Pearl City Nursing Home
Pearl City Nursing Home Information
| Facility Name | Pearl City Nursing Home |
| Location | 919 Lehua Avenue, Pearl City, HI 96782 |
| County (SSA Code) | Honolulu (20) |
| Phone Number | 808-453-1919 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 122 |
| Average Number of Residents | 98 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Special Focus Status | SFF Candidate |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | PC CARE CORP |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1995-11-17 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.27607 |
| Reported LPN Staffing Hours per Resident per Day | 0.26962 |
| Reported RN Staffing - Hours per Resident per Day | 1.87685 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.14647 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.42254 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06177 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.17675 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.7546 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.40701 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.33836 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.17861 |
| Total Weighted Health Survey Score for three cycles | 133.667 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-24 |
| Rating cycle 1 - Health Deficiency Score | 14 |
| Rating cycle 1 - Total Health Inspection Score | 134 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-14 |
| Rating cycle 2 - Health Deficiency Score | 134 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-26 |
| Rating cycle 3 - Health Deficiency Score | 116 |
| Rating cycle 3 - Total Health Inspection Score | 116 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 26790 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |