Ann Pearl Nursing Facility
45-181 WAIKALUA ROAD, Kaneohe, HI 96744
Kaneohe, Hawaii · CMS verdict
On the federal five-star scale, Ann Pearl Nursing Facility shows average quality that runs below Hawaii's state average of 3.6.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Ann Pearl Nursing Facility in Kaneohe, Hawaii holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 56 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
Its CMS deficiency count sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 56 is built
Each segment is a dimension's weighted points toward the score, summing to 56.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Ann Pearl Nursing Facility's heavier CMS deficiency book
Quality ratings
On Care Compare (data as of April 2026), the overall star is a roll-up of three separately tracked sub-ratings: health inspection, staffing, and quality measures. The comparison chart below shows where each one sits relative to Hawaii.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Kaneohe, Hawaii. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 50% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Ann Pearl Nursing Facility compares to Hawaii
CMS five-star sub-ratings (0–5) for this facility against the Hawaii facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Hawaii state average. Higher is better on all four CMS measures.
Facility details
| Attribute | Value |
|---|---|
| Beds | 104 |
| Residents | 52 |
| Ownership | For profit - Corporation |
| County | Honolulu |
| Penalties | 1 |
| Deficiencies | 45 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about Ann Pearl Nursing Facility's inspection record
What is the quality rating for Ann Pearl Nursing Facility? ▾
CMS rates Ann Pearl Nursing Facility at 3 out of 5 stars overall. How its three sub-ratings compare with the Hawaii average is charted above.
How much does a nursing home cost per month in Hawaii? ▾
In Hawaii, a semi-private nursing home room runs a median $15,473/month ($185,679/year) per the CareScout 2025 survey; private rooms average $16,395/month.
What services does Ann Pearl Nursing Facility offer? ▾
CMS classifies Ann Pearl Nursing Facility as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does Ann Pearl Nursing Facility have any deficiencies or penalties? ▾
Ann Pearl Nursing Facility has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Hawaii? ▾
In Hawaii, alternatives include assisted living ($12,096/mo), home health aides ($7,817/mo), and adult day care ($2,551/mo).
Keep reading
Also see the Hawaii elder-care overview and highest-rated states. Provider ID: 125048.
Read our methodology - how this data is sourced, computed, and verified.