 66.7%
24% better than Hawaii average

Hawaii average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 72.7%
44% better than Hawaii average

Hawaii average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 95
Medicare
53
55.8% of residents
Medicaid
39
41.1% of residents
Private pay or other
3
3.2% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.2M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$3.1M
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$22.2M Rank #4 / 20Net patient revenue — State benchmarkedThis home is ranked 4th out of 20 homes we track in Hawaii. Shows this facility's net patient revenue compared to the Hawaii average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$3.1M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$63.7K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #6 / 20Payroll costs — State benchmarkedThis home is ranked 6th out of 20 homes we track in Hawaii. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Hawaii average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$10.7M 48.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #15 / 20Payroll % of net patient revenue — State benchmarkedThis home is ranked 15th out of 20 homes we track in Hawaii. Shows payroll as a percentage of net patient revenue versus the Hawaii average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$8.4M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$19.1M

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (72% of admissions), and a typical private pay stay runs around 27 days.

Admissions
742 total

Coverage residents most often arrive under.

Medicare 24%
Private pay 72%
Medicaid 4%
Discharges
717 total

Coverage residents most often leave under.

Medicare 24%
Private pay 72%
Medicaid 4%

Places of interest near Avalon Care Center – Honolulu

Address 2.6 miles from city center Info Estimated distance in miles from Honolulu's city center to Avalon Care Center – Honolulu's address, calculated via Google Maps.

Calculate Travel Distance to Avalon Care Center – Honolulu

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Compare Nursing Homes around Honolulu

Info below is compiled from CMS reports & the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HC (Home Care): Professional care delivered in the person's own home, from companionship to skilled nursing. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Hawaii average is: 64.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Maunalani Nursing and Rehabilitation Center
NH
PC
SNF
Honolulu (Kaimuki)
100
Facility 100
HI AVG 43
Rank #13 / 84
86.5%
Facility 86.5%
HI AVG 83.7
Rank #11 / 23
+3%
5.05
Facility 5.05
HI AVG 4.20
Rank #10 / 26
-71%+20%
$32.1k
Facility $32.1k
HI AVG $43.4k
Rank #21 / 26
21
Facility 21
HI AVG 35.5
Rank #2 / 26
4.2
Facility 4.2
HI AVG 8.2
Rank #2 / 26
287-
11
Facility 11
HI AVG 50
Rank #152 / 174
The Maunalani Foundation
$18.6MFiscal year ending 06/2024
Facility $18.6MFiscal year ending 06/2024
HI AVG $17.9M
Rank #7 / 20
$10.4MFiscal year ending 06/2024
Facility $10.4MFiscal year ending 06/2024
HI AVG $10.1M
Rank #7 / 20
56%Fiscal year ending 06/2024
Facility 56%Fiscal year ending 06/2024
HI AVG 64.3%
Rank #8 / 20
125013
Avalon Care Center – Honolulu
NH
SNF
Honolulu (Kalihi Valley)
108
Facility 108
HI AVG 43
Rank #10 / 84
91.8%
Facility 91.8%
HI AVG 83.7
Rank #5 / 23
+10%
4.05
Facility 4.05
HI AVG 4.20
Rank #19 / 26
+24%-4%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
53
Facility 53
HI AVG 35.5
Rank #24 / 26
17.7
Facility 17.7
HI AVG 8.2
Rank #26 / 26
-99A+
47
Facility 47
HI AVG 50
Rank #93 / 174
Avalon Of Hawaii LLC
$22.2MFiscal year ending 12/2023
Facility $22.2MFiscal year ending 12/2023
HI AVG $17.9M
Rank #4 / 20
$10.7MFiscal year ending 12/2023
Facility $10.7MFiscal year ending 12/2023
HI AVG $10.1M
Rank #6 / 20
48.4%Fiscal year ending 12/2023
Facility 48.4%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #15 / 20
125020
15 Craigside
NH
ADC
AL
HC
IL
SNF
Honolulu (Nuuanu - Punchbowl)
45
Facility 45
HI AVG 43
Rank #25 / 84
99.8%
Facility 99.8%
HI AVG 83.7
Rank #1 / 23
+19%
4.94
Facility 4.94
HI AVG 4.20
Rank #11 / 26
+1%+17%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
5
Facility 5
HI AVG 35.5
Rank #1 / 26
2.5
Facility 2.5
HI AVG 8.2
Rank #1 / 26
-45A+
50
Facility 50
HI AVG 50
Rank #85 / 174
Bree Komagome
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
HI AVG $17.9M
Rank #20 / 20
$5.2MFiscal year ending 12/2023
Facility $5.2MFiscal year ending 12/2023
HI AVG $10.1M
Rank #19 / 20
67.8%Fiscal year ending 12/2023
Facility 67.8%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #3 / 20
125063
Arcadia Retirement Residence
NH
ADC
HC
IL
SNF
Honolulu
91
Facility 91
HI AVG 43
Rank #18 / 84
93.6%
Facility 93.6%
HI AVG 83.7
Rank #3 / 23
+12%
5.17
Facility 5.17
HI AVG 4.20
Rank #8 / 26
+26%+23%
$12.9k
Facility $12.9k
HI AVG $43.4k
Rank #19 / 26
36
Facility 36
HI AVG 35.5
Rank #13 / 26
9.0
Facility 9.0
HI AVG 8.2
Rank #20 / 26
285A+
86
Facility 86
HI AVG 50
Rank #27 / 174
Kathleen Yokouchi
$14.6MFiscal year ending 12/2023
Facility $14.6MFiscal year ending 12/2023
HI AVG $17.9M
Rank #11 / 20
$7.5MFiscal year ending 12/2023
Facility $7.5MFiscal year ending 12/2023
HI AVG $10.1M
Rank #15 / 20
51.1%Fiscal year ending 12/2023
Facility 51.1%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #13 / 20
125014
Liliha Healthcare Center
NH
HOS
PC
RC
SNF
Honolulu (Liliha - Kapalama)
92
Facility 92
HI AVG 43
Rank #17 / 84
74.5%
Facility 74.5%
HI AVG 83.7
Rank #20 / 23
-11%
4.95
Facility 4.95
HI AVG 4.20
Rank #11 / 26
-36%+18%
$11.2k
Facility $11.2k
HI AVG $43.4k
Rank #18 / 26
52
Facility 52
HI AVG 35.5
Rank #23 / 26
10.4
Facility 10.4
HI AVG 8.2
Rank #22 / 26
369-
81
Facility 81
HI AVG 50
Rank #29 / 174
-
$12.2MFiscal year ending 12/2023
Facility $12.2MFiscal year ending 12/2023
HI AVG $17.9M
Rank #16 / 20
$7.0MFiscal year ending 12/2023
Facility $7.0MFiscal year ending 12/2023
HI AVG $10.1M
Rank #17 / 20
57.5%Fiscal year ending 12/2023
Facility 57.5%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #7 / 20
125041

