Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pearl City Post Acute during CMS and state inspections, most recent first.
Improper Food Storage and Labeling: Staff observed seven boxes of instant food thickeners stored on the floor in the dry storage area, contrary to policy requiring food to be kept at least 6 inches off the floor. In a resident refrigerator, two containers of cut fruit brought in by visitors were labeled with a resident's name but had no use-by date; RN and dietary staff confirmed outside food should be labeled and dated, and facility policy required perishable foods to include the resident's name, time, and use-by date.
A resident with mood disorder, insomnia, and a history of falls was later found incapacitated and assigned a court-appointed guardian, but the facility did not ensure the guardian was informed in advance of the risks, benefits, and alternatives for psychotropic meds. The record showed consent signed by a family member instead of the guardian for olanzapine and paroxetine, while the resident also received trazodone; an RN confirmed there was no documentation that the guardian had been notified before medication changes.
A resident wanted to go outside for fresh air and sunlight with a family member, but staff told him he could not go unless he wore regular street clothes. The NS later confirmed that the facility should honor a resident’s preferred clothing choice. Review of the facility’s Dignity policy stated that resident preferences are to be respected and that residents are supported in exercising their rights, including dressing in clothing they prefer.
Dusty Fans in Resident Rooms: A resident with a trach and supplemental O2 and another resident with a trach and ventilator were observed with fans directed at them that had visible dust buildup on the front and back screens. The NS acknowledged the dust on both fans during observation, and one fan was turned off.
Failure to document restraint application and release affected two residents with mitten restraints. One resident with a trach and G-tube had a right-hand mitten ordered to prevent tube removal, and another resident with mild cognitive impairment, chronic respiratory failure, trach, and ventilator dependence had mittens on both hands. Staff observed the restraints in place, but the EHR contained little documentation showing when the mittens were applied or released, and the NS acknowledged the missing documentation.
Unnecessary Psychotropic Medication Use and Improper PRN Antipsychotic Duration: The facility prescribed trazodone for a resident without a documented depression diagnosis, even though records and a depression assessment did not support that indication. The facility also maintained a PRN quetiapine order for another resident beyond the 14-day limit for PRN antipsychotics, and an RN confirmed the order length was not appropriate under the facility policy.
Failure to Report Injury of Unknown Origin With Serious Bodily Injury: A resident with right shoulder and elbow contractures was noted by an RNA to have unusually loose joints while being dressed. Nursing assessment found a swollen arm and pain with turning, and an X-ray confirmed an acute humerus fracture. The facility did not report the injury of unknown origin to the SA or APS within the required timeframe, and the DON confirmed the report was not made even though the injury met reporting criteria.
Failure to prevent pressure injury from oxygen cannula use: A resident’s nasal cannula tubing was repeatedly observed pressing into the right cheekbone, causing indentation and redness. The care plan did not include specific interventions to check pressure points or protect tubing contact areas, and the WN and DON acknowledged there was no specific protocol for checking cannula placement or skin integrity at high-risk areas such as the cheeks and ears.
Failure to use PPE for residents on contact precautions: Staff were observed providing care to two residents on TBP without wearing gowns or gloves. An AA assisted a resident at bedside and leaned close while communicating, and CNAs assisted another resident with meals on separate occasions without the required PPE. NS and RN staff confirmed both residents were on contact precautions, and the facility policy required a disposable gown upon entering the room and removal before leaving.
A resident admitted with an indwelling foley catheter was supposed to have it removed upon admission, but the facility failed to do so, resulting in a urinary tract infection (UTI). The resident's family expressed concerns about the catheter, which were not addressed, leading to the resident's decline and hospitalization. The facility's Director of Nursing confirmed the catheter was not removed as ordered, contributing to the UTI and subsequent health issues.
A resident with rhabdomyolysis and muscle weakness experienced significant weight loss due to the facility's failure to monitor and address her hydration and nutrition needs. Despite orders to track her weight, there was a lack of documentation, and her poor intake was not adequately addressed. The resident declined supplements, and the MD was not informed of the weight loss until later, leading to an unplanned hospitalization.
A facility inaccurately coded the use of restraints for a resident in the most recent MDS assessment, indicating daily use of physical restraints. However, the resident's care plan showed that bed rails were used for bed mobility, not as a restraint. The MDS Coordinator acknowledged the error and stated that a correction would be made.
