Total health inspections
8
Hawaii average 4.4
Last Health inspection on Sep 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Assisted Living in Kahala
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pālolo Chinese Home
Assisted Living in Kahala
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Pālolo Chinese Home
Overview of Pālolo Chinese Home
For over 120 years, Palolo Chinese Home has been providing service to many families; however, the current and new Palolo Chinese Home boasts ‘better care’ for ‘better lives’ for its seniors. They are dedicated to delivering continuous top-notch service for skilled nursing and rehabilitation. Palolo approaches senior living in a way that ensures residents are able to relax and recover.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
18
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
79.6%
Residents per day (avg)
90
Occupancy rate
79.6%
Residents per day (avg)
90
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
23% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
74% of new residents, often for short stays.
Typical stay
2 - 3 months
Medicaid
3% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Voluntary non-profit community
Home revenue
$24.9M
Surplus of revenue
$941.9K
Voluntary non-profit community
Home revenue
$24.9M
Surplus of revenue
$941.9K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$8.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$15.3M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$23.9M
18-bed community
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score: 10 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Facility TypeType Ii Expanded Adult Residential Care Home
ExpirationMarch 31, 2026
License Number1563-C
CMS Certification Number125059
CertificationsMedicare and Medicaid certified
AccreditationsMedicare and Medicaid certified
Awards2025 Bronze National Quality Award
Approved for WheelchairYes
IslandOahu
Pālolo Chinese Home is legally operated by Darlene Nakayama.
Male Residents
17 available
Female Residents
17 available
Ambulatory Type:
Ambulatory
Diet Type:
Special
Staffing
Key information about the people who lead and staff this community.
ContactMr. Darin Yoshimoto, Administrator
Accept Medicaid
Accept Medicare
Rehabilitation Services
Respite Care
Short-Term Rehab
Nursing Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Specific ProgramsSkilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Hospice Care, Long Term Care, Adult Residential Care Home, Standard Care Level, Expanded Care Level, Overnight Respite Care, Respite Care, Senior Day Care, In-Home Services, Personal Care, Home Cleaning, Companion Care, Chore Services, Meals to Go, Older Adult Home Modification Program
Food DescriptionNutritious meal services available.
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Types of Care at Pālolo Chinese Home
Assisted Living
Nursing Home
Hospice Care
Respite Care
Access & Eligibility
Ways to qualify for care at this community, including accepted programs and payment options.
Medicaid Accepted
This facility is certified for eligible Medicaid services.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health citations
45
Hawaii average 35.5
Citations per inspection
5.62
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
29 of 45 citations resulted from standard inspections; 12 of 45 resulted from complaint investigations; and 4 of 45 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Hawaii averageHawaii average: 0.1
Serious Health citations
1
1
In line with Hawaii averageHawaii average: 1
0 critical citations
1 serious citation
44 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 05, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 05, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 05, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 05, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 23, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 23, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 23, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 23, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Assisted Living around Kahala The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
Care Homes By Hale Makua
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kahului
254
No
27
Private / Semi-Private Rooms
-
Trisha Akahi
12
85
Pālolo Chinese Home
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Honolulu (Palolo)
130
No
10
Private / Semi-Private Rooms
A+
Darlene Nakayama
0
0
Gutierrez ARCH
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Kaimuki)
5
No
73
Private / Semi-Private Rooms
-
Ruby Gutierrez Brister
3
39
Aina Haina ARCH
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Honolulu (Kuliouou - Kalani Iki)
5
No
39
Private / Semi-Private Rooms
-
Lan Chen
4
21
The Ivy at Hawaii Kai
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Honolulu (Hawaii Kai)
-
Yes
6
Private / Semi-Private Rooms
-
-
0
0
Places of interest near Pālolo Chinese Home
3.4 miles from city center — 2.35 miles to nearest hospital (Lu0113u02bbahi Hospital)
Calculate Travel Distance to Pālolo Chinese Home
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
