Pearl City Post Acute
Strong Medicare quality ratings; families often praise effective physical and occupational rehab therapy. Still worth an in-person visit.
based on 25 Google reviews

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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 detailsStrengths
- 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
Distribution · 50 analyzed
How They Respond to Reviews
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.”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This 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
4
measures
9
measures
4
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents who were physically restrained
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Routine7
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 23, 2025Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nov 7, 2024Complaint2
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Apr 25, 2024Routine8
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
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.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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, 2024Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 7, 2023Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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
Pearl City Post Acute
for profit
Ownership & Management
Owners
Pacific Skilled Healthcare LLC
Owner · Organization
Olsen, Spencer
Owner (parent company)
Sorensen, Kristen
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
25 reviews from families & visitors
Official Website
Visit pearlcitynursinghome.com
Medicare data downloads
Original nursing home datasets
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