Financial Assistance for
Nursing Home in Hawaii

Avalon Care Center – Honolulu is located in Honolulu, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.

Get Financial aid guidance

QUEST Integration

Hawaii Medicaid QUEST Integration

Age 65+ or disabled
General Hawaii resident, Medicaid-eligible, long-term care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
HI

High cost of living adjustments.

Benefits
In-home care (6-8 hours/day) Nursing home Respite (240 hours/year) Medical services

Kupuna Care

Hawaii Kupuna Care

Age 60+
General Hawaii resident, unable to perform 2+ ADLs.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
HI

Limited funding; island-specific delivery.

Benefits
In-home care (3-5 hours/week) Adult day care (~$70/day) Transportation (~5 trips/month)

Program of All-Inclusive Care for the Elderly (PACE)

Hawaii Medicaid PACE

Age 55+
General Hawaii resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
HI

Limited to Oahu (e.g., Maluhia in Honolulu); few providers.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

Medicare Savings Program (MSP)

Hawaii Medicare Savings Program

Age 65+ or disabled
General Hawaii resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
Asset Limits $9,430 (individual), $14,130 (couple).
HI

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Hawaii NFCSP Respite Care

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
HI

Four county AAAs; prioritizes low-income.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($80/day) Counseling

VA Aid and Attendance (A&A) and Housebound Benefits

Hawaii VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/surviving spouse
General Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 2025 net worth limit
HI

Applies statewide; high demand due to veteran population.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Companion Program (SCP)

Hawaii Senior Companion Program

Age
General Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.
Income Limits (2025) Volunteers: ~$24,980/year (200% FPL); recipients: no limit.
Asset Limits Not specified for volunteers; need-based for recipients.
HI

Statewide; managed by DHS Social Services.

Benefits
Volunteers paid ~$4/hour for companionship (~20 hours/week); recipients get free support (~4-6 hours/week)

Frequently Asked Questions about Avalon Care Center – Honolulu

What neighborhood is Avalon Care Center – Honolulu in?

Avalon Care Center – Honolulu is in the Kalihi Valley neighborhood of Honolulu.

Is Avalon Care Center – Honolulu in a walkable area?

Avalon Care Center – Honolulu has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Avalon Care Center – Honolulu?

Avalon Care Center – Honolulu's occupancy is 90.4%.

How long has Avalon Care Center – Honolulu been in business?

Avalon Care Center – Honolulu has been operating for approximately 21 years, based on available licensing and registration records.

Are pets allowed at Avalon Care Center – Honolulu?

No, Avalon Care Center – Honolulu has a no-pet policy.

Does Avalon Care Center – Honolulu operate as a for-profit or non-profit?

Avalon Care Center – Honolulu is registered as a for-profit in HI.

Has Avalon Care Center – Honolulu had any deficiencies?

Avalon Care Center – Honolulu has had 54 reported deficiencies since 2023 according to records from State of Hawaii Department of Health.

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