ElderGrade
D

54/100

Below average

Ann Pearl Nursing Facility

45-181 Waikalua Road, Kaneohe, HI 96744

CMS 2/5 stars #22 of 26 in Honolulu County (808) 247-8558
Certified beds
104
Occupancy
55%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $23,520 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

13.2/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -2.8 for 25 total citations against a national median of 17

Staffing

22/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.85 total nurse hours per resident per day (national median 3.77)
  • 1.4 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 46% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $23,520 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.01 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.40 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.62 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 46.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 46 citations

Last standard health inspection: February 28, 2025 (1 year ago).

J Mar 12, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

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

Immediate jeopardy to resident health or safety

E Mar 20, 2025 F0610 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0580 From a complaint

Resident Rights Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 20, 2025 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

E Feb 28, 2025 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

D Feb 28, 2025 F0656

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.

No actual harm, potential for more than minimal harm

D Feb 28, 2025 F0657

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.

No actual harm, potential for more than minimal harm

D Feb 28, 2025 F0688

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.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of OHANA PACIFIC MANAGEMENT CO., which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
FIRST HAWAIIAN BANK Organization 5% OR GREATER MORTGAGE INTEREST
HATA, RANDALL Individual CORPORATE DIRECTOR
KISHABA, RICHARD Individual CORPORATE DIRECTOR
HATA, RANDALL Individual CORPORATE OFFICER
KISHABA, RICHARD Individual CORPORATE OFFICER
OHANA PACIFIC MANAGEMENT COMPANY INC Organization OPERATIONAL/MANAGERIAL CONTROL
BEH, GORDON Individual OPERATIONAL/MANAGERIAL CONTROL
CANON-FRATIS, REBECCA Individual OPERATIONAL/MANAGERIAL CONTROL
HATA, RANDALL Individual OPERATIONAL/MANAGERIAL CONTROL
KISHABA, RICHARD Individual OPERATIONAL/MANAGERIAL CONTROL
LO, WESLEY Individual OPERATIONAL/MANAGERIAL CONTROL
LORE, ANDREW Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

Write a review

No family reviews yet for Ann Pearl Nursing Facility. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Ann Pearl Nursing Facility

What is the ElderGrade for Ann Pearl Nursing Facility? +

Ann Pearl Nursing Facility holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Ann Pearl Nursing Facility? +

Residents receive an average of 4.01 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Ann Pearl Nursing Facility been cited for harming residents? +

Yes. 3 of the 46 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Ann Pearl Nursing Facility accept Medicaid? +

Yes, Ann Pearl Nursing Facility is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.