Pearl City Post Acute

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

71.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 247 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 57.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 144 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.50 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 26% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 122 beds and averages 113.9 residents a day — about 93% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 6.15 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.19 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.42 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 5.45 hrs/resident/day on weekends vs 6.44 on weekdays — 15% thinner on weekends. RN hours go from 2.40 to 1.66 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 28% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · Ecited before2026-04-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews and record reviews, the facility failed to follow proper food handling and storage practices in accordance with professional standards for food service safety. Specifically, the facility failed to keep bulk food items off the floor in the storage room and did not label two containers of food brought in by family/visitors in one of three unit refrigerators sampled. Unsafe and/or unsanitary food handling and storage practices have the potential to affect all residents, visitors and staff who have meals served by the facility, placing them at risk for serious complications from foodborne illness as a result of their compromised health status. Findings include: 1) On 04/06/26 at 08:17 AM, an initial tour of the facility's kitchen and interview with the Dietary Manager, were done. Observed seven boxes of instant food thickeners on the floor of the dry storage area. The Dietary Manager confirmed the boxes of food items should not be on the floor. On 04/08/2026 at 9:36 AM, review of the facility's policy and procedure titled Food Receiving and Storage with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure that the resident's court-appointed guardian was informed, in advance, of the risks, benefits, and available treatment alternatives related to psychotropic medications prescribed by the physician for one of five residents (Resident (R) 74) reviewed for unnecessary medications. This puts R74 at risk of receiving unnecessary psychotropic medications without informed consent.Findings Include:R74 was admitted to the facility on [DATE] with diagnoses of unspecified mood (affective) disorder, insomnia, and history of falling. On 10/04/24, R74 was deemed incapacitated and a court-appointed guardian with unlimited authority was established. Review of R74's physician orders document R74 was receiving the following psychotropic medications; olanzapine 5 milligrams (mg) once a day for major neurocognitive disorder effective 03/04/26, paroxetine HCI 10mg once a day for major neurocognitive disorder effective 08/22/24 and trazodone HCI 25 mg at bedtime…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to identify, support, and honor the preferences for one of one resident (Resident (R)47) sampled for Choices. The facility failed to honor R47's preference to be assisted outside the facility for fresh air wearing the hospital gown. As a result of this deficient practice, R47 did not have his needs met and was placed at risk of not attaining his highest practicable well-being. This deficient practice has the potential to affect all the residents at the facility. Findings include:On 04/06/2026 at 12:15 PM, an interview was done with R47 and family member (FM) at bedside. When asked about the right to make choices in his daily life that were important to him, R47 stated that he wishes he could go outside for some fresh air and sunlight. R47 also explained that he wanted to go down to the ground level with family member but was told that the facility will not allow residents to go outside unless they are wearing regular street clothes. On 04/08/26 at 08:36 AM, an interview was conducted with the Nursing Supervisor…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interview, the facility failed to provide a clean, comfortable and homelike environment, as evidenced by a heavy buildup of dust on the fans for Resident (R)83 and R109. This deficient practice could affect all residents in the facility if their environment is not kept clean, putting them at risk for increased adverse health conditions. Findings include:1) On 04/06/26 at 09:41 AM, observed R109 lying in bed with head elevated and eyes closed. R109 had a tracheostomy tube (surgically created opening in the neck to establish an airway) and was on supplemental oxygen via tracheostomy collar (plastic mask worn around neck to deliver humidified oxygen). Observed a fan turned on and was directed at R109. The front and back screens of the fan had a buildup of a light grayish substance. 2) On 04/08/26 at 08:34 AM, observed Registered Nurse (RN)12 administer medications to R83. Observed a heavy buildup of a light grayish substance on the front and back screens of the fan that was being used and directed at R83. R83 had a tracheostomy tube and was connected to a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure that two of four sampled residents (Resident (R)3, and R8) were free from physical restraints. Specifically, the facility failed to document when the restraints were applied and released. As a result of this deficient practice, R3 and R8's rights were violated, and were placed at risk of avoidable injury and/or a decline in their psychosocial well-being. Findings include:1) R3 is a [AGE] year-old male admitted to the facility on [DATE] for long-term care. On 04/06/26 at 10:06 AM, and 02:05 PM, observations were done with R3 at bedside. R3 observed wearing mitten restraint on right hand. The