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Establishment profile

AVALON CARE CENTER - HONOLULU, L.L.C.

1930 KAMEHAMEHA IV ROAD, HONOLULU, HI, 96819
Operated by AVALON HEALTH CARE · 1 of 7 establishments
623110Nursing Care Facilities (Skilled Nursing Facilities)

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OSHA inspections
3
over 19 years
Violations
13
$42,797 in penalties
Penalties
$42,797
$3,292 avg
Accident investigations on record
1 OSHA follow-up

Summary

AVALON CARE CENTER - HONOLULU, L.L.C. has accumulated 13 OSHA violations across 3 inspections over 19 years of recorded history, with $42,797 in total assessed penalties.

The establishment sits in the 91st percentile for violations within its industry-state peer group of 46 employers. Inspection frequency runs at the 76th percentile. The most recent enforcement activity was recorded 1 year ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

AVALON CARE CENTER - HONOLULU, L.L.C. appears in OSHA workplace safety, FMCSA motor carrier registration, and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
3
0.2 / yr · last 19 yrs
Violations
13
0.7 / yr
Penalties
$42,797
$3,292 avg / violation
62% serious38% other
Inspection trigger · planned
2 of 3
Inspection trigger · follow-up
1 of 3

67% of inspections at this establishment produced violations, with 2 inspections producing serious-or-greater violations.

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 13 distinct standards shown · 13 citations in this view · $42,797 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.0304 G0511$7,260Dec 2024Dec 2024
29 CFR 1910.0132 D01 I11$7,260Dec 2024Dec 2024
29 CFR 1910.1030 D04 III A2III11$7,260Dec 2024Dec 2024
29 CFR 1910.0305 E0111$7,260Dec 2024Dec 2024
29 CFR 1910.0151 C11$7,260Dec 2024Dec 2024
29 CFR 1910.0303 B0211$5,807Dec 2024Dec 2024
29 CFR 1910.0304 F0411$688Feb 2007Feb 2007
29 CFR 1910.0165 E11Dec 2024Dec 2024
12-60-2(B)(1)(A)11Dec 2024Dec 2024
29 CFR 1910.0305 G02 III11Dec 2024Dec 2024
29 CFR 1910.1030 C01 IV11Dec 2024Dec 2024
29 CFR 1910.0132 F0111Dec 2024Dec 2024
29 CFR 1910.0134 C01 IX11Dec 2024Dec 2024

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

91st

Worse on violations than most other employers in NAICS 6231 within HI. Peer group: 46 employers. This establishment has 13 OSHA violations; peer median is 3.

Fewer violationsMore violations
Penalty percentile
100th
peer median: $650
Inspection frequency
76th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
2.6
vs industry
−1.9
TRIR
2.6
vs industry
−3.7

Reported for 130 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
6.3
BLS SOII 2024
Industry avg DART
4.5
BLS SOII 2024
Self-reported TRIR
2.6
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
2
Follow-up
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for AVALON CARE CENTER - HONOLULU, L.L.C.. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
1 year ago

Most recent federal enforcement activity recorded 1 year ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for AVALON CARE CENTER - HONOLULU, L.L.C.. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for AVALON CARE CENTER - HONOLULU, L.L.C.. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for AVALON CARE CENTER - HONOLULU, L.L.C.. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for AVALON CARE CENTER - HONOLULU, L.L.C.. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for AVALON CARE CENTER - HONOLULU, L.L.C.. Verify directly with Environmental Protection Agency

Motor carrier safety (FMCSA)

DOT number
4365703
Operation
C

Federal Motor Carrier Safety Administration — DOT-regulated carrier registration and fleet data.

CMS nursing-home record

CCN 125020 · Chain: AVALON HEALTH CARE

CMS abuse icon
Overall rating
3 of 5 stars
Certified beds
108
Deficiencies (3y)
36
CMS fines
$0

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 53 citations across 3 surveys · 2 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Apr 20250880F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Apr 20250558E
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard
Apr 20250725E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
Standard
Apr 20250583D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard
Apr 20250641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20250655D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20250656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20250657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20250679D
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Standard
Apr 20250684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard
Apr 20250688D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Standard
Apr 20250689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Apr 20250695D
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard
Apr 20250698D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard
Apr 20250755D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard
Apr 20250756D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Standard
Apr 20250759D
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard
Apr 20250761D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard
Apr 20240880F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Apr 20240578E
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Standard
Apr 20240623E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Complaint
Apr 20240625E
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Standard
Apr 20240697E
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard
Apr 20240550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
Apr 20240568D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
Standard
Apr 20240584D
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.
Resident Rights Deficiencies
Complaint
Apr 20240641D
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20240656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20240657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20240684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard
Apr 20240688D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Standard
Apr 20240689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Apr 20240726D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Standard
Apr 20240761D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard
Apr 20240842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard
Apr 20240908D
Keep all essential equipment working safely.
Environmental Deficiencies
Standard
Mar 20230623F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies
Standard
Mar 20230625F
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights Deficiencies
Standard
Mar 20230880F
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Mar 20230550E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard
Mar 20230732E
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard
Mar 20230761E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies
Standard
Mar 20230908E
Keep all essential equipment working safely.
Environmental Deficiencies
Standard
Mar 20230578D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Standard
Mar 20230584D
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.
Resident Rights Deficiencies
Standard
Mar 20230600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Mar 20230656D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20230657D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard
Mar 20230676D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Standard
Mar 20230689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Mar 20230726D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Standard
Mar 20230804D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard
Mar 20230842D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for AVALON CARE CENTER - HONOLULU, L.L.C.. Verify directly with UVA Corporate Prosecution Registry

