Total health inspections
6
Hawaii average 4.4
Last Health inspection on May 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Pearl City Nursing Home
Nursing Home in Pearl City
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pearl City Nursing Home
Nursing Home in Pearl City
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pearl City Nursing Home accepts Medicare, Medicaid, and private pay.
Pearl City Nursing Home is a unique and exceptional home in Hawaii that stands out with its own distinct character. This home is the perfect haven for individuals who have recently been discharged from the hospital and need a little extra assistance during their transition. One of the remarkable aspects of this home is the special unit designed specifically for residents requiring ventilator and tracheostomy care. For those facing breathing challenges, Pearl City Nursing Home provides a nurturing environment where maximum recovery with minimal mechanical support is achievable.
In addition to exceptional medical care, Pearl City Nursing Home offers a wide range of nursing home activities for social engagement. These activities not only promote social interaction but also nurture overall health and well-being. Moreover, their culinary delights are nothing short of amazing, as they cater to various dietary requirements. From special dietary needs to personal preferences, every aspect of a resident’s satisfaction and mental state is attentively considered. Discover a place where comfort, safety, and personalized attention converge to create an extraordinary living experience.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 14th out of 25 homes in Hawaii.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 14th out of 25 homes in Hawaii.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 5m per day
Rank #14 / 25Nurse hours — state benchmarkedThis home is ranked 14th out of 25 homes in Hawaii.Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 25 Hawaii SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Hawaii avg
-3%
Standout metric
LPN / LVN is +86% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 55m per day | ▲ 17% State avg: 1h 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 39m per day | ▲ 86% State avg: 21m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 14m per day | ▲ 18% State avg: 2h 44m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 5h 16m per day | ▲ 26% State avg: 4h 11m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 9m per day | ▲ 80% State avg: 5m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 27m per day | ▲ 18% State avg: 1h 14m per day · National avg: 29m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
35.7%
Rank #23 / 24Occupancy rate — state benchmarkedThis home is ranked 23rd out of 24 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its statewide rank out of 24. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
75 days
Occupancy rate
35.7%
Rank #23 / 24Occupancy rate — state benchmarkedThis home is ranked 23rd out of 24 homes in Hawaii.Shows this facility's occupancy rate versus the Hawaii average, with its statewide rank out of 24. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
75 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
38% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
56% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$17.9M
Profit
$724.8K
Privately-owned community
Operated by a business corporation.
Home revenue
$17.9M Rank #13 / 24Revenue — state benchmarkedThis home is ranked 13th out of 24 homes in Hawaii.Shows this facility's annual revenue compared to the Hawaii SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Profit
$724.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #20 / 24Payroll — state benchmarkedThis home is ranked 20th out of 24 homes in Hawaii.Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$5.4M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #20 / 24Payroll — state benchmarkedThis home is ranked 20th out of 24 homes in Hawaii.Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$17.2M
Walk Score: 73 / 100 Rank #7 / 27Walk Score — state benchmarkedThis home is ranked 7th out of 27 homes in Hawaii.Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii SNFs. Higher scores benefit residents, families, and staff.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
What does this home offer?
Housing Options: Private / Shared Rooms
On-site Medical Care and Health Services
Types of Care at Pearl City Nursing Home
Nursing Home
Health Inspection History
Inspections
Total health citations
41
Rank #16 / 26Health citations — state benchmarkedThis home is ranked 16th out of 26 homes in Hawaii.Shows this facility's total health deficiency citations benchmarked to the Hawaii state average, with a ranking across all 26 HI SNFs. Lower citation counts earn a better rank.
Hawaii average 35.5
Citations per inspection
6.83
Rank #7 / 26Citations per inspection — state benchmarkedThis home is ranked 7th out of 26 homes in Hawaii.Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 26 SNFs with citation data. Lower is better.
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
35 of 41 citations resulted from standard inspections; 5 of 41 resulted from complaint investigations; and 1 of 41 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than Hawaii averageHawaii average: 0.1
Serious Health citations
0
0
100% better than Hawaii averageHawaii average: 1
0 critical citations
0 serious citations
40 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 23, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 23, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 23, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 23, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 23, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 23, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 23, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
May 23, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Nursing Home in Hawaii
Pearl City Nursing Home is located in Pearl City, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Places of interest near Pearl City Nursing Home
2.6 miles from city center
Estimated distance in miles from Pearl City's city center to Pearl City Nursing Home's address, calculated via Google Maps.
