See every facility — official ratings, family reviews, no referral fees.
Nursing HomeMedicaid Top Rated

Pearl City Post Acute

Strong Medicare quality ratings; families often praise effective physical and occupational rehab therapy. Still worth an in-person visit.

919 Lehua Avenue, Pearl City, HI 96782122 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 25 Google reviews

5
4
3
2
1
Pearl City Post Acute Nursing Home in Pearl City, HI — Street View
Street View

Watch Pearl City Post Acute

Get an email when new inspections, ratings, or penalties are published for this facility.

We’ll only email you about this — no spam, unsubscribe anytime.

What this means for your family

While the rehab therapy team receives praise for helping patients regain mobility, the facility has a concerning history of medical neglect and poor wound management. We strongly advise families to conduct unannounced visits and closely monitor the hygiene and medical care of their loved ones if they choose this facility.

Google Reviews

Google Reviews

25 reviews on Google
Pearl City Post Acute presents a highly polarized experience for families, with some praising the rehab team and nursing staff while others report severe concerns regarding medical neglect and hygiene. Multiple reviewers have documented serious health complications, including infections and respiratory issues, which they attribute to poor wound care and inadequate staffing. Families considering this facility should be aware of the significant disparity between positive testimonials and reports of life-threatening lapses in care.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean2.0Activities8.0Meds6.0MemoryN/AComms3.0Value5.0

Strengths

  • Effective physical and occupational rehab therapy
  • Professional and caring nursing staff (noted by some)
  • Structured daily activities like bingo and exercise
  • Timely medication administration

Concerns

  • Severe medical neglect and wound care mismanagement (mentioned by 3 reviewers)
  • Understaffing and slow response times (mentioned by 3 reviewers)
  • Poor hygiene and lack of bathing assistance (mentioned by 2 reviewers)
  • Facility environment described as depressing or unkempt (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.0'17(2)3.01.0'19(2)1.04.2'23(10)3.03.7'25(12)3.0'26(2)

Distribution · 50 analyzed

5
22
4
2
3
6
2
2
1
18

How They Respond to Reviews

32%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility offers structured activities like bingo and exercise; could you walk me through a typical weekly schedule for residents who enjoy staying active?
  • 2Given the importance of specialized wound care, what is your facility's specific protocol for monitoring and documenting skin integrity for residents with high-acuity needs?
  • 3When residents require assistance with daily hygiene or bathing, what is the process for ensuring these needs are met consistently throughout the week?
  • 4I see that you engage with feedback online; how do you currently communicate updates or address concerns with family members to ensure they feel heard and informed?
  • 5How does your nursing team prioritize and manage call light response times during shift changes or peak hours to ensure no resident is left waiting?
  • 6What steps are being taken to enhance the overall environment and cleanliness of the facility to ensure it remains a comfortable and welcoming home for residents?

Personalized based on this facility's data


Key Review Excerpts

The rehab team worked hard, supporting and build up her confidence five days a week.

Rehab patient's family member · 2025★★★★★

The RNs and CNAs were professional, caring and very skilled in patient care and rehab. I know, I was a CNA over 10 years in personal care home.

Rehab patient · 2025★★★★★

The wound was large and deep, yet wound care only visited her once a week. This lack of attention led to a series of serious health issues.

Long-term resident's family · 2024☆☆☆☆
Source: 25 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
2.19hrs
OK
Registered nurses for medical care
Total Nursing
6.23hrs
OK
All nurses + aides combined
Staff Turnover
29%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

4

measures

Worse Than Avg

9

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
19.4%
HI
17.6%
Honolulu
19.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.1%
Better than Avg
Here
7.1%
US
14.4%
HI
16.4%
Honolulu
16.2%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility12.2%
Worse than Avg
Here
12.2%
US
4.9%
HI
3.6%
Honolulu
4.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.2%
Mixed vs Avgs
Here
11.2%
US
19.5%
HI
8.6%
Honolulu
7.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.7%
Mixed vs Avgs
Here
3.7%
US
12.1%
HI
1.2%
Honolulu
0.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🔒

Residents who were physically restrained

↓ Lower is better
This Facility6.7%
Worse than Avg
Here
6.7%
US
0.1%
HI
0.3%
Honolulu
0.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility60.6%
Worse than Avg
Here
60.6%
US
79.8%
HI
84.7%
Honolulu
85.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility71.1%
Worse than Avg
Here
71.1%
US
81.8%
HI
82.8%
Honolulu
82.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
1.6%
HI
1.0%
Honolulu
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
Near state avg (10.4)
7 complaint-triggered

Pearl City Post Acute has ongoing issues requiring attention, with families filing complaints that led to deficiencies. The facility struggles most with medication management, care planning, and food safety, with these problems recurring across multiple surveys from 2023 to 2025. While all deficiencies show correction dates, the pattern of repeated issues in core care areas suggests systemic challenges that families should discuss thoroughly during visits.

May 23, 2025Routine
7
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 23, 2025Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Nov 7, 2024Complaint
2
0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Apr 25, 2024Routine
8
0363Potential for harm · Isolated

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Feb 15, 2024Complaint
2
0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 7, 2023Complaint
2
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Pearl City Post Acute

Organization Type

for profit

Ownership & Management

Owners

Pacific Skilled Healthcare LLC

Owner · Organization

100%

Olsen, Spencer

Owner (parent company)

73%

Sorensen, Kristen

Owner (parent company)

13%

Key personnel

Lefler, TyrusOfficer / DirectorOlsen, SpencerOfficer / DirectorYoshida, CynthiaOfficer / DirectorLefler, TyrusManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Nearby Alternatives

Call