Avalon Care Center Honolulu: Catheter Care Failures - HI
The citation, issued June 4, covered failures in care for residents who are incontinent or rely on urinary catheters. Inspectors classified the deficiency as isolated, meaning it did not affect every resident, but determined there was potential for more than minimal harm.
Urinary tract infections are among the most common and serious complications facing nursing home residents. In older adults, particularly those with catheters, an untreated or poorly managed infection can escalate quickly, moving from the bladder to the kidneys and, in the most severe cases, into the bloodstream. For residents who are already medically fragile, that progression can be life-threatening.
No actual harm was documented during the inspection. That distinction matters in how regulators score and respond to a finding, but it does not mean residents were not at risk. The potential for harm was real enough that inspectors formally cited the facility.
The deficiency fell under a category regulators call Quality of Life and Care, a broad designation that covers the most direct and daily aspects of how a nursing home treats the people living inside it. Catheter care sits at the center of that category. A resident who depends on a catheter depends entirely on staff to manage it correctly. They cannot do it themselves. When that care slips, the consequences land on the resident's body.
Avalon Care Center was cited for two additional deficiencies during the same inspection, bringing the total to three. The inspection report does not detail what those other citations involved.
The facility submitted a plan of correction and reported the deficiency resolved by June 26, twenty-two days after inspectors flagged it.
A plan of correction is a standard part of the regulatory process. Facilities are required to submit one after any citation, describing what went wrong, what they will do to fix it, and how they will prevent recurrence. Inspectors may return to verify the correction was actually made. The plan itself is not evidence that the problem is gone, only that the facility has described, on paper, how it intends to fix things.
What the inspection record does not say is how many residents were affected, how long the care failures had been occurring before inspectors arrived, or what specifically staff were doing wrong. The narrative is brief. It identifies the category of failure but not the details behind it.
That gap is not unusual. Inspection reports at this scope and severity level often contain limited narrative. The finding is real. The specifics, at least in what is publicly available, are not.
What is available is this: on June 4, federal inspectors walked through Avalon Care Center and found that residents who needed catheter care were not getting it done right. The facility had twenty-two days to fix it and said it did.
For residents who rely on catheters, twenty-two days is a long time to wait.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Avalon Care Center - Honolulu, LLC from 2026-06-04 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
AVALON CARE CENTER - HONOLULU, LLC in HONOLULU, HI was cited for violations during a health inspection on June 4, 2026.
The citation, issued June 4, covered failures in care for residents who are incontinent or rely on urinary catheters.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.