Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
AVALON CARE CENTER - HONOLULU, LLC
HONOLULU, HI · 108 certified beds · Last Life Safety survey April 3, 2025
CMS Certification Number 125020 · first certified January 1971
Ownership
Operated by AVALON HEALTH CARE · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within HI
6 citations — more than 64% of the 43 certified nursing homes in HI. Compared within HI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 1 citation; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Past the typical window (April 2026 to September 2026). Most US facilities have been surveyed by May 2027. This facility’s last Life Safety survey was April 2025. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. HI has too few recent surveys to measure on its own, so the national interval is used.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
Get an email about AVALON CARE CENTER - HONOLULU, LLC
One email when it happens. No account; stop it any time with one click.
Physical environment (health survey)
10 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 6 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
- F-0584 Honor 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.
- F-0908 Keep all essential equipment working safely.
How that compares
Compared with the median facility in HI, and nationally. Surveyors differ markedly between states, so the HI figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 6 |
| Median facility in HI | 4 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 17, 2023 | 3 |
| April 5, 2024 | 2 |
| April 3, 2025 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 1 | 2024-04-05 |
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2025-04-03 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2023-03-17 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2024-04-05 |
| K-0200 | Meet other general requirements. | 1 | 2023-03-17 |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | 1 | 2023-03-17 |
What the citations cover
- Egress Deficiencies 2
- Gas, Vacuum, and Electrical Systems Deficiencies 2
- Smoke Deficiencies 1
- Miscellaneous Deficiencies 1
| Category | Citations |
|---|---|
| Egress Deficiencies | 2 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 2 |
| Smoke Deficiencies | 1 |
| Miscellaneous Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
April 3, 2025 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (June 20, 2025) |
April 5, 2024 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Deficient, Provider has date of correction (May 7, 2024) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (May 7, 2024) |
March 17, 2023 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0200 | Meet other general requirements. | Waiver has been granted (August 8, 2023) |
| K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Deficient, Provider has date of correction (March 24, 2023) |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (May 1, 2023) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.