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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 Beds122
Average Number of Residents98
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 StatusSFF Candidate
Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilResident

Prodvider Business NamePC CARE CORP
Ownership TypeFor profit - Corporation
Date First Approved1995-11-17

Reported Nurse Aide Staffing Hours per Resident per Day3.27607
Reported LPN Staffing Hours per Resident per Day0.26962
Reported RN Staffing - Hours per Resident per Day1.87685
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 Day0.06177
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.17675
Case-Mix LPN Staffing - Hours per Resident per Day0.7546
Case-Mix RN Staffing - Hours per Resident per Day0.40701
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 cycles133.667
Rating cycle 1 Standard Survey Health Date2020-02-24
Rating cycle 1 - Health Deficiency Score14
Rating cycle 1 - Total Health Inspection Score134
Date of Rating cycle 2 Standard Health Survey Date2019-01-14
Rating cycle 2 - Health Deficiency Score134
Date of Rating cycle 3 Standard Health Survey Date2017-12-26
Rating cycle 3 - Health Deficiency Score116
Rating cycle 3 - Total Health Inspection Score116

Number of Facility-Reported Incidents1
Number of Substantiated Complaints4
Number of Substantiated Complaints4
Number of Fines1
Total Amount of Fines (in Dollars)26790
Number of Payment Denials1
Total Number of Penalties2

Data Filing Date2020-10-01
Page Last Updated2020-11-28