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A
Very Good

ANN PEARL NURSING FACILITY

45-181 WAIKALUA ROAD · KANEOHE, HI 96744

8082478558 · For profit - Corporation

104 beds51.7 residents89 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A+
Excellent
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

ANN PEARL NURSING FACILITY receives an overall staffing grade of A (Very Good). With 4.2931 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.40 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.38% compared to weekdays. The facility relies heavily on temporary agency staff (15.48% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️15.48% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.2931hrs/resident/day▲ 0.40
CMS benchmark: 3.48
RN HPRD
1.7158hrs/resident/day▲ 1.03
Recommended: 0.75
Weekend Drop-off
18.38%
4.5284 weekday → 3.696 weekend
Agency Staff
15.48%
2.06% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9421hrs/resident/day
Direct care aides
LPN HPRD
0.4675hrs/resident/day
Licensed practical nurses
Consistency
0.5299std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Honolulu County Average-0.65 HPRD
4.94
04.29 HPRD
vs. Hawaii State Average-0.42 HPRD
4.71
04.29 HPRD
vs. National Average+0.40 HPRD
3.90
04.29 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
ANN PEARL NURSING FACILITY ★
KANEOHE · This facility
—
A
4.29311.7158★★★☆☆
HARRY AND JEANETTE WEINBERG CARE CENTER
KANEOHE
0.9 mi
B
4.09121.5578★★★★★
Aloha Nursing & Rehab Centre
Kaneohe
2.7 mi
A
4.911.8872★★★☆☆
NUUANU HALE
HONOLULU
6.9 mi
C
3.46831.2187★☆☆☆☆
AVALON CARE CENTER - HONOLULU, LLC
HONOLULU
7 mi
A
4.60331.9165★★★☆☆
THE CHING VILLAS
HONOLULU
7.1 mi
A+
6.03772.4966★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
45
Total Deficiencies
$15,593
Fines Assessed
Mar 20, 2025Health
3 deficiencies cited
▼
Feb 28, 2025Health
9 deficiencies cited
▼
Jul 10, 2024Health
2 deficiencies cited
▼
Mar 22, 2024Health
6 deficiencies cited· Includes actual harm
▼
Jan 19, 2024Health
4 deficiencies cited
▼
Mar 3, 2023Health
21 deficiencies cited· Includes actual harm
▼

Penalty History

Mar 3, 2023Fine
$15,593
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.