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Complaint Investigation

Avalon Care Center - Honolulu, Llc

May 22, 2026 · Honolulu, HI · 1930 Kamehameha Iv Rd
Citations 2
CMS Rating 2/5
Beds 108
Provider ID 125020
Healthcare Facility
Avalon Care Center - Honolulu, Llc
Honolulu, HI  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

AVALON CARE CENTER - HONOLULU, LLC in HONOLULU, HI — inspection on May 22, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0656
Resident Assessment and Care Planning Deficiencies

05/22/26 at 01:00 PM, interview with the Director of Nursing (DON) confirmed that the AROM

and care planned.

125020 05/22/2026

Avalon Care Center - Honolulu, LLC 1930 Kamehameha IV Rd Honolulu, HI 96819

one to assess why the resident is refusing and provide the needed education to the resident and

with RNA1 confirmed that they are short of staff and will do what they can to provide the residents

only one as the other RNA will be pulled to do other duties.

When asked if she was familiar with R1's AROM needs and why R1 kept refusing tx, RNA1 said it is mostly because R1 was tired and sleepy after breakfast and wanted to do the activity later in the day. RNA1 further stated that they should be going back to do the activity with R1, but they just do not have the time to circle back with each resident or provide the encouragement or re-education they need. RNA1 acknowledged that AROM activities are important to prevent contractures and maintain the resident's level of strength.On 05/21/26 at 01:00 PM, interview with the Director of Nursing (DON) confirmed that the RNA 6x a week should have been carried out as it is important for maintaining the residents' mobility. DON further stated that the resident refusals should have been addressed and education provided to R1 of the importance of AROM. DON also acknowledged that the RNAs should have revisited R1 and continued to offer the activity. 05/22/26 at 11;00 AM, review of the facility's Quality of Care Restorative Nursing Programs policy, with revised date of 06/2018, in the Purpose section, The facility provides services, care and equipment to assure that a resident maintains and/or improves his/her level of range of motion and mobility maintains or improve function unless it is unavoidable based on resident's clinical condition.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HONOLULU, HI, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from AVALON CARE CENTER - HONOLULU, LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.