Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

PEARL CITY POST ACUTE

PEARL CITY, HI · 122 certified beds · Last Life Safety survey May 23, 2025

CMS Certification Number 125043 · first certified November 1995

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • Ownership changed February 1, 2023 (change of ownership)from PC CARE CORP
4
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within HI

4 citations — more than 50% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 2. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to October 2026. This facility’s last Life Safety survey was May 2025. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 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 three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 4 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 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 4 Life Safety citations above. The Physical Environment Index

  • 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.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in HI, and nationally. Surveyors differ markedly between states, so the HI figure is the meaningful one.

This facility4HI median4National median11
Citations on file over three years, compared
MeasureCitations
This facility4
Median facility in HI4
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0512024-0402025-05
Citations at each Life Safety survey
Survey dateCitations
May 12, 20233
April 25, 20241
May 23, 20250

Most-cited tags

Most-cited tags at this facility
K-02931K-03451K-03631E-00061
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0293Have properly located and lighted "Exit" signs.12023-05-12
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-05-12
K-0363Install corridor and hallway doors that block smoke.12024-04-25
E-0006Conduct risk assessment and an All-Hazards approach.12023-05-12

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 2
  • Egress Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies2
Egress Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 25, 2024 — 1 citation

Citations issued on April 25, 2024
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Waiver has been granted (July 10, 2024)

May 12, 2023 — 3 citations

Citations issued on May 12, 2023
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 1, 2023)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (May 22, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 23, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.