176
Employees
85
Contractors
91
Staff to resident ratio
1.85:1
13% better than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
59
Average shift
7.8 hours
0% compared with Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
42,112
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
43
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
81
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
32%
13,462 contractor hours this quarter
Certified Nursing Assistant: 40
Registered Nurse: 21
Speech Language Pathologist: 9
Physical Therapy Aide: 6
Respiratory Therapy Technician: 4
Physical Therapy Assistant: 4
Qualified Social Worker: 3
Licensed Practical Nurse: 2
Nurse Aide in Training: 2
Staff by category
| Certified Nursing Assistant | 41 | 40 | 81 | 22,017 | 91 | 100% | 8.2 |
| Registered Nurse | 22 | 21 | 43 | 11,129 | 91 | 100% | 7.7 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,437 | 91 | 100% | 7.2 |
| Speech Language Pathologist | 0 | 9 | 9 | 1,009 | 86 | 95% | 6.9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 877 | 64 | 70% | 7.5 |
| Nurse Practitioner | 2 | 0 | 2 | 808 | 66 | 73% | 7.8 |
| Dental Services Staff | 2 | 0 | 2 | 697 | 71 | 78% | 8.4 |
| Physical Therapy Aide | 0 | 6 | 6 | 659 | 73 | 80% | 7.6 |
| Qualified Social Worker | 0 | 3 | 3 | 486 | 63 | 69% | 7.7 |
| RN Director of Nursing | 1 | 0 | 1 | 479 | 57 | 63% | 8.4 |
| Nurse Aide in Training | 3 | 2 | 5 | 459 | 53 | 58% | 7.9 |
| Administrator | 1 | 0 | 1 | 458 | 45 | 49% | 10.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 411 | 54 | 59% | 7.6 |
| Dietitian | 2 | 0 | 2 | 372 | 45 | 49% | 7.6 |
| Licensed Practical Nurse | 0 | 2 | 2 | 339 | 37 | 41% | 9.2 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 275 | 58 | 64% | 3.3 |
| Physical Therapy Assistant | 0 | 4 | 4 | 114 | 47 | 52% | 2.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 85 | 14 | 15% | 6.1 |
| Medical Director | 1 | 0 | 1 | 4 | 3 | 3% | 1.4 |
81 Certified Nursing Assistant
% of Days
100%
43 Registered Nurse
% of Days
100%
5 Other Dietary Services Staff
% of Days
100%
9 Speech Language Pathologist
% of Days
95%
3 Clinical Nurse Specialist
% of Days
70%
2 Nurse Practitioner
% of Days
73%
2 Dental Services Staff
% of Days
78%
6 Physical Therapy Aide
% of Days
80%
3 Qualified Social Worker
% of Days
69%
1 RN Director of Nursing
% of Days
63%
5 Nurse Aide in Training
% of Days
58%
1 Administrator
% of Days
49%
1 Occupational Therapy Aide
% of Days
59%
2 Dietitian
% of Days
49%
2 Licensed Practical Nurse
% of Days
41%
4 Respiratory Therapy Technician
% of Days
64%
4 Physical Therapy Assistant
% of Days
52%
1 Mental Health Service Worker
% of Days
15%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
95 residents
Residents by payment source
Medicare
8 residents (8.4%)
Medicaid
49 residents (51.6%)
Private pay or other
38 residents (40%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.1
58% worse than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.2
56% worse than Hawaii averageHawaii average: 20.0
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.6%
Percent of long-stay residents whose need for help with daily activities has increased
22.6%
28% worse than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
48.4%
Percent of long-stay residents whose ability to move independently worsened
48.4%
87% worse than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
24% worse than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
15% worse than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.7%
Percent of long-stay high risk residents with pressure ulcers
2.7%
25% better than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
27% better than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.1%
Percent of long-stay residents who lose too much weight
4.1%
13% better than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.4%
Percent of long-stay residents who have depressive symptoms
0.4%
73% better than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.9%
Percent of long-stay residents who received an antipsychotic medication
12.9%
28% worse than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Hawaii averageHawaii average: 95.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.3%
16% worse than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
38% worse than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.7%
In line with Hawaii averageHawaii average: 84.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$13K
66% lower than Hawaii averageHawaii average: $38K
Number of fines
1
34% fewer fines than Hawaii averageHawaii average: 1.5
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Fines amount comparison
Fines amount comparison
This facility
$13K
Hawaii average
$38K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2025
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Pālolo Chinese Home based on CMS SNF Cost Reports.
Occupancy Rate
79.6%
↓ 1.2pp vs 2022
Net Income
$941.9K
↑ ~$4.6M vs 2022
Total Payroll
$10.3M
↓ ~$381.7K vs 2022
Profit Margin
5.0%
↑ 25.1pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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