Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
ANN PEARL NURSING FACILITY
KANEOHE, HI · 104 certified beds · Last Life Safety survey February 28, 2025
CMS Certification Number 125048 · first certified December 1998
Ownership
Operated by OHANA PACIFIC MANAGEMENT CO. · For profit - Corporation
No change of ownership on CMS record since January 1, 2016, when the records begin.
Position within HI
2 citations — more than 24% of the 43 certified nursing homes in HI. Compared within HI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
When is the next survey likely?
Past the typical window (March 2026 to August 2026). Most US facilities have been surveyed by March 2027. This facility’s last Life Safety survey was February 2025. Nursing homes nationally are typically surveyed 13–17 months after the last one (median 14), measured over 19,744 consecutive surveys in the last two years of CMS records. HI has too few recent surveys to measure on its own, so the national interval is used.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured
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Physical environment (health survey)
6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 2 Life Safety citations above. The Physical Environment Index
- F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F-0880 Provide and implement an infection prevention and control program.
- F-0584 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.
How that compares
Compared with the median facility in HI, and nationally. Surveyors differ markedly between states, so the HI figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 2 |
| Median facility in HI | 5 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| March 3, 2023 | 2 |
| March 22, 2024 | 0 |
| February 28, 2025 | 0 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0923 | Have proper medical gas storage and administration areas. | 1 | 2023-03-03 |
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | 1 | 2023-03-03 |
What the citations cover
- Smoke Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
March 3, 2023 — 2 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | Deficient, Provider has date of correction (April 6, 2023) |
| K-0923 | Have proper medical gas storage and administration areas. | Deficient, Provider has date of correction (April 6, 2023) |
Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.