The facility failed to include a resident's representatives in developing and implementing a comprehensive, person-centered care plan. The resident, with a history of nontraumatic intracranial hemorrhage, chronic respiratory failure, and persistent vegetative state, was admitted without the family being involved in the care planning process. The Social Worker confirmed the absence of IDT documentation in the resident's EHR, and the DON acknowledged the lapse in the notification process.
The facility failed to ensure that a resident received care in accordance with professional standards by using an IV solution bag and lines past the specified discard date. The IV bag and lines, labeled with a start date of 04/18/24, were still in use on 04/22/24, despite having a discard date of 04/21/24. The Director of Nursing confirmed that the IV bag and lines should have been changed on 04/21/24.
A facility failed to identify an electrical hazard when a medical device was plugged into a power strip intended for less critical devices. The Environmental Services Coordinator acknowledged the error, noting that the power strip was meant for items like televisions or cell phones.
A facility failed to provide appropriate catheter care for a resident, as the catheter collection bag was observed touching the floor multiple times. This exposed the resident to potential contaminants, and both a registered nurse and the DON confirmed the improper handling of the catheter bag.
The facility failed to store food items under sanitary conditions, risking food-borne illness for a resident. Five containers of a resident's food in the recreation room refrigerator were found with a 'Use by date' of 04/19/24. RN10 confirmed the food should have been discarded, and the FSM stated that diet aids or nursing staff were responsible for this task, as per facility policy.
The facility failed to maintain accurate medical records for a resident. The resident was observed with a urinary catheter bag touching the floor, and the EHR inaccurately documented the catheter's purpose as preventing soiling of a pressure ulcer. The Nurse Supervisor confirmed the resident had no pressure ulcers, indicating a documentation error.
A resident with a physician's order to hold Senna for loose stools continued to receive the medication despite experiencing loose stools over several days. The MAR confirmed the administration of Senna, and the DON acknowledged that the medication should have been held, indicating a significant medication error.
The facility failed to follow infection control protocols, as a Respiratory Therapist did not perform hand hygiene before a procedure, and a housekeeper used only water to mop a resident's room due to unavailable cleaning solutions. The DON confirmed the need for hand sanitization and daily use of sanitizing solutions.
Improper Food Storage and Labeling
Penalty
Summary
The facility failed to follow proper food handling and storage practices in the kitchen and on a resident unit. During an initial tour of the kitchen, seven boxes of instant food thickeners were observed on the floor of the dry storage area. The Dietary Manager confirmed that the food items should not have been stored on the floor. The facility policy titled Food Receiving and Storage stated that food in designated dry storage is to be kept at least six inches off the floor. In the third-floor dining room resident refrigerator, two containers of cut fruit labeled with Resident 47's name were observed without an expiration or use-by date. Registered Nurse 20 confirmed the fruit had been brought in by visitors and had not been labeled by the facility with an expiration date. An Activity Assistant stated that food brought in from outside should be dated and kept for three days. The Dietary Manager stated that family or visitors may bring in food for residents, and Nursing or Activity staff should label it with the resident's name, room number, and expiration date; the manager also stated that any such food should be kept for three days and then discarded. The facility policy titled Foods brought by Family/Visitors stated that perishable foods are to be labeled with the resident's name, time, and use-by date and discarded on or before the use-by date.
Failure to Obtain Guardian Informed Consent for Psychotropic Medications
Penalty
Summary
The facility failed to ensure that a resident’s court-appointed guardian was informed in advance of the risks, benefits, and available treatment alternatives related to prescribed psychotropic medications. The resident was admitted with diagnoses including unspecified mood disorder, insomnia, and a history of falling, and was later deemed incapacitated with a court-appointed guardian granted unlimited authority. The resident’s physician orders showed ongoing use of olanzapine, paroxetine HCl, and trazodone HCl for psychiatric diagnoses, and the electronic record showed consent forms for psychotropic medications signed by a family member rather than the court-appointed guardian. The record also showed that the guardian was not notified in advance of medication changes, and documentation indicated the guardian was notified of olanzapine only later. The resident continued to receive the psychotropic medications daily, and a pharmacist medication regimen review noted the need to update signed consent forms to reflect the current medication regimen, including recent dose decreases for trazodone and olanzapine. During interview, the RN confirmed there was no documentation that the guardian had been informed of the risks and benefits when the facility became aware of the guardian status, and confirmed the guardian was not informed in advance of medication changes.
