Pālolo Chinese Home
Nursing Home, Assisted Living, Hospice Care, Residential Care & Respite Care · Honolulu, HI
CMS overall rating Info 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.

Pālolo Chinese Home

Nursing Home, Assisted Living, Hospice Care, Residential Care & Respite Care · Honolulu, HI
CMS overall rating Info 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.
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Pālolo Chinese Home accepts Medicaid, Medicare, and private pay.

Overview of Pālolo Chinese Home

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
4h 32m per day
Rank #13 / 33Nurse hours — State benchmarkedThis home is ranked 13th out of 33 homes in Hawaii. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 33 Hawaii facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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
LPN / LVN Info 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
Nurse Aide Info 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
Weekend Total Nursing Info 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
Physical Therapist Info 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
Weekend RN Info 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

Capacity and availability

Avg. Length of Stay
82 days
Bed community size
18-bed community Rank #44 / 87Bed count — State benchmarkedThis home is ranked 44th out of 87 homes in Hawaii. Shows this facility's certified or reported bed count compared to other Hawaii facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.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.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
Walk Score
Walk Score: 10 / 100 Rank #156 / 178Walk Score — State benchmarkedThis home is ranked 156th out of 178 homes in Hawaii. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
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

About this community

Occupancy

Occupancy rate
80%
Rank #14 / 28Occupancy rate — State benchmarkedThis home is ranked 14th out of 28 homes in Hawaii. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 28. Higher occupancy signals strong local demand and financial stability.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.
Higher than the Hawaii average: 74.2%
Occupied beds
14 / 18
Average occupied beds in Hawaii homes 81 beds

Awards

2025 Bronze National Quality Award

License Details

Facility TypeType Ii Expanded Adult Residential Care Home
ExpirationMarch 31, 2026 Expired
License Number1563-C
CMS Certification Number125059
CertificationsMedicare and Medicaid certified
AccreditationsMedicare and Medicaid certified
Approved for WheelchairYes
IslandOahu

Ownership & Operating Entity

Pālolo Chinese Home is legally operated by Darlene Nakayama.

Current Vacancies

InfoVacancy counts may overlap or be gender-specific depending on the community.
Male Residents
17 available
Female Residents
17 available

Care & Accommodations

Ambulatory Type: Ambulatory
Diet Type: Special

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMr. Darin Yoshimoto, Administrator

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsAdult Residential Care Home, Standard Care Level, Expanded Care Level, Overnight Respite Care, Senior Day Care, In-Home Services, Home Cleaning, Chore Services, Meals to Go, Older Adult Home Modification Program

Contact Pālolo Chinese