Skilled nursing facility · CMS certification number 125020
AVALON CARE CENTER - HONOLULU, LLC
HONOLULU, Hawaii · Medicare and Medicaid
Certified beds, as filed in Care Compare: 108
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $37,259,445 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,058,318 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $24,201,127 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $20,586,817 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,614,310 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,567 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,843,877 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,843,877 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 39,528 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 6,130 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,649 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 15,700 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 34,479 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 214 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 139 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 381 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 451.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 90.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438543, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended 31 December 2023
Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,880,521 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,705,224 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $22,175,297 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $19,119,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,055,478 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,696 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,119,174 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,119,174 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 717 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 542.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 49.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394971, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended 31 December 2022
Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 September 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,886,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $11,203,054 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $21,683,350 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,139,661 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $3,543,689 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,323 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $3,593,012 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $3,593,012 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,327 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 816 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 42.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365143, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 20 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $26,971,998 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $9,164,588 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,807,410 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,673,110 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,134,300 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $206,533 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,340,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,340,833 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,562 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 685 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 47.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332957, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended 31 December 2020
Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 10 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,739,029 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,953,899 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,785,130 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,349,681 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,435,449 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $905,694 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,341,143 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,341,143 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,496 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 576 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.28 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 260.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 54.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303654, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended 31 December 2019
Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 January 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,508,402 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,926,866 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,581,536 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,219,977 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,361,559 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,724 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,392,283 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,392,283 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,445 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,215.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279156, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,912,896 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,984,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,928,655 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,638,728 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $289,927 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $244,057 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $533,984 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $533,984 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,579 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 533 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 336.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239670, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended 31 December 2017
Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,288,081 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,045,037 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,243,044 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,753,970 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$510,926 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $413,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$97,853 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,853 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,987 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 436 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 393.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 80.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203777, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 August 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,394,100 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$296,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,690,607 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,245,918 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$555,311 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $168,395 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$386,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$386,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,060 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 410 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 939.05 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.07 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1174940, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 17 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,497,361 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,397,638 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,099,723 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,776,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $323,584 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,990 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $367,574 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $367,574 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,325 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 618 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 90.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141619, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 September 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,732,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,090,228 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,642,297 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,385,496 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,256,801 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$11,599 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,245,202 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,245,202 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 685 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.66 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 171.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 53.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1110227, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, as submitted, processed by CMS on 28 June 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,099,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,614,680 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,485,194 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,187,488 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $297,706 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,607 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $316,313 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $316,313 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,366 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 384 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 356.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1069653, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 19 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,768,172 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,973,105 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,795,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,516,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $278,519 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,868 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $295,387 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $295,387 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,182 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 352 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 108.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 355.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046994, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 November 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,803,860 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,481,139 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,322,721 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,096,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,226,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$8,553 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,218,079 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,218,079 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,164 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 380 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 123.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 361.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 97.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018600, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 31 August 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,713,698 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,008,479 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $705,219 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,389 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $716,608 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,891 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 406 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 339.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 93.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 416762, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,447,621 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,374,902 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,072,719 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$1,859 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,070,860 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 354 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 95.