Failure to Honor Resident Clothing Preference for Outdoor Access
Penalty
Summary
The facility failed to identify, support, and honor the preferences of one sampled resident regarding choice. During an interview, the resident stated that he wanted to go outside for fresh air and sunlight and wanted to go to the ground level with a family member, but he was told the facility would not allow residents to go outside unless they were wearing regular street clothes. A family member was present at the bedside during the interview. In a later interview, the Nursing Supervisor confirmed that the facility should honor the resident’s choice for clothing they prefer to wear when going outside. Review of the facility’s Dignity policy stated that resident goals, preferences, and values are respected and honored to the extent possible and that residents are supported in exercising their rights, including dressing in clothing they prefer.
Dusty Fans in Resident Rooms
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment when heavy dust buildup was observed on fans being used by two residents. On 04/06/26, R109 was observed lying in bed with head elevated and eyes closed, with a tracheostomy tube and supplemental oxygen via tracheostomy collar, while a fan directed at the resident had a buildup of light grayish substance on the front and back screens. On 04/08/26, R83 was observed receiving medications while a fan directed at the resident had a heavy buildup of the same light grayish substance on the front and back screens; R83 had a tracheostomy tube and was connected to a ventilator. On 04/09/26, the Nurse Supervisor was observed at R109's bedside and acknowledged the fan was dusty, stating housekeeping would clean it, and later acknowledged the fan used for R83 had a heavy buildup of dust and turned it off.
Failure to Document Application and Release of Mitten Restraints
Penalty
Summary
The facility failed to ensure that two sampled residents were free from physical restraints because it did not document when the restraints were applied and when they were released. One resident, a male admitted for long-term care, was observed at bedside wearing a mitten restraint on the right hand on two occasions. The mitten was ordered to prevent him from pulling out a tube connected to his tracheostomy and gastrostomy tube. Review of his TAR showed the instruction to release the right-hand mitten every two hours and as needed, but the only documentation found in the EHR was a single entry marked yes at 9:50 PM on 04/07/26. During interview and record review, the Nursing Supervisor agreed that staff were releasing the mitten but that it was only documented on that one date. A second resident, admitted for long-term placement with diagnoses including mild cognitive impairment, chronic respiratory failure, tracheostomy, and ventilator dependence, was observed with mitten restraints on both hands during multiple observations while lying in bed. The EHR showed the mittens were ordered to prevent the resident from pulling on the tracheostomy tube and ventilator lines. The care plan directed staff to document restraint use and release per facility protocol, but no documentation of restraint use and release was found in the EHR beyond limited entries on 04/07/26 and 04/08/26. The Nursing Supervisor acknowledged that staff were not documenting when the restraint was applied and when it was released.
Unnecessary Psychotropic Medication Use and Improper PRN Antipsychotic Duration
Penalty
Summary
The facility failed to ensure that a psychotropic medication was necessary to treat a specific, diagnosed, and documented condition for R74. R74 was admitted with diagnoses including unspecified mood (affective) disorder, insomnia, and a history of falling. The physician orders included trazodone 25 mg at bedtime for depression, but the electronic health record, the acute care hospital discharge documentation, and the admission records did not document a diagnosis of depression. The quarterly geriatric depression assessment dated [DATE] showed a score of 4, indicating low risk for depression with no follow-up assessment indicated. During an interview on 04/08/26, RN10 confirmed that R74 did not have a diagnosis of depression and stated trazodone had been prescribed on admission due to nighttime restlessness. The facility also failed to limit a PRN antipsychotic order for R13 to 14 days. R13 had a physician order for quetiapine fumarate 25 mg, 0.5 tablet PRN for agitation, initiated on 03/05/26 with a duration of three months. During an interview on 04/08/26, RN12 confirmed that PRN antipsychotic medications should not be prescribed longer than 14 days and stated they are considered a chemical restraint. The facility policy on Psychotropic Medication Use stated that PRN psychotropic medication orders are limited to 14 days and that PRN antipsychotic orders cannot be renewed unless the attending physician or prescriber evaluates the resident and documents the appropriateness of the medication.
