All citations for Avalon Care Center - Honolulu, LLC

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avalon Care Center - Honolulu, LLC

Last standard health inspection on record

April 3, 2025

Showing 1 to 20 of 20 citations

  1. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  2. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  3. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  4. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of May 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

  5. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of May 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 16, 2026).

  6. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  7. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  8. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  9. No harm, with potential for more than minimal harm

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  10. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  11. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  12. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  13. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  15. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  16. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  17. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  18. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  19. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

  20. No harm, with potential for more than minimal 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 3, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 16, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.