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 542.83 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 386490, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $11,298,556 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,134,570 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,163,986 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,513 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $1,175,499 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,580 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 303 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 114.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 593.53 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 127.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355761, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 September 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,152,992 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,267,213 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $885,779 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,670 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $896,449 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,581 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 259 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 105.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 598.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 325552, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 June 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,302,504 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,713,293 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $589,211 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,136 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $600,347 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,011 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 210 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 75.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 604.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 311984, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 10 May 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,641,375 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,240,292 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $401,083 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,469 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $412,552 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,931 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 228 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 424.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 166.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 278259, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 April 2004 to 31 December 2004 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 3 February 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,013,992 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,247,554 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$233,562 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,586 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$226,976 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,119 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 212 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 335.78 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 132.64 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242316, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 March 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,221,996 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,461,079 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $760,917 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $45,251 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $806,168 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,106 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 286.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 210109, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,120,166 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,294,100 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $826,066 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $47,292 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $873,358 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,515 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 90.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 475.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173198, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended 31 December 2001
Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 6 August 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,850,765 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,241,691 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $609,074 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,718 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $616,792 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,143 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 170 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 570.98 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 218.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156212, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended 31 December 2000
Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, as submitted, processed by CMS on 22 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,095,180 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,735,579 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $359,601 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,438 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $364,039 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 527.07 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 250.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74330, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 1 August 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,925,869 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,467,073 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $458,796 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,440 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $464,236 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,586 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 153 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 942.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 245.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6052, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended 31 December 1998
Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 18 February 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,851,524 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,173,082 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $678,442 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $9,244 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $679,003 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,401 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 674.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 273 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6051, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended 31 December 1997
Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 9 February 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,555,983 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,280,852 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $275,131 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,251 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $396 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $308,986 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,818 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 109 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 107 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 612.47 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 337.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75220, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended 31 December 1996
Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, settled with audit, processed by CMS on 2 October 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,083,423 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,976,502 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $106,921 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $66,016 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $40,687 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $132,250 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 36,307 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 151 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 438.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 240.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75219, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| AVALON OF HAWAII LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 07/20/2004 |
| AVALON CARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/26/2003 |
| AVALON HEALTH CARE INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2004 |
| AVALON HEALTH CARE MANAGEMENT INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/09/2025 |
| BEN, BERNADETTE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/18/2016 |
| BLANCHETTE, PATRICIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/17/2019 |
| BORISEVICH, MARIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASH, ALAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/15/2017 |
| KAALEKAHI, KAIULANI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/20/2022 |
| KIRTON, HYRUM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/29/2022 |
| SMITH, NICOLE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/01/2023 |
| DANGERFIELD, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/05/2007 |
| KIRTON, BYRON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, HYRUM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, SPENCER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/27/2024 |
| WOLTIL, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 05/23/2012 |
| BORISEVICH, MARIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASH, ALAN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/15/2017 |
| KIRTON, HYRUM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/29/2022 |
| SMITH, NICOLE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/01/2023 |
| KIRTON, HYRUM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/11/2026 |
| DANGERFIELD, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 04/05/2007 |
| KIRTON, BYRON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, HYRUM | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/27/2024 |
| KIRTON, SPENCER | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/27/2024 |
| WOLTIL, ROBERT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/23/2012 |
| AVALON HEALTH CARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2004 |
| AVALON HEALTH CARE MANAGEMENT INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2004 |
| BEN, BERNADETTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/18/2016 |
| BLANCHETTE, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/17/2019 |
| BORISEVICH, MARIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/08/2024 |
| HASH, ALAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/15/2017 |
| KAALEKAHI, KAIULANI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/20/2022 |
| KIRTON, HYRUM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/29/2022 |
| SMITH, NICOLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of AVALON CARE CENTER - HONOLULU, LLC (enrollment ID O20030920000014).