Ann Pearl Nursing Facility

A nursing home in Kaneohe, Hawaii 96744

45-181 Waikalua Road, Kaneohe, Hawaii 96744. (808) 247-8558.

A candidate for CMS’s special focus list

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

3of 5 CMS’s overall rating
10 health citations at the latest inspection cycle Hawaii average: 9.2
3.86 nurse hours per resident per day Hawaii average: 4.99
1 fine in the last three years (needs attention)

The last 24 months 25 citations in 6 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8

Star ratings: CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey): A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation: What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L): CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours: The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials: A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy: CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity: The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

10 health citations at the latest inspection cycle

The Hawaii average is 9.2.

Last standard inspection Feb 28, 2025.

Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Mar 12, 2026

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

25 citations in 6 months of the last 36. Last cited Mar 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

25 citations by month over the last 3 years. Each cell is one month.
	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2023												Dec
2024	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2025	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov	Dec
2026	Jan	Feb	Mar	Apr	May	Jun	Jul	Aug	Sep	Oct	Nov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most

Hearth Record drew this from the dates and levels in the source’s own records.

All 25 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 10 came from complaint inspections.

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Mar 12, 2026: complaint inspection1 citation

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

Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Apr 24, 2026.

Mar 20, 2025: complaint inspection3 citations

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

Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 11, 2025.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 11, 2025.
Respond appropriately to all alleged violations.

Rule F0610. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 11, 2025.

Feb 28, 2025: standard inspection9 citations

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
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.

Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
Provide care or services that was trauma informed and/or culturally competent.

Rule F0699. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.
Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 10, 2025.

Jul 10, 2024: complaint inspection2 citations

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 1, 2024.
Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 1, 2024.

Mar 22, 2024: standard inspection6 citations

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

Rule F0580. G: actual harm. Correction date, as CMS recorded it: May 3, 2024.
Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 3, 2024.
Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 3, 2024.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 3, 2024.
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.

Rule F0761. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 3, 2024.
Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 3, 2024.

Jan 19, 2024: complaint inspection4 citations

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 18, 2024.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 18, 2024.
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.

Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 18, 2024.
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 18, 2024.

Is it certified, and in good standing?

Certified for Medicare and Medicaid since Dec 28, 1998.
A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
No abuse icon from CMS.
No change of ownership in the last 12 months.
CMS lists its ownership as for profit, corporation.
104 certified beds.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

1 fine in the last three years, $15,288 in all.
No Medicare payment denials in the last three years.
10 citations in the last three years came from complaint inspections.

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
Date	Kind	Amount
Mar 12, 2026	Fine	$15,288

Who does the caring?

3.86 nurse hours per resident per day

The Hawaii average is 4.99.

CMS publishes staffing about four months after the fact.

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
Measure	This home	Hawaii average
Nurse hours per resident per day	3.86	4.99
Of which registered nurses	1.28	1.73
At weekends	3.47	4.41
Nursing staff turnover	43.1%	34.5%
Registered nurse turnover	25%	30.5%
Administrators who left	0	Not given

Who owns it?

Ohana Pacific Management Company Inc. owns 100% directly since Oct 1, 1999.
Ohana Pacific Management Company Inc. runs it.
22 owners or officers are people: Richard S Kishaba (owns 5% or more through other companies, 10%); Rebecca Canon-Fratis (runs it (operational or managerial control)); Rebecca Canon-Fratis (additional disclosable party (controls, leases property to, or provides services to the home)); Clifford Miller (additional disclosable party (controls, leases property to, or provides services to the home)); Randall I Hata (corporate officer); Randall I Hata (corporate director); Randall I Hata (runs it (operational or managerial control)); Randall I Hata (additional disclosable party (controls, leases property to, or provides services to the home)); Gordon Beh (runs it (operational or managerial control)); Gordon Beh (additional disclosable party (controls, leases property to, or provides services to the home)); Richard S Kishaba (corporate officer); Richard S Kishaba (corporate director); Richard S Kishaba (runs it (operational or managerial control)); Richard S Kishaba (additional disclosable party (controls, leases property to, or provides services to the home)); Wesley Lo (runs it (operational or managerial control)); Wesley Lo (additional disclosable party (controls, leases property to, or provides services to the home)); Andrew Lore (runs it (operational or managerial control)); Andrew Lore (additional disclosable party (controls, leases property to, or provides services to the home)); Pamela Mcclennon (runs it (operational or managerial control)); Pamela Mcclennon (additional disclosable party (controls, leases property to, or provides services to the home)); Suanne Morikuni (runs it (operational or managerial control)); Suanne Morikuni (additional disclosable party (controls, leases property to, or provides services to the home)).
Part of Ohana Pacific Management Co. (6 homes in CMS’s data).
No private-equity firm among the owners CMS lists.
No real-estate investment trust among the owners CMS lists.

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
Organisation	Role	Share	Since
Ohana Pacific Management Company Inc.	Owns 5% or more directly	100%	Oct 1, 1999
First Hawaiian Bank	Holds 5% or more of the mortgage	100%	Nov 6, 2013
Richard S. Kishaba 2010 Dynasty Trust	Owns 5% or more through other companies	90%	Jul 30, 2010
Ohana Pacific Management Company Inc.	Runs it (operational or managerial control)		Oct 1, 1999
Ohana Pacific Management Company Inc.	Additional disclosable party (controls, leases property to, or provides services to the home)		Dec 11, 2025

How do residents fare?

CMS rates its quality measures 5 of 5 (Hawaii average 4.4).

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
Measure	Rating
Overall rating	3 of 5
Health inspections	2 of 5
Staffing	4 of 5
Quality measures	5 of 5

How does it compare nearby?

Among the 12 nearest homes, within 7.8 miles, this one had the 7th most health citations at the latest inspection cycle (10; the middle value was 10.5).

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
Place	Miles away	Citations, latest cycle
Ann Pearl Nursing Facility This nursing home		10
Harry and Jeanette Weinberg Care Center	0.9	4
Aloha Nursing & Rehab Centre	2.7	10
Nuuanu Hale	6.9	14
Avalon Care Center - Honolulu, LLC	7.0	20
The Ching Villas	7.1	13
The Care Center of Honolulu	7.4	9
Maluhia	7.4	2
15 Craigside	7.4	1
Palolo Chinese Home	7.7	19
Liliha Healthcare Center	7.7	11
Kuakini Geriatric Care, Inc.	7.8	11

What the record doesn’t say

Complaints that didn’t lead to a citation aren’t published.
Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

Ann Pearl Nursing Facility

The short answer

What did inspectors find?

When those citations happened

All 25 citations in the last three years

Is it certified, and in good standing?

Has it been fined or penalized?

Who does the caring?

Who owns it?

How do residents fare?

How does it compare nearby?

What the record doesn’t say

Sources

From the home

Replies

Paid listing

How to read a record

Every fact names its source.

A number never stands alone.

What needs attention is marked.

The public record comes first.