facebook tracking Ann Pearl Nursing Facility, Kaneohe HI: CMS Ratings
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Ann Pearl Nursing Facility

All states › Hawaii › Kaneohe › Ann Pearl Nursing Facility

45-181 Waikalua Road Kaneohe, HI 96744 · Honolulu County

(808) 247-8558

All 3 nursing homes in Kaneohe, HI (3 take Medicaid)

SFF candidate Accepts Medicare Accepts Medicaid 104 certified beds For profit

CMS certification number 125048 · See this home on Medicare Care Compare

Special Focus Facility candidate CMS lists this nursing home as a candidate for its Special Focus Facility program, which means it qualifies to be selected for the program based on its inspection record. Shown as of October 2026. About the program (CMS).

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Ann Pearl Nursing Facility a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Ann Pearl Nursing Facility as of October 2026.

CMS rates it 3 out of 5 stars overall, below the Hawaii average of 3.8. Inspectors issued 46 citations in the last three years. CMS imposed 1 penalty, including $15,288 in fines, in that time. For short-term rehab patients CMS rates quality 5 out of 5; for long-term residents, 5 out of 5. CMS lists it as a Special Focus Facility candidate.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.86 hours per resident per day at Ann Pearl Nursing Facility, below the Hawaii median of 4.62 (US median: 3.72). About 1.28 of those hours are from registered nurses. On weekends it falls to 3.47 hours, 10% below its all-week average. 43.1% of nursing staff left within a year (Hawaii median 32.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 3.86 hours
Below the Hawaii median of 4.62 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 1.28 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.47 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 43.1% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 25% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds104
Residents per day 57 About 55% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1998
Part of a chainOhana Pacific Management Co.
Legal business nameANN PEARL CARE HOME INC

Paying for care at Ann Pearl Nursing Facility: Medicare and Medicaid

Ann Pearl Nursing Facility is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Hawaii's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on February 28, 2025 and found 9 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 46 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 46 citations at Ann Pearl Nursing Facility across 7 inspection dates, 10 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on March 12, 2026 (complaint inspection). The most common areas cited were quality of life and care (9) and resident rights (8). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, March 12, 2026). 6 citations were under CMS's abuse, neglect and exploitation rules.

March 12, 2026 · 1 citation · includes complaint inspection

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

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Apr 24, 2026)

March 20, 2025 · 3 citations · includes complaint inspection

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (Apr 11, 2025)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Deficient, Provider has date of correction (Apr 11, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Apr 11, 2025)

February 28, 2025 · 9 citations

EEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (Apr 10, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 10, 2025)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 10, 2025)

DProvide 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Apr 10, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 10, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 10, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0699 · Deficient, Provider has date of correction (Apr 10, 2025)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 10, 2025)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 10, 2025)

July 10, 2024 · 2 citations · includes complaint inspection

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Complaint inspection · Deficient, Provider has date of correction (Aug 1, 2024)

March 22, 2024 · 6 citations, includes actual harm

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

Actual harm · Resident Rights Deficiencies · Tag F0580 · Deficient, Provider has date of correction (May 3, 2024)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (May 3, 2024)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (May 3, 2024)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (May 3, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (May 3, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 3, 2024)

January 19, 2024 · 4 citations · includes complaint inspection

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

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Feb 18, 2024)

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

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Complaint inspection · Deficient, Provider has date of correction (Feb 18, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Complaint inspection · Deficient, Provider has date of correction (Feb 18, 2024)

DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0726 · Complaint inspection · Deficient, Provider has date of correction (Feb 18, 2024)

March 3, 2023 · 21 citations, includes actual harm

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 12, 2023)

FDesignate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0841 · Deficient, Provider has date of correction (Apr 12, 2023)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Apr 12, 2023)

EEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Apr 12, 2023)

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

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Apr 12, 2023)

DThe resident has the right to receive notices in a format and a language he or she understands.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0574 · Deficient, Provider has date of correction (Apr 12, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 26, 2023)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Deficient, Provider has date of correction (Apr 12, 2023)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Apr 12, 2023)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Apr 12, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Apr 12, 2023)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 12, 2023)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 12, 2023)

DObtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0710 · Deficient, Provider has date of correction (Apr 12, 2023)

DEnsure each resident must receive and the facility must provide necessary behavioral health care and services.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0740 · Deficient, Provider has date of correction (Apr 12, 2023)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0755 · Deficient, Provider has date of correction (Apr 12, 2023)

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

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 12, 2023)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 12, 2023)

DProvide or obtain dental services for each resident.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0791 · Deficient, Provider has date of correction (Apr 12, 2023)

DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 12, 2023)

DProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0912 · Deficient, Provider has date of correction (Apr 12, 2023)

Questions to ask on a tour of Ann Pearl Nursing Facility

  1. Inspectors cited the home at the immediate-jeopardy level on March 12, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on March 20, 2025. How are staff trained, and how are concerns reported?
  3. Nursing staff turnover was 43.1% a year. How many of the staff come from agencies?
  4. The home averages about 55% of its beds filled. Are any units closed?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

1 penalty in the last three years, including $15,288 in fines.

DateTypeAmount or length
Mar 12, 2026 Fine $15,288

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 2/5 4/5 5/5
August 2026 2/5 2/5 4/5 4/5
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Location

Hospitals near Ann Pearl Nursing Facility

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 3.1 mi
    Castle Medical Center Kailua
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 36m for patients treated and sent home
  • 7.7 mi
    Rehab Hospital of the Pacific Honolulu
    No ER listed in Medicare data
  • 7.7 mi
    Kuakini Medical Center Honolulu
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 29m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Harry and Jeanette Weinberg Care Center Kaneohe · 0.9 mi away ★★★★★ Inspection 5/5 · Staffing 5/5 44 beds · Medicaid
Aloha Nursing & Rehab Centre Kaneohe · 2.7 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 141 beds · Medicaid
Nuuanu Hale Honolulu · 6.9 mi away ★★★☆☆ Inspection 2/5 · Staffing 4/5 75 beds · Medicaid
Avalon Care Center - Honolulu Honolulu · 7.0 mi away ★★☆☆☆ Inspection 1/5 · Staffing 5/5 108 beds · Medicaid
The Ching Villas Honolulu · 7.1 mi away ★★★★☆ Inspection 3/5 · Staffing 5/5 163 beds · Medicaid

More nursing homes near Ann Pearl Nursing Facility ›   All nursing homes in Kaneohe ›

Compare Ann Pearl Nursing Facility with the 3 closest homes side by side ›

Higher-rated nursing homes within 10 miles

Other Ohana Pacific Management Co. nursing homes in Hawaii

Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Ohana Pacific Management Co. nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/hawaii/kaneohe/ann-pearl-nursing-facility/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.