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Avalon Care Center Honolulu: Infection Control Cited - HI

Healthcare Facility
Avalon Care Center - Honolulu, Llc
Honolulu, HI  ·  5/5 stars

Inspectors cited the facility under a category covering infection prevention and control, one of the more consequential areas of nursing home oversight. The finding was classified as isolated, meaning inspectors did not observe the problem spreading across the facility, but they determined the potential for harm was real. No resident was documented as having been hurt. That is a threshold regulators describe carefully: the absence of documented harm is not the same as the absence of risk.

Avalon Care Center, located in Honolulu, received three deficiency citations in total during the inspection. The infection control finding was among them.

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The specific breakdown inspectors observed was categorized under the requirement that a facility both provide and implement an infection prevention and control program. That word, implement, carries weight in how these citations work. A facility can have written policies, trained staff on paper, and designated infection control personnel, and still receive this citation if inspectors find the actual practice in the building does not match what the program requires. The inspection narrative does not describe a facility that lacked a program. It describes one that failed to carry it out.

In nursing homes, that gap tends to show up in predictable places: hand hygiene not performed between residents, personal protective equipment used incorrectly or not at all, contaminated supplies handled without proper precautions, or isolation procedures not followed for residents with communicable conditions. The inspection record for this citation does not specify which of these failures inspectors observed. What it records is the category, the scope, and the judgment that residents faced potential for more than minimal harm.

Infection control failures in long-term care facilities carry consequences that can move quickly. Residents in nursing homes are, by definition, a medically vulnerable population. Many are elderly, immunocompromised, or recovering from surgery or illness. An infection that a healthier person might shake off in a week can become a hospitalization, a sepsis case, or worse for someone living in a skilled nursing facility. The classification system federal inspectors use, which rated this finding as a D-level deficiency, places it at the lower end of the severity scale. But D-level findings are not harmless findings. They are findings where actual harm did not occur and could have.

Avalon Care Center reported a plan of correction to federal regulators and indicated the deficiency had been addressed as of June 26, 2026, three weeks after inspectors completed their review.

Plans of correction are a standard part of the federal inspection process. A facility that receives a deficiency citation is required to submit a written plan describing what went wrong, what steps will be taken to fix it, and by what date. Regulators review those plans, but the submission of a plan and the approval of a plan are not the same as verification that the problem has been resolved. Whether inspectors returned to confirm the correction is not reflected in the inspection record reviewed for this article.

The June 2026 inspection was a standard health survey, the routine unannounced review that federal regulators require nursing homes to undergo periodically. It was not triggered by a complaint or a reported incident. Inspectors arrived, conducted their review, and found three things that did not meet federal standards. The infection control deficiency was one of them.

For the residents of Avalon Care Center during the weeks inspectors observed what they observed, the question of whether the program was being implemented correctly was not an abstract regulatory matter. It was the difference between whether the staff member entering their room had taken the precautions required to keep them safe.

The facility says it has corrected the problem. The inspection record says the problem was there.

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


Editorial Standards

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

Quick Answer

AVALON CARE CENTER - HONOLULU, LLC in HONOLULU, HI was cited for violations during a health inspection on June 4, 2026.

Inspectors cited the facility under a category covering infection prevention and control, one of the more consequential areas of nursing home oversight.

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.

Frequently Asked Questions

What happened at AVALON CARE CENTER - HONOLULU, LLC?
Inspectors cited the facility under a category covering infection prevention and control, one of the more consequential areas of nursing home oversight.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in HONOLULU, HI, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from AVALON CARE CENTER - HONOLULU, LLC or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 125020.
Has this facility had violations before?
To check AVALON CARE CENTER - HONOLULU, LLC's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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