A review such as this is hard, so I'll just state my views as to how my wife's grandfather was cared for and what he thought of his experience (as how he related to me).Avalon Care Center is a fairly large facility, and though they house several patients, their parking lot is small, so on more than one occasion when we went in the early evening to visit, someone had to stay in the car and wait until a stall opened up, while the rest of the family went in.Once inside, everything seemed clean, though because we often visited in the evening, the whole place seemed dim. There were always at least a few nurses at the station is right outside the bank of elevators, ready to help, and they all seemed friendly. It was generally quiet, aside from the sound of TVs and the occasional ruckus by one of the patients.My wife's grandfather was fairly healthy when he went into Avalon, but from what he related to me, he wasn't happy there. As he had suffered from a mild stroke and had some difficulty walking, when he needed to use the bathroom, he'd ring for a nurse. He told me, however, that no one would show up until he'd already wet himself, at which point, he'd sometimes be chastised or they'd make a joke (which he really didn't appreciate). According to him, this happened regularly.The food looked decent enough to me, but he didn't like it. When I'd explained that it was nutritious and low in sodium (he had high blood pressure), he'd complain that it had no flavor.Most rooms there are shared, and he shared his room with someone who appeared invalid. He didn't speak, open his eyes (that I could tell), or do anything but moan, sometimes yell, and watch (listen to?) his TV. According to my wife's grandfather, someone would only come to shift his position or put him in a wheelchair to take him to the cafeteria or just sit in the hallway (like so many other patients we saw when we visited). This lack of human interaction left him depressed and more lethargic.Ultimately, from what I gathered, he hated it there. He felt it was depressing, the nurses weren't attentive and the food terrible. From what I saw, it was depressing, but I can understand the nurses being busy (there are a lot of patients) and the food is mass-made to be nutritious. After spending a few weeks at Avalon (he needed to stay for physical therapy), my in-laws moved him into a smaller care home in Kailua. The difference was substantial. He seemed happier and better cared for.While I'm sure my wife's grandfather would've given Avalon Care Center zero stars, I'm giving them two, because it is what it is: a large, busy care center for seniors with needs. They're clean, decently staffed, secure, and they seem to meet the minimum daily needs of patients who need assistance, so I can't fault them there. However, it's unfortunate that the patients aren't given better one-on-one care, but with a place that size, it's understandable (though not necessarily right) that they can't give every patient their full attention. But if your loved one is semi-dependent, but needs assistance, like my wife's grandfather, I'd recommend a smaller home-style facility or a live-in nurse.