Avalon Care Center - Honolulu, Llc - Honolulu Nursing Home
General Information
UPDATEFederal Provider Number
125020
Provider Name
AVALON CARE CENTER - HONOLULU, LLC
Provider Address
1930 KAMEHAMEHA IV RD
HONOLULU, HI 96819
HONOLULU, HI 96819
Provider Phone Number
8088474834
Provider SSA County
20
Provider County Name
Honolulu
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVALON CARE CENTER - HONOLULU, LLC
Date First Approved to Provide Medicare and Medicaid services
1971-01-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44020
Reported LPN Staffing Hours per Resident per Day
0.20588
Reported RN Staffing Hours per Resident per Day
1.15343
Reported Licensed Staffing Hours per Resident per Day
1.35931
Reported Total Nurse Staffing Hours per Resident per Day
3.79951
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11716
Expected CNA Staffing Hours per Resident per Day
2.73978
Expected LPN Staffing Hours per Resident per Day
0.65578
Expected RN Staffing Hours per Resident per Day
1.08298
Expected Total Nurse Staffing Hours per Resident per Day
4.47854
Adjusted CNA Staffing Hours per Resident per Day
2.18540
Adjusted LPN Staffing Hours per Resident per Day
0.26058
Adjusted RN Staffing Hours per Resident per Day
0.79581
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41974
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-01-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2012-09-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2011-04-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Maluhia
1027 Hala Drive |
HONOLULU HI 96817 | 1.2 miles away
Liliha Healthcare Center
1814 Liliha Street |
HONOLULU HI 96817 | 1.7 miles away
Convalescent Center Of Honolulu
1900 Bachelot Street |
HONOLULU HI 96817 | 1.8 miles away
Kuakini Geriatric Care, Inc
347 North Kuakini Street |
HONOLULU HI 96817 | 1.9 miles away
Nuuanu Hale
2900 Pali Highway |
HONOLULU HI 96817 | 2 miles away
15 Craigside
15 Craigside Place |
HONOLULU HI 96817 | 2.1 miles away
Kfh - Malama 'ohana Nursing And Rehab Center
3288 Moanalua Road |
HONOLULU HI 96819 | 2.3 miles away
The Queen`s Medical Center
1301 Punchbowl Street |
HONOLULU HI 96813 | 2.8 miles away
Hale Nani Rehabilitation And Nursing Center
1677 Pensacola Street |
HONOLULU HI 96822 | 3.2 miles away
Arcadia Retirement Residence
1434 Punahou Street |
HONOLULU HI 96822 | 3.8 miles away
Hale Ola Kino
1314 Kalakaua Avenue, 2nd Floor |
HONOLULU HI 96826 | 3.9 miles away
Island Nursing Home
1205 Alexander Street |
HONOLULU HI 96826 | 4.1 miles away
Oahu Care Facility
1808 South Beretania Street |
HONOLULU HI 96826 | 4.1 miles away
Aloha Nursing & Rehab Centre
45-545 Kamehameha Highway |
KANEOHE HI 96744 | 5.9 miles away
Palolo Chinese Home
2459 10th Avenue |
HONOLULU HI 96816 | 6.1 miles away
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