Failure to Report Injury of Unknown Origin With Serious Bodily Injury
Penalty
Summary
The facility failed to report an injury of unknown origin that resulted in serious bodily injury for one resident, R63, within the required timeframe. While assisting with dressing, a restorative nursing aide observed that R63’s contracted right shoulder and elbow appeared unusually loose. Nursing staff then assessed the resident and documented a swollen right arm and that the resident cried during turning, and an X-ray was ordered the same day. The X-ray showed an acute mildly displaced fracture of the mid humerus, with an orthopedic consultation recommended. The resident was transferred to the emergency room the next day for further evaluation and treatment. The Director of Nursing confirmed that the facility did not report the injury of unknown origin to the State Survey Agency, and acknowledged that the injury should have been reported even though the physician later assessed the fracture as pathological. The facility policy stated that injuries of unknown source are to be reported immediately and that allegations involving abuse or injuries resulting in serious bodily injury must be reported within two hours to the State Survey Agency, ombudsman, resident representative, Adult Protective Services, law enforcement, attending physician, and medical director.
Failure to Prevent Pressure Injury From Oxygen Cannula
Penalty
Summary
The facility failed to recognize and implement preventive measures to prevent the potential development of pressure injury for one resident who was using an oxygen nasal cannula. On 04/07/2026 at 08:51 AM, the resident’s cannula tubing was observed pressing into the right facial cheekbone area, and when the tubing was lifted, an indentation mark and redness were noted. The same right cheekbone area remained indented and red at 10:30 AM that day. On 04/08/2026 at 09:10 AM, the oxygen cannula tubing was again observed pressing against the same right cheekbone area with an indentation mark and redness under and immediately surrounding the cannula. A review of the resident’s care plan on 04/08/2026 at 09:22 AM showed care plans for Risk of Skin breakdown, Pressure ulcer risk, Respiratory, and Oxygen therapy, but none included specific interventions to check pressure points such as the nares, cheeks, chin, and ears while the cannula was in use or to protect tubing contact points. During an interview and concurrent observation at 11:20 AM, the Wound Nurse identified the cannula pressing into the resident’s right cheek and confirmed the indentation mark and blanchable redness caused by the tubing. The Wound Nurse stated this was a risk for development of pressure ulcers and was unsure whether a specific protocol existed for skin checks with oxygen cannula use. The DON later stated the facility did not have a specific protocol to check oxygen cannula placement and acknowledged that the ears and cheekbones are high-risk areas that should be checked when a resident is using an oxygen cannula.
Failure to Use PPE for Residents on Contact Precautions
Penalty
Summary
The facility failed to implement infection prevention and control measures when providing care for residents on Transmission Based Precautions. On 04/07/26 at 08:26 AM, a sign outside Resident 14’s room indicated Contact Precautions. Resident 14 was in bed with a tablet computer on the table, and at 08:28 AM Activity Assistant 5 was at the bedside without a gown or gloves while helping with the tablet computer’s power cord. At 08:29 AM, Activity Assistant 5 was also observed leaning close to Resident 14 while speaking because the resident was talking in a very soft voice. When questioned, Nurse Supervisor 9 stated that Resident 14 was on contact precautions and the sign was posted to alert staff to use the proper PPE when entering the room. On 04/08/26 at 08:26 AM, Certified Nurse Aide 22 was observed assisting Resident 89 with breakfast in his room while seated next to his bed and not wearing a gown or gloves. Registered Nurse 12 confirmed that Resident 89 was on contact precautions as indicated by the poster at the room entrance. On 04/09/26 at 08:51 AM, Certified Nurse Aide 29 was again observed assisting Resident 89 with a meal in his room without a gown or gloves and sitting next to him. Nurse Supervisor 9 confirmed that Resident 89 was still on contact precautions and that staff are to wear gown and gloves when providing care. The facility policy titled Isolation - Categories of Transmission-Based Precautions stated that contact precautions are implemented for residents known or suspected to be infected with microorganisms that can be transmitted by direct contact, and that staff and visitors wear a disposable gown upon entering the room and remove it before leaving the room.
