Ann Pearl Nursing Facility

45-181 Waikalua Road · Kaneohe, HI · 96744 · 8082478558

104 certified beds For profit - Corporation Chain: Ohana Pacific Management Co.

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 58
Staffing 20% 79
Federal penalties 15% 71
Trend 10% 49
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.823.48 min · 4.1 strong
RN hours / resident-day1.530.55–0.75
Weekend hours / resident-day3.35≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $23,520

Inspection citations (46 in the current record)

  • Immediate jeopardy · J March 12, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 24, 2026 · Quality of Life and Care

  • Potential for harm · D March 20, 2025 · found via complaint

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected April 11, 2025 · Resident Rights

  • Potential for harm · D March 20, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E March 20, 2025 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected April 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 28, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 10, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 28, 2025

    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.

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 2025

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected April 10, 2025 · Quality of Life and Care

  • Potential for harm · D February 28, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 10, 2025 · Pharmacy Service

  • Potential for harm · E February 28, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 10, 2025 · Pharmacy Service

  • Potential for harm · D February 28, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 10, 2025 · Infection Control

  • Potential for harm · D July 10, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected August 1, 2024 · Resident Rights

  • Potential for harm · D July 10, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 1, 2024 · Resident Assessment and Care Planning

  • Actual harm · G March 22, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D March 22, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 3, 2024 · Resident Rights

  • Potential for harm · D March 22, 2024

    Respond appropriately to all alleged violations.

    Corrected May 3, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 22, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 3, 2024 · Pharmacy Service

  • Potential for harm · D March 22, 2024

    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.

    Corrected May 3, 2024 · Pharmacy Service

  • Potential for harm · D March 22, 2024

    Provide and implement an infection prevention and control program.

    Corrected May 3, 2024 · Infection Control

  • Potential for harm · D January 19, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected February 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E January 19, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected February 18, 2024 · Nursing and Physician Services

  • Potential for harm · D January 19, 2024 · found via complaint

    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.

    Corrected February 18, 2024 · Nursing and Physician Services

  • Potential for harm · E January 19, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected February 18, 2024 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 12, 2026Fine$23,520

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125048 · certified since December 28, 1998. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.