placement of the mitten restraint was ordered to prevent R3 from pulling out tube connected to his tracheostomy (surgically created opening in the neck) and gastrostomy tube (medical device inserted through the abdomen and into the stomach used to deliver food, fluids and medications). Review of R3's Treatment Administration Record (TAR)…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a psychotropic medication was necessary to treat a specific, diagnosed, and documented condition and an as needed (PRN) antipsychotic medication order was limited to 14 days without exception for two of five residents (Resident (R)74 and R13) reviewed for unnecessary medications. This puts residents at risk for unnecessary use of psychotropic medications, including use as chemical restraints, which may lead to over-sedation, confusion, falls, and decreased quality of life, and violates their right to receive medications only when clinically indicated. Findings Include:1) R74 was admitted to the facility on [DATE] with diagnoses of unspecified mood (affective) disorder, insomnia, and history of falling. Review of R74's physician orders revealed the resident was prescribed the antidepressant trazodone 25 milligrams (mg), one tablet at bedtime for depression. Review of R74's Electronic Health Record (EHR) revealed no documented diagnosis of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to report an injury of unknown origin that resulted in serious bodily injury for one of one resident (Resident (R)63) reviewed for abuse. The facility did not ensure that the injury was reported immediately, but no later than two hours after identification, to the State Survey Agency (SA) and Adult Protective Services (APS). Specifically, while providing care, a staff member observed that R63's contracted right shoulder and elbow unusually loose. Subsequent X-rays confirmed a fracture of the right humerus (upper arm bone). Despite this finding, the facility did not report the injury within the required timeframe. Findings Include: Review of R63's Electronic Health Record (EHR) revealed that on 08/05/26, a Restorative Nursing Aide (RNA) reported to the primary nurse that the contractures in R63's right shoulder and elbow appeared more loose while assisting the resident with dressing. Nursing documentation indicated an assessment was completed, noting right arm swollen and that the resident cried during turning. An X-ray was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review, the facility failed to recognize and put preventive measures in place to prevent the potential development of pressure injury for one of one resident (Resident (R)2) utilizing a nasal cannula to receive oxygen. This deficient practice put all residents that utilize a nasal cannula at risk for potential development of medical device related pressure injury. Findings include:On 04/07/2026 at 08:51 AM, R2 had an oxygen nasal cannula with the cannula prongs in her nostrils and tubing under her chin, along her cheek bones and looped around her ears. The cannula tubing was observed pressing into her right facial cheek bone area. When the oxygen cannula was lifted from that area an indentation mark and redness was noted to the cheekbone area that the cannula was pressing into. On 04/07/2026 at 10:30 AM, R2's right cheekbone skin area remained with the indentation mark and redness. On 04/08/2026 at 09:10 AM, observed the oxygen cannula tubing pressing against the same right cheekbone area for R2 with an indentation mark and redness to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-09 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record review, the facility failed to implement infection prevention and control measures when providing care for residents. The facility did not ensure that staff wear applicable personal protective equipment (PPE) when providing care to two of 11 residents on Transmission Based Precautions (TBP). This deficient practice placed the residents at risk for the potential spread of preventable infections and communicable diseases. Findings include:1) On 04/07/26 at 08:26 AM, observed signage by the door of Resident (R)14's room with a heading that stated, Contact Precautions. Resident (R)14 was lying in bed with a tablet computer on the table in front of her. At 08:28 AM, observed Activity Assistant (AA)5 at R14's bedside without a gown or gloves. AA5 was helping R14 with the power cord for a tablet computer that was on the table. At 08:29 AM, AA5 was also observed leaning close to R14 when communicating since R14 was talking in a very soft voice. On 04/07/26 at 08:35 AM, queried Nurse Supervisor (NS)9 at the nurses' station regarding the sign…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-23 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to protect and promote the rights for two of 25 residents sampled (Resident (R) 28 and R82) by ensuring that she was treated with respect and dignity. This deficient practice has the potential to affect all residents in the facility. Findings Include: R28 is a [AGE] year-old female admitted to the facility on [DATE] with a diagnosis of the following but not limited to Hemiplegia and Hemiparesis (weakness) following non-traumatic Intracerebral Hemorrhage (stroke) affecting the left side. A review of her Minimum Data Set (MDS) admission Assessment with an Assessment Reference Date (ARD) of 02/20/25 noted R28 had severe cognitive impairment, and the Brief Interview for Mental Status (BIMS) couldn't be conducted. On 05/20/25 at 10:19 AM, concurrent observation and interview was done with R28's Family Member (FM) 1 at her bedside. FM1 described an incident where he observed staff repeatedly going in and out of the resident's room without knocking…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 7 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.2M paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in HI