3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Eighteen beds, more than 120 years in operation. Pālolo Chinese Home is one of the smaller nursing homes in Honolulu, and one of the oldest. Located at 2459 10th Ave in the Pālolo neighborhood, the single-story facility sits about 3.4 miles from the city center in a car-dependent area (Walk Score 10). The intimate scale is the defining physical fact here.
Care options span nursing home, assisted living, hospice, and respite care. The average resident stay runs 82 days, which puts this facility squarely in the transitional and short-term care range rather than long-haul residential placement. Private and semi-private rooms are the available configurations.
Staffing runs around the clock, with total nursing care at 4 hours and 32 minutes per resident per day. Registered nurses account for 1 hour and 23 minutes of that figure. Rehabilitation services and short-term rehab are available on-site, consistent with the facility’s short average stay.
The service model reaches well beyond the building. Alongside residential care, Pālolo Chinese Home operates Senior Day Care, In-Home Services, Home Cleaning, Chore Services, Meals to Go, and an Older Adult Home Modification Program. Overnight Respite Care is available for families who need a temporary bridge. The facility accepts Medicare, Medicaid, and private pay.
Pālolo Chinese Home is a small, deeply rooted institution that has oriented itself toward community-based care as much as residential placement. Families working through a short-term recovery or exploring in-home support alongside nursing care will find more options here than the bed count alone suggests.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 10th out of 25 homes in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 23m per day | ▼ 15% State avg: 1h 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 4m per day | ▼ 82% State avg: 20m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 31m per day | ▼ 6% State avg: 2h 41m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 35m per day | ▼ 13% State avg: 4h 6m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 65% State avg: 6m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 1h 8m per day | ▼ 9% State avg: 1h 14m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Pālolo Chinese Home is legally operated by Darlene Nakayama.
Vacancy counts may overlap or be gender-specific depending on the community.Key information about the people who lead and staff this community.
State average 4.4
Last Health inspection on Sep 2025
State average 35.5
State 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).
100% better than State averageState average: 0.1
In line with State averageState average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
5% more staff per resident than Hawaii average
0% compared with Hawaii average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
50 total: 24 full-time employees and 26 contractors.
50
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
All 1 LPN Staff are contractors.
1
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
70 total: 38 full-time employees and 32 contractors.
70
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
11,576 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 38 | 32 | 70 | 22,052 | 92 | 100% | 8.3 |
| Registered Nurse | 24 | 26 | 50 | 11,064 | 92 | 100% | 8 |
| Other Dietary Services Staff | 3 | 2 | 5 | 1,181 | 90 | 98% | 7.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 834 | 62 | 67% | 8.1 |
| Speech Language Pathologist | 0 | 6 | 6 | 777 | 84 | 91% | 7.3 |
| Physical Therapy Aide | 0 | 5 | 5 | 626 | 73 | 79% | 6.4 |
| Dental Services Staff | 2 | 0 | 2 | 592 | 62 | 67% | 8.5 |
| Nurse Practitioner | 2 | 0 | 2 | 556 | 58 | 63% | 7.9 |
| Nurse Aide in Training | 3 | 0 | 3 | 553 | 52 | 57% | 9.7 |
| Administrator | 1 | 0 | 1 | 527 | 52 | 57% | 10.1 |
| RN Director of Nursing | 1 | 0 | 1 | 514 | 67 | 73% | 7.7 |
| Dietitian | 1 | 0 | 1 | 489 | 65 | 71% | 7.5 |
| Qualified Social Worker | 0 | 2 | 2 | 473 | 61 | 66% | 7.6 |
| Occupational Therapy Aide | 1 | 0 | 1 | 384 | 48 | 52% | 8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 301 | 70 | 76% | 2.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 220 | 48 | 52% | 4.6 |
| Physical Therapy Assistant | 0 | 5 | 5 | 214 | 54 | 59% | 3.6 |
| Licensed Practical Nurse | 0 | 1 | 1 | 41 | 5 | 5% | 8.2 |
| Medical Director | 1 | 0 | 1 | 7 | 5 | 5% | 1.3 |
Includes penalties issued in 2025
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)
66% lower than Hawaii averageHawaii average: $38K
34% fewer fines than Hawaii averageHawaii average: 1.5
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 5, 2025 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
Percent of long-stay residents whose need for help with daily activities has increased
22.6%
28% worse than Hawaii averageHawaii average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
48.4%
87% worse than Hawaii averageHawaii average: 25.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
2.5%
15% worse than Hawaii averageHawaii average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
2.7%
25% better than Hawaii averageHawaii average: 3.6%
Percent of long-stay residents with a urinary tract infection
1.8%
27% better than Hawaii averageHawaii average: 2.4%
Percent of long-stay residents who lose too much weight
4.1%
13% better than Hawaii averageHawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
0.4%
73% better than Hawaii averageHawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
12.9%
28% worse than Hawaii averageHawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
In line with Hawaii averageHawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
In line with Hawaii averageHawaii average: 95.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.3%
16% worse than Hawaii averageHawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.6%
38% worse than Hawaii averageHawaii average: 1.2%
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.