Failure to Remove Catheter Leads to UTI and Hospitalization
Penalty
Summary
The facility failed to provide appropriate care for a resident, identified as R25, who was admitted with an indwelling foley catheter that was supposed to be removed upon admission as per discharge instructions from the acute care hospital. The catheter was not removed until a later date, leading to the development of a urinary tract infection (UTI). The resident's family member repeatedly inquired about the removal of the catheter, expressing concern about the potential for a UTI, which was confirmed when the resident tested positive for a UTI. The resident experienced confusion and a decline in health, resulting in hospitalization for a serious illness. The resident, a female with a primary diagnosis of rhabdomyolysis and generalized muscle weakness, was admitted to the facility with specific instructions for a voiding trial and catheter removal. However, the facility did not attempt a toileting program or remove the catheter as ordered. The resident's condition worsened, with symptoms of confusion and weight loss, and she was eventually transferred to the emergency department. The facility's Director of Nursing confirmed that the catheter had not been removed as per the admission orders, contributing to the resident's UTI and subsequent hospitalization.
Failure to Address Resident's Hydration and Nutrition Needs
Penalty
Summary
The facility failed to recognize, evaluate, and address the hydration and nutrition needs of a resident, leading to significant weight loss and an unplanned hospitalization. The resident, a female with a primary diagnosis of rhabdomyolysis and generalized muscle weakness, was admitted to the facility with specific orders to monitor her weight daily for the first three days, weekly for four weeks, and monthly thereafter. However, there was a lack of documented weights between July 1 and July 16, during which the resident experienced an 11.5% decrease in weight. The average fluid intake was recorded at 274 cc per day, and nutrition intake was documented as 0-25%, indicating inadequate intake. Despite the resident's poor oral intake, skilled nursing notes failed to document any issues, and the resident's weight loss was not identified until July 16. The Registered Dietician noted that the resident's diet was liberalized, and snacks and supplements were offered, but the resident declined them. The Medical Doctor was not updated on the resident's weight loss until July 17. The facility's protocol required monitoring and documentation of weight and dietary intake, as well as reporting significant weight changes to the physician, which was not adhered to in this case.
Inaccurate Coding of Restraint Use in MDS Assessment
Penalty
Summary
The facility inaccurately coded the use of restraints for a resident, identified as R33, during the most recent Minimum Data Set (MDS) assessment. The assessment, dated 03/15/24, incorrectly indicated daily use of physical restraints. However, a review of R33's care plan revealed that bed rails were used for bed mobility and not as a restraint. During an interview, the MDS Coordinator acknowledged the coding error and stated that a correction would be made. This inaccuracy in the MDS assessment put the resident at risk for further inaccuracies in the Resident Assessment Instrument (RAI).
Failure to Include Family in Care Plan Development
Penalty
Summary
The facility failed to include Resident 89's representatives in developing and implementing a comprehensive, person-centered care plan. Resident 89, a [AGE] year-old male with a medical history including nontraumatic intracranial hemorrhage, chronic respiratory failure, and persistent vegetative state, was admitted to the facility on [DATE]. An interview with Resident 89's family representative revealed that she did not recall having a meeting with the facility's Interdisciplinary Team (IDT) since his admission. The Social Worker confirmed that there was no IDT documentation in Resident 89's Electronic Health Records (EHR). The Director of Nursing acknowledged that the normal process of notifying family members about IDT meetings and sending invitations did not occur for Resident 89. The facility's policy requires the IDT, in conjunction with the resident and their family or legal representatives, to develop and implement a comprehensive, person-centered care plan for each resident.
Failure to Change IV Bag and Lines on Time
Penalty
Summary
The facility failed to ensure that Resident 220 received care and treatment in accordance with professional standards of practice. During an initial observation on 04/22/24, it was noted that the resident's IV solution bag and lines were being used past the specified discard date of 04/21/24, 2330. The IV bag and lines, which were labeled with a start date of 04/18/24, were still in use on 04/22/24. An interview with the resident's family member confirmed that the same IV bag and lines had been in use since the resident's admission. A subsequent observation on 04/23/24 showed that a new IV bag and lines had been started. The Director of Nursing confirmed that the IV bag and lines should have been changed on 04/21/24.
Electrical Hazard Due to Improper Use of Power Strip
Penalty
Summary
The facility failed to identify a potential electrical accident hazard for one resident. During observations on two consecutive days, a medical device, specifically an air mattress machine, was found plugged into a power strip, which was then plugged into a wall electrical outlet. The Environmental Services Coordinator acknowledged that the medical device should not have been plugged into the power strip, which was intended for less critical devices like televisions or cell phones. The manufacturer’s product description confirmed that the power strip was designed for charging mobile phones, tablets, and other electronic devices, not medical equipment.
