Pearl City Post Acute

Name: Pearl City Post Acute
Address: 919 LEHUA AVENUE, Pearl City, HI, 96782, US
Telephone: 8084531919

919 Lehua Avenue, Pearl City, HI 96782 · Honolulu County · 122 certified beds · avg 114 residents/day · certified since Nov 17, 1995

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.98

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (28)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 9, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 9, 2026	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Apr 9, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 9, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 23, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 23, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 23, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
May 23, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
May 23, 2025	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
May 23, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 23, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 23, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Nov 7, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Apr 25, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 25, 2024	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Feb 15, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Feb 15, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 9).

Year	Citations	Worst severity that year
2024	11	D
2025	8	D
2026	9	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Hawaii avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.98	4.77	3.95	bottom 32% in Hawaii; top 40% in the U.S.
Registered Nurse hours	1.41	1.64	0.69	bottom 29% in Hawaii; top 6% in the U.S.
Weekend total nurse staffing	3.52	4.23	3.50	bottom 32% in Hawaii; top 41% in the U.S.
Weekend RN hours (not acuity-adjusted)	1.66	1.33	0.48	top 20% in Hawaii; top 2% in the U.S.
Total nursing staff turnover (%)	27.8	36.4	45.8	top 33% in Hawaii; top 11% in the U.S.
RN turnover (%)	31.5	31.5	42.9	bottom 41% in Hawaii; top 32% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 6.15, RN 2.19, weekend 5.45. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Olsen, Spencer	Individual	5% or Greater Indirect Ownership Interest	73%	06/30/2022
Pacific Skilled Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/30/2022
Sorensen, Kristen	Individual	5% or Greater Indirect Ownership Interest	13%	06/30/2022
Lefler, Tyrus	Individual	Corporate Officer	NOT APPLICABLE	09/23/2022
Lefler, Tyrus	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2023
Olsen, Spencer	Individual	Corporate Officer	NOT APPLICABLE	09/23/2022
Yoshida, Cynthia	Individual	Corporate Officer	NOT APPLICABLE	02/01/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you explain health changes and treatment options to residents and their families?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Kulana Malama	4.9 mi	Ewa Beach, HI	★★★★★	4/5
Avalon Care Center - Honolulu, LLC	7.2 mi	Honolulu, HI	★★☆☆☆	1/5
Daniel K Akaka State Veterans Home	7.4 mi	Kapolei, HI		—/5
Nuuanu Hale	7.9 mi	Honolulu, HI	★★☆☆☆	2/5
Maluhia	8.3 mi	Honolulu, HI	★★★★★	5/5
Liliha Healthcare Center	8.5 mi	Honolulu, HI	★★★☆☆	2/5
Kuakini Geriatric Care, INC	8.6 mi	Honolulu, HI	★☆☆☆☆	1/5	SFF
The Ching Villas	8.9 mi	Honolulu, HI	★★★★☆	3/5
The Care Center of Honolulu	9.1 mi	Honolulu, HI	★★☆☆☆	2/5
15 Craigside	9.1 mi	Honolulu, HI	★★★★★	5/5
Ka Punawai Ola	9.1 mi	Kapolei, HI	★★★☆☆	2/5
Hale Nani Rehabilitation and Nursing Center	10.1 mi	Honolulu, HI		—/5	SFF

Compare this facility with the 3 closest →

All facilities in Pearl City →

Facility data as of CMS processing date 2026-08-01. CCN 125043.

The Care File

Visit checklist — Pearl City Post Acute

919 Lehua Avenue, Pearl City, HI 96782 · 8084531919

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 125043 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)