Federal contracts

This location

Obligated (5-yr)
$1.9M
Obligated (all-time)
$1.9M
Awards
23
Top agency
Department of Veterans Affairs
$1.9M
Company-wide — AVALON HEALTH CARE, INC. (across 14 entities)
Obligated (5-yr)
$9.5M
Obligated (all-time)
$25.5M
Awards (all-time)
246

Consolidated across all USAspending recipient entities under this corporate parent — not attributable to this single location.

Largest awards
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY23 Q1
    contract · Last action 2023-03-16
    $227,247
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY23 Q3
    contract · Last action 2023-09-19
    $202,979
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY23 Q2
    contract · Last action 2023-05-25
    $176,090
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURE FY23 Q4
    contract · Last action 2023-12-15
    $169,527
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY25 Q1
    contract · Last action 2025-03-17
    $137,529
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY24 Q2
    contract · Last action 2024-05-30
    $132,341
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY 24 Q1
    contract · Last action 2024-02-29
    $126,515
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY22 Q2
    contract · Last action 2022-06-07
    $100,082
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY22 Q1
    contract · Last action 2022-03-08
    $93,784
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY25 Q3
    contract · Last action 2025-08-15
    $90,404
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY25 Q2
    contract · Last action 2025-05-14
    $90,080
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY 24 Q4
    contract · Last action 2024-12-12
    $77,527
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY22 Q4
    contract · Last action 2023-01-04
    $75,569
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY25 Q4
    contract · Last action 2025-11-17
    $75,370
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY24 Q3
    contract · Last action 2024-09-05
    $67,047
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY22 Q3
    contract · Last action 2022-10-24
    $53,095
  • Department of Veterans Affairs
    EXPRESS REPORT: CNH EXPENDITURES FY26 Q1
    contract · Last action 2026-02-20
    $22,224
  • Department of Veterans Affairs
    CNH SERVICES AVALON CARE CENTER UPDATE WD FY24
    contract · Last action 2025-10-01
    $0
  • Department of Veterans Affairs
    CNH SERVICES
    contract · Last action 2025-09-12
    $0
  • Department of Veterans Affairs
    CNH SERVICES AVALON CARE CENTER
    contract · Last action 2024-10-01
    $0
  • Department of Veterans Affairs
    CNH SERVICES
    contract · Last action 2023-10-01
    $0
  • Department of Veterans Affairs
    CNH SERVICES
    contract · Last action 2022-12-16
    $0
  • Department of Veterans Affairs
    CNH SERVICES
    contract · Last action 2021-10-01
    $0

Federal contract dollars to this establishment. Primary NAICS: 623110 - NURSING CARE FACILITIES (SKILLED NURSING FACILITIES). Last action: 2026-02-20. Source: USAspending.gov, net obligations. Recipient address is the SAM registration / HQ address, not necessarily the worksite.

Inspection history

DateTriggerViolationsSeriousPenalty
2024-09-04Planned127$42,109
2007-08-31Follow-up0$0
2007-01-09Planned11$688

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

AVALON CARE CENTER - HONOLULU, L.L.C. is one of 7 establishments rolled up under the parent organization AVALON HEALTH CARE.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of AVALON HEALTH CARE across all 7 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within HI, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on AVALON CARE CENTER - HONOLULU, L.L.C. from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup AVALON HEALTH CARE, which operates 7 establishments in our dataset.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is AVALON CARE CENTER - HONOLULU, L.L.C.'s OSHA violation history?
AVALON CARE CENTER - HONOLULU, L.L.C. has 3 OSHA inspections on record with 13 violations and $42,796.7 in total penalties.
How does AVALON CARE CENTER - HONOLULU, L.L.C.'s safety record compare to its industry?
AVALON CARE CENTER - HONOLULU, L.L.C. operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3. AVALON CARE CENTER - HONOLULU, L.L.C.'s self-reported DART rate is 2.58 compared to an industry average of 4.5.