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| AVALON OF HAWAII LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/20/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVALON CARE LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 11/26/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVALON HEALTH CARE INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 4/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVALON HOLDING INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 9/4/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| BYRON A KIRTON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.33 | 10/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HYRUM A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.33 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HYRUM KIRTON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.33 | 10/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| K-TEAM LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6.67 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SPENCER K KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.33 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SPENCER KIRTON | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33.33 | 10/1/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| THE BYRON A KIRTON INDIVIDUAL TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 26.67 | 10/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALAN B HASH | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/15/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AVALON HEALTH CARE INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVALON HEALTH CARE MANAGEMENT INC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BERNADETTE BEN | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/18/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HYRUM KIRTON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/29/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAIULANI KAALEKAHI | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/20/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIA BORISEVICH | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NICOLE SMITH | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PATRICIA A BLANCHETTE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/17/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/30/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| BYRON A KIRTON | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID E DANGERFIELD | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/5/2007 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HYRUM KIRTON | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT D WOLTIL | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/23/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SPENCER KIRTON | Individual | CORPORATE DIRECTOR | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALAN B HASH | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/15/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HYRUM KIRTON | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/29/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIA BORISEVICH | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NICOLE SMITH | Individual | CORPORATE OFFICER | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| BYRON A KIRTON | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID E DANGERFIELD | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/5/2007 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HYRUM KIRTON | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT D WOLTIL | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/23/2012 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| SPENCER KIRTON | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/27/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ALAN B HASH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/15/2017 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| AVALON HEALTH CARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| AVALON HEALTH CARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/1/2004 | Private equity company: No Real estate investment trust: No Holding company: No |
| BERNADETTE BEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/18/2016 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| HYRUM KIRTON | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/29/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| KAIULANI KAALEKAHI | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/20/2022 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARIA BORISEVICH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/8/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| NICOLE SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 3/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| PATRICIA A BLANCHETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/17/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
Changes in ownership
- 1 July 2026: CHARLES R KIRTON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHARLES R KIRTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHARLES R KIRTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THE BYRON A KIRTON INDIVIDUAL TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AVALON OF HAWAII LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THE BYRON A KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AVALON OF HAWAII LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: CHARLES H GONZALES no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES H GONZALES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: THE CHARLES KIRTON 2011 IRREVOCABLE TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: THE CHARLES R KIRTON SR 2000 TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JANET KIRTON 2011 IRRV TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES R KIRTON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES R KIRTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SPENCER K KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HYRUM KIRTON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: K-TEAM LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BYRON A KIRTON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SPENCER KIRTON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HYRUM A KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: THE BYRON A KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 October 2025: ANNE H STUART no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ANNE H STUART no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LANE M BOWEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LANE M BOWEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN R FRASER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHRISTIE L FRANKLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MICHAEL S BROGAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BRIAN C SWINTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARY K OWENS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: NAINOA HEASTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BYRON A KIRTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LEWIS R GARRETT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: AVALON HEALTH CARE MANAGEMENT OF HAWAII, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: FAYE LINCOLN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHARLES R KIRTON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CARL R TIPPETS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ALAN B HASH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ALAN B HASH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: DAVID E DANGERFIELD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHARLES H GONZALES appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHARLES H GONZALES appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARIA BORISEVICH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARIA BORISEVICH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARIA BORISEVICH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: THE CHARLES KIRTON 2011 IRREVOCABLE TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PATRICIA A BLANCHETTE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: PATRICIA A BLANCHETTE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HYRUM A KIRTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HYRUM A KIRTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HYRUM A KIRTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: HYRUM A KIRTON appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: THE CHARLES R KIRTON SR 2000 TRUST appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BYRON A KIRTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BYRON A KIRTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: AVALON HEALTH CARE, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: AVALON HEALTH CARE, INC. appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: NICOLE SMITH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: NICOLE SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: NICOLE SMITH appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BERNADETTE BEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BERNADETTE BEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SPENCER KIRTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: SPENCER KIRTON appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: JANET KIRTON 2011 IRRV TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: AVALON HEALTH CARE MANAGEMENT, INC. appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KAIULANI KAALEKAHI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: KAIULANI KAALEKAHI appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHARLES R KIRTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHARLES R KIRTON appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHARLES R KIRTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ROBERT D WOLTIL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Recent changes on this record
- 1 July 2026: CHARLES R KIRTON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHARLES R KIRTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: CHARLES R KIRTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THE BYRON A KIRTON INDIVIDUAL TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AVALON OF HAWAII LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ROBERT D WOLTIL appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: THE BYRON A KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AVALON OF HAWAII LLC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 March 2026: CHARLES H GONZALES no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES H GONZALES no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: THE CHARLES KIRTON 2011 IRREVOCABLE TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: THE CHARLES R KIRTON SR 2000 TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: JANET KIRTON 2011 IRRV TR no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES R KIRTON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: CHARLES R KIRTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SPENCER K KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HYRUM KIRTON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: K-TEAM LLC appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: BYRON A KIRTON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: SPENCER KIRTON appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: HYRUM A KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 March 2026: THE BYRON A KIRTON INDIVIDUAL TR appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- 1 October 2025: ANNE H STUART no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: ANNE H STUART no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LANE M BOWEN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LANE M BOWEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: STEVEN R FRASER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHRISTIE L FRANKLIN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MICHAEL S BROGAN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BRIAN C SWINTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: MARY K OWENS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: NAINOA HEASTON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: BYRON A KIRTON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: LEWIS R GARRETT no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: AVALON HEALTH CARE MANAGEMENT OF HAWAII, LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: FAYE LINCOLN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- 1 October 2025: CHARLES R KIRTON no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 3 April 2025 | 3 April 2025 | 20 | 1 |
| 2 | 5 April 2024 | 5 April 2024 | 18 | 2 |
| 3 | 17 March 2023 | 17 March 2023 | 17 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
55 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 22 May 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 16 June 2026 |
| 22 May 2026 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | 16 June 2026 |
| 3 April 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 16 May 2025 |
| 3 April 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 16 May 2025 |
| 5 April 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0568 | Resident Rights Deficiencies | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0578 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0584 | Resident Rights Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Yes | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0625 | Resident Rights Deficiencies | 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. | E | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 7 May 2024 |
| 5 April 2024 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | D | No | Deficient, Provider has date of correction | 7 May 2024 |
| 17 March 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0578 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0584 | Resident Rights Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0625 | Resident Rights Deficiencies | 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. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0726 | Nursing and Physician Services Deficiencies | 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. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | E | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | E | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | 1 May 2023 |
| 17 March 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | E | No | Deficient, Provider has date of correction | 1 May 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | AVALON CARE CENTER - HONOLULU, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1971-01-26 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Honolulu |
| Telephone Number | 8088474834 |
| Chain Name | AVALON HEALTH CARE |
| Chain ID | 57 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 108 |
| Average Number of Residents per Day | 99.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 1 |
| QM Rating | 5 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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