Inadequate Catheter Care Leading to Potential UTI Risk
Penalty
Summary
The facility failed to ensure that a resident with a urinary catheter received appropriate treatment and services to prevent urinary tract infections. During multiple observations, the resident's catheter collection bag was found touching the floor, which exposed the resident to potential contaminants. A registered nurse confirmed that the bag should not be in contact with the floor, and the Director of Nursing acknowledged that the cloth privacy cover could get wet and potentially transmit pathogens if left on the floor.
Failure to Discard Expired Resident Food Items
Penalty
Summary
The facility failed to store food items under sanitary conditions, which could place one resident at risk for food-borne illness. During an observation on 04/22/24 at 09:45 AM, five containers of a resident's food items in the fourth-floor recreation room refrigerator were found with a 'Use by date' of 04/19/24. Registered Nurse (RN) 10 confirmed that the food should have been discarded on 04/19/24. The Food Service Manager (FSM) stated that diet aids or nursing staff were responsible for discarding perishable foods on or before the use by date. The facility's policy, revised in March 2022, also documented that nursing staff should discard perishable foods on or before the use by date.
Inaccurate Medical Records for Resident
Penalty
Summary
The facility failed to maintain accurate medical records for one of the 24 sampled residents. On 04/22/24, a resident was observed with a urinary catheter bag touching the floor. A review of the resident's Electronic Health Records (EHR) on 04/23/24 revealed that the nurse had documented the presence of a catheter to prevent soiling of a stage 3 or 4 pressure ulcer on multiple dates. However, during an interview and record review on 04/24/24, the Nurse Supervisor confirmed that the resident did not have any pressure ulcers or injuries, indicating that the documented reason for the catheter was inaccurate. The Nurse Supervisor acknowledged the discrepancy and stated she would address it with the nurse involved.
Failure to Hold Medication Despite Loose Stools
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors. The resident had a physician's order for Senna, a medication for constipation, to be administered twice daily via G-Tube, with instructions to hold the medication if the resident experienced loose stools. Despite this order, the resident was documented to have loose stools on multiple consecutive days, from December 30, 2023, to January 4, 2024. However, the medication administration record (MAR) showed that Senna was still administered on these days. During an interview, the Director of Nursing (DON) confirmed that the medication should have been held due to the resident's condition, indicating a failure to adhere to the physician's order and prevent significant medication errors.
Infection Control and Cleaning Protocol Failures
Penalty
Summary
The facility failed to adhere to infection prevention and control measures, as evidenced by two separate incidents. In the first incident, a Respiratory Therapist (RT) was observed not performing hand hygiene before donning gloves and suctioning a resident's tracheostomy site. The RT admitted to not sanitizing her hands after consuming a drink and before attending to the resident, despite the facility's policy requiring handwashing prior to such procedures. This lapse in protocol was confirmed by the Director of Nursing (DON), who acknowledged that staff members are expected to sanitize their hands before donning gloves. In the second incident, a housekeeper was observed mopping a resident's room using only water, without any sanitizing solution. The housekeeper reported that they typically use a disinfectant spray or mix it with water, but on this occasion, no chemical solution was used. The Environmental Services Coordinator (EVSC) explained that a peroxide multi-surface cleaner is supposed to be used for mopping, but upon inspection, it was found that the janitor's room lacked the necessary cleaning solutions. The housekeeper confirmed that the cleaning solutions had not been refilled for an unspecified duration. The DON stated that housekeeping staff should be using a sanitizing solution daily in every resident's room, indicating a failure in maintaining proper cleaning protocols.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 184 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Pearl City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kulana Malama | 4.9 mi | ★★★★★ | 1 | 0 |
| Avalon Care Center - Honolulu, Llc | 7.2 mi | ★★★★★ | 5 | 0 |
| Daniel K Akaka State Veterans Home | 7.4 mi | — | 7 | 0 |
| Nuuanu Hale | 7.9 mi | ★★★★★ | 26 | 0 |
| Maluhia | 8.3 mi | ★★★★★ | 0 | 0 |
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