— 2.22 miles to nearest hospital (Pali Momi Medical Center)
Calculate Travel Distance to Pearl City Nursing Home
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
247
Employees
202
Contractors
45
Staff to resident ratio
2.11:1
29% better than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
103
Average shift
8.5 hours
9% better than Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
80,135
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
48
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
84
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
11.7%
9,338 contractor hours this quarter
Certified Nursing Assistant: 8
Registered Nurse: 7
Physical Therapy Aide: 7
Respiratory Therapy Technician: 5
Speech Language Pathologist: 4
Physical Therapy Assistant: 4
Licensed Practical Nurse: 3
Qualified Social Worker: 3
Clinical Nurse Specialist: 1
Qualified Activities Professional: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 76 | 8 | 84 | 31,535 | 91 | 100% | 8.4 |
| Registered Nurse | 41 | 7 | 48 | 17,483 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 20 | 3 | 23 | 6,660 | 91 | 100% | 9.1 |
| Qualified Activities Professional | 23 | 1 | 24 | 6,237 | 91 | 100% | 11.2 |
| Other Dietary Services Staff | 12 | 0 | 12 | 3,954 | 91 | 100% | 8 |
| Clinical Nurse Specialist | 14 | 1 | 15 | 3,600 | 91 | 100% | 7.8 |
| Nurse Aide in Training | 7 | 0 | 7 | 1,731 | 84 | 92% | 8.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 1,405 | 85 | 93% | 7.2 |
| Physical Therapy Aide | 0 | 7 | 7 | 1,169 | 89 | 98% | 7 |
| Speech Language Pathologist | 0 | 4 | 4 | 997 | 73 | 80% | 7.3 |
| Administrator | 2 | 0 | 2 | 960 | 63 | 69% | 8 |
| Dental Services Staff | 2 | 0 | 2 | 926 | 63 | 69% | 7.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 912 | 87 | 96% | 7.2 |
| Occupational Therapy Aide | 2 | 0 | 2 | 622 | 66 | 73% | 5.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 469 | 59 | 65% | 7.9 |
| Dietitian | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Qualified Social Worker | 0 | 3 | 3 | 438 | 67 | 74% | 6.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 60 | 11 | 12% | 5.5 |
| Medical Director | 0 | 1 | 1 | 19 | 5 | 5% | 3.8 |
84 Certified Nursing Assistant
% of Days
100%
48 Registered Nurse
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
24 Qualified Activities Professional
% of Days
100%
12 Other Dietary Services Staff
% of Days
100%
15 Clinical Nurse Specialist
% of Days
100%
7 Nurse Aide in Training
% of Days
92%
5 Respiratory Therapy Technician
% of Days
93%
7 Physical Therapy Aide
% of Days
98%
4 Speech Language Pathologist
% of Days
80%
2 Administrator
% of Days
69%
2 Dental Services Staff
% of Days
69%
4 Physical Therapy Assistant
% of Days
96%
2 Occupational Therapy Aide
% of Days
73%
1 Mental Health Service Worker
% of Days
68%
1 Nurse Practitioner
% of Days
65%
1 Dietitian
% of Days
64%
3 Qualified Social Worker
% of Days
74%
1 Occupational Therapy Assistant
% of Days
12%
1 Medical Director
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
117
Medicare
48
41% of residents
Medicaid
65
55.6% of residents
Private pay or other
4
3.4% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
32% better than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.7
61% better than Hawaii averageHawaii average: 20.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
7.2%
Percent of long-stay residents whose need for help with daily activities has increased
7.2%
59% better than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.4%
Percent of long-stay residents whose ability to move independently worsened
8.4%
67% better than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.6%
59% better than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
10.3%
Percent of long-stay high risk residents with pressure ulcers
10.3%
184% worse than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.6%
Percent of long-stay residents with a urinary tract infection
4.6%
90% worse than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
8.5%
Percent of long-stay residents who lose too much weight
8.5%
79% worse than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.2%
Percent of long-stay residents who have depressive symptoms
3.2%
122% worse than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.6%
Percent of long-stay residents who received an antipsychotic medication
8.6%
14% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.5%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.4%
In line with Hawaii averageHawaii average: 95.4%
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.9%
8% worse than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
Percent of short-stay residents who newly received an antipsychotic medication
0.5%
57% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.6%
28% worse than Hawaii averageHawaii average: 84.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.8%
11% worse than Hawaii averageHawaii average: 19.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
32% worse than Hawaii averageHawaii average: 10.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Hawaii averageHawaii average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
60.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
60.1%
12% better than Hawaii averageHawaii average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
71.5%
Rate of successful return to home or community from a skilled nursing facility.
71.5%
41% better than Hawaii averageHawaii average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Home around Pearl City The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
| Pearl City Nursing Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Pearl City (Lehua Avenue) | 244 | 35.7% | -52% | 4.08 | -5% | -3% | 0 | 41 | 6.8 | 0 | 115 | 73 | - | $17.9M | $5.4M | 30.4% | 125043 |
Financial Trends
Historical financial and operational data for Pearl City Nursing Home based on CMS SNF Cost Reports.
Occupancy Rate
29.5%
↓ 3.8pp vs 2021
Net Income
-$958.8K
↑ ~$331.7K vs 2021
Total Payroll
$7.3M
↓ ~$130.5K vs 2021
Profit Margin
-8.2%
↑ 2.3pp vs 2021
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