23% of new residents, usually for short-term rehab.
74% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
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.
Historical financial and operational data for Pālolo Chinese Home from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #9 / 24Payroll — State benchmarkedThis home is ranked 9th out of 24 homes in Hawaii for payroll. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #16 / 24Payroll % — State benchmarkedThis home is ranked 16th out of 24 homes in Hawaii for payroll %. Shows payroll as a percentage of revenue versus the Hawaii average. Well-run Hawaii facilities typically land around 55–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (74% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.6 miles from city center
Estimated distance in miles from Honolulu's city center to Pālolo Chinese Home's address, calculated via Google Maps.
— 2.35 miles to nearest hospital (Lu0113u02bbahi Hospital)
Add your location
Info below is compiled from CMS reports & the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Hi’olani Assisted Living Center at Kahala Nui | NH AL IL MC SNF | Honolulu (Waialae - Kahala) | 20
Facility
20
HI AVG
43
Rank
#39 / 84 |
85.5%
Facility
85.5%
HI AVG
84.1
Rank
#13 / 23 | +2% | 5.36
Facility
5.36
HI AVG
4.20
Rank
#2 / 25 | +16% | +28% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 26 | 24
Facility
24
HI AVG
35.5
Rank
#7 / 26 | 8.0
Facility
8.0
HI AVG
8.2
Rank
#16 / 26 | - | 17 | - |
71
Facility
71
HI AVG
49
Rank
#46 / 177 | Craig Courts | $8.2MFiscal year ending 12/2023
Facility
$8.2MFiscal year ending 12/2023
HI AVG
$20.8M
Rank
#2 / 24 | $13.4MFiscal year ending 12/2023
Facility
$13.4MFiscal year ending 12/2023
HI AVG
$7.1M
Rank
#4 / 24 | 163.8%Fiscal year ending 12/2023
Facility
163.8%Fiscal year ending 12/2023
HI AVG
38.9%
Rank
#23 / 24 | 125055 | ||||
| Pālolo Chinese Home | NH AL HOS RESC RC SNF | Honolulu (Palolo) | 18
Facility
18
HI AVG
43
Rank
#41 / 84 | - | - | 4.54
Facility
4.54
HI AVG
4.20
Rank
#10 / 25 | +47% | +8% | $0
Facility
$0
HI AVG
$43.4k
Rank
#1 / 26 | 45
Facility
45
HI AVG
35.5
Rank
#21 / 26 | 5.6
Facility
5.6
HI AVG
8.2
Rank
#3 / 26 | 1 | 98 | A+ |
10
Facility
10
HI AVG
49
Rank
#155 / 177 | Palolo Chinese Home | $15.6MFiscal year ending 12/2023
Facility
$15.6MFiscal year ending 12/2023
HI AVG
$20.8M
Rank
#8 / 24 | $10.3MFiscal year ending 12/2023
Facility
$10.3MFiscal year ending 12/2023
HI AVG
$7.1M
Rank
#9 / 24 | 66.4%Fiscal year ending 12/2023
Facility
66.4%Fiscal year ending 12/2023
HI AVG
38.9%
Rank
#16 / 24 | 125059 | ||||
| Hale Malamalama | NH HOS SNF | Honolulu (Kuliouou - Kalani Iki) | 40
Facility
40
HI AVG
43
Rank
#29 / 84 |
87.3%
Facility
87.3%
HI AVG
84.1
Rank
#11 / 23 | +4% | 3.79
Facility
3.79
HI AVG
4.20
Rank
#18 / 25 | -34% | -10% | $87.0k
Facility
$87.0k
HI AVG
$43.4k
Rank
#24 / 26 | 43
Facility
43
HI AVG
35.5
Rank
#19 / 26 | 10.8
Facility
10.8
HI AVG
8.2
Rank
#23 / 26 | 3 | 35 | - |
23
Facility
23
HI AVG
49
Rank
#131 / 177 | Ono Enterprise Ltd | $4.0M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$4.0M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
HI AVG
$20.8M
Rank
#24 / 24 | $2.6M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
$2.6M*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
HI AVG
$7.1M
Rank
#24 / 24 | 65.5%*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
Facility
65.5%*Fiscal year ending 2013These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.
HI AVG
38.9%
Rank
#2 / 24 | 125050 |
Pālolo Chinese Home is in the Palolo neighborhood of Honolulu.
Pālolo Chinese Home is legally operated by Darlene Nakayama.
Pālolo Chinese Home has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to HI state health department records, Pālolo Chinese Home's license number is 1563-C.
Pālolo Chinese Home's occupancy is 79.6%.
No, Pālolo Chinese Home has a no-pet policy.
Pālolo Chinese Home is registered as a for-profit in HI.
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