ANN PEARL NURSING FACILITY

Special Focus Facility candidate · CCN 125048 · ANN PEARL CARE HOME INC · For profit - Corporation · OHANA PACIFIC MANAGEMENT CO. chain · 104 certified beds · Honolulu · HI


ANN PEARL NURSING FACILITY is a 104-bed nursing home in KANEOHE, Hawaii. CMS has certified it for Medicare and Medicaid since 1998-12-28. It averages 57.6 residents a day.

What harm was found in the violations cited at ANN PEARL NURSING FACILITY?

CMS lists 46 health-inspection deficiencies for ANN PEARL NURSING FACILITY since 2023-03-03, 25 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-03-12.

Survey dateTagDeficiencySeverity
2026-03-12F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2025-03-20F0610Respond appropriately to all alleged violations.E
2025-03-20F0580, F0609Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-02-28F0759Ensure medication error rates are not 5 percent or greater.E
2025-02-28F0656, F0657, F0688, F0689, F0695, F0699, F0756, F0880Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program.D
2024-07-10F0550, F0656Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2024-03-22F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G
2024-03-22F0550, F0610, F0755, F0761, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program.D
2024-01-19F0725, F0867Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E
2024-01-19F0657, F0726Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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.D
2023-03-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2023-03-03F0841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.F
2023-03-03F0584, F0887Honor 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. / Educate 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.E
2023-03-03F0550, F0574, F0578, F0600, F0609, F0610, F0656, F0657, F0695, F0710, F0740, F0755, F0756, F0761, F0791, F0812, F0912Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / The resident has the right to receive notices in a format and a language he or she understands. / Honor 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide or obtain dental services for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.D

Why was ANN PEARL NURSING FACILITY fined?

DateTypeAmount
2026-03-12Fine$15,288

How is ANN PEARL NURSING FACILITY staffed relative to the HI average?

MeasureThis facilityHI average
Total nurse staffing hours per resident per day4.008064.97232
Total nursing staff turnover (%)46.236.4
Average number of residents per day57.681.9

Who owns ANN PEARL NURSING FACILITY, and what chain is it in?

ANN PEARL NURSING FACILITY is registered with CMS as For profit - Corporation, operates under the legal business name ANN PEARL CARE HOME INC and belongs to the OHANA PACIFIC MANAGEMENT CO. chain.

RoleOwnerAssociation date
5% OR GREATER MORTGAGE INTERESTFIRST HAWAIIAN BANKsince 11/06/2013
CORPORATE DIRECTORHATA, RANDALL, KISHABA, RICHARDsince 01/01/1999
CORPORATE OFFICERHATA, RANDALL, KISHABA, RICHARDsince 01/01/1999
OPERATIONAL/MANAGERIAL CONTROLOHANA PACIFIC MANAGEMENT COMPANY INC, BEH, GORDON, CANON-FRATIS, REBECCA, HATA, RANDALL, KISHABA, RICHARD, LO, WESLEY, LORE, ANDREW, MCCLENNON, PAMELA, MORIKUNI, SUANNEsince 01/01/1999
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFKISHABA, SANDRAsince 12/01/2025
ADP OF THE SNFOHANA PACIFIC MANAGEMENT COMPANY INC, BEH, GORDON, CANON-FRATIS, REBECCA, HATA, RANDALL, KISHABA, RICHARD, LO, WESLEY, LORE, ANDREW, MCCLENNON, PAMELA, MILLER, CLIFFORD, MORIKUNI, SUANNEsince 01/01/1999

Were you or a family member harmed at ANN PEARL NURSING FACILITY?