Elder Care Record

Hawaii › Honolulu County › Kaneohe

Ann Pearl Nursing Facility

45-181 Waikalua Road, Kaneohe, HI 96744

CCN 125048 · For-profit, corporation · 104 certified beds · chain Ohana Pacific Management Co.

Special Focus Facility candidate
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Ann Pearl Nursing Facility, in Kaneohe, Hawaii, is certified for 104 beds under for-profit, corporation ownership and belongs to the Ohana Pacific Management Co. chain.

CMS gives it 2 of 5 stars overall, below the Hawaii median of 4; the health inspection rating is 2, staffing 4 and quality measures 4.

Inspectors recorded 46 health deficiencies across the three most recent survey cycles (10, 9, 27 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 44.2 per 100 beds, about the same as the state median of 39.8.

CMS lists 1 penalty in the period covered: fines totalling $15K.

Reported nurse staffing is 4.0 hours per resident per day (1.4 RN), close to the Hawaii median of 4.6; nursing staff turnover is 46.2%.

CMS flags that the facility is a Special Focus Facility candidate.

46health deficiencies, 3 survey cycles3 at actual harm or worse
$15Kfines listed by CMS1 penalty in period
4.0nurse hours per resident per daystate median 4.6
55%occupancy (residents ÷ beds)58 residents a day

Compared with county, state and nation

MeasureThis facilityHonolulu Co. medianHawaii medianUS average
Overall star rating2443.0
Health citations, 3 cycles46373428.7
Citations per 100 beds44.242.539.826.8
Total nurse hours per resident day4.04.64.63.9
RN hours per resident day1.41.71.60.7
Nursing staff turnover46.2%34.6%32.2%45.8%
Fines listed$15,288$8,278$8,018—

County and state figures are medians across facilities (27 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)10
Cycle 29
Cycle 327

Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Feb 2025, 22 Mar 2024.

Severity mix: J ×1 G ×2 D ×36 E ×6 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
12 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation24 Apr 2026
20 Mar 2025F0610Respond appropriately to all alleged violations.EComplaint investigation11 Apr 2025
20 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation11 Apr 2025
20 Mar 2025F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Apr 2025
28 Feb 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey10 Apr 2025
28 Feb 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 Apr 2025
28 Feb 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Apr 2025
28 Feb 2025F0688Provide 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.DStandard survey10 Apr 2025
28 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Apr 2025
28 Feb 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey10 Apr 2025
28 Feb 2025F0699Provide care or services that was trauma informed and/or culturally competent.DStandard survey10 Apr 2025
28 Feb 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey10 Apr 2025
28 Feb 2025F0880Provide and implement an infection prevention and control program.DStandard survey10 Apr 2025
10 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation1 Aug 2024
10 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation1 Aug 2024
22 Mar 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.GStandard survey3 May 2024
22 Mar 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey3 May 2024
22 Mar 2024F0610Respond appropriately to all alleged violations.DStandard survey3 May 2024
22 Mar 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey3 May 2024
22 Mar 2024F0761Ensure 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.DStandard survey3 May 2024
22 Mar 2024F0880Provide and implement an infection prevention and control program.DStandard survey3 May 2024
19 Jan 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation18 Feb 2024
19 Jan 2024F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint investigation18 Feb 2024
19 Jan 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation18 Feb 2024
19 Jan 2024F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation18 Feb 2024
3 Mar 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey12 Apr 2023
3 Mar 2023F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.FStandard survey12 Apr 2023
3 Mar 2023F0584Honor 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.EStandard survey12 Apr 2023
3 Mar 2023F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard survey12 Apr 2023
3 Mar 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey12 Apr 2023
3 Mar 2023F0574The resident has the right to receive notices in a format and a language he or she understands.DStandard survey12 Apr 2023
3 Mar 2023F0578Honor 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.DStandard survey26 Apr 2023
3 Mar 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DStandard survey12 Apr 2023
3 Mar 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey12 Apr 2023
3 Mar 2023F0610Respond appropriately to all alleged violations.DStandard survey12 Apr 2023
3 Mar 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Apr 2023
3 Mar 2023F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey12 Apr 2023
3 Mar 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey12 Apr 2023
3 Mar 2023F0710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.DStandard survey12 Apr 2023
3 Mar 2023F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey12 Apr 2023
3 Mar 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey12 Apr 2023
3 Mar 2023F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey12 Apr 2023
3 Mar 2023F0761Ensure 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.DStandard survey12 Apr 2023
3 Mar 2023F0791Provide or obtain dental services for each resident.DStandard survey12 Apr 2023
3 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey12 Apr 2023
3 Mar 2023F0912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.DStandard survey12 Apr 2023

Penalties

DateTypeAmountDetail
12 Mar 2026Fine$15,288

Staffing

Total nursing4.01 h
Nurse aides2.17 h
LPN0.44 h
RN1.4 h
Weekend total3.62 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 46.2%, RNs 23.8%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityHawaii medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay13.7%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.9%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.2%1.7%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay0.6%1.2%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.9%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay34.1%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.9%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay15.8%11.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Ann Pearl Care Home Inc. Chain: Ohana Pacific Management Co. (6 facilities).

OrganisationRole in the CMS recordInterestSince
First Hawaiian Bank5% or greater mortgage interestNOT APPLICABLE11/06/2013
Ohana Pacific Management Company IncOperational/managerial controlNOT APPLICABLE10/01/1999
Ohana Pacific Management Company IncAdp of the snfNOT APPLICABLE12/11/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Honolulu County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
15 CraigsideHonolulu45555511.1—23 Jun 2025
Hale Ola Kino By ArcadiaHon325452475.0—21 Feb 2025
Harry and Jeanette Weinberg Care CenterKaneohe445551943.2—30 Jan 2025
Hi'Olani Care Center At Kahala NuiHonolulu2053524120.0—27 Jun 2024
Kulana MalamaEwa Beach335442575.8$14K26 Sep 2025
Leahi HospitalHonolulu1555451811.6—25 Jul 2025
MaluhiaHonolulu1585552012.7$8K10 Jul 2025
Maunalani Nursing and Rehabilitation CenterHonolulu1005442323.0$32K10 Jun 2026

All 27 facilities in Honolulu County

Questions and answers

How many deficiencies has Ann Pearl Nursing Facility been cited for?

46 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.

Has Ann Pearl Nursing Facility been fined?

Yes. CMS lists fines totalling $15K in the period covered.

How does staffing at Ann Pearl Nursing Facility compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.

Who operates Ann Pearl Nursing Facility?

It is part of the Ohana Pacific Management Co. chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Ohana Pacific Management Company Inc. Individual owners and managers are not listed on this site.

When was Ann Pearl Nursing Facility last inspected?

The most recent survey or investigation in the CMS record is dated 12 Mar 2026; the most recent standard health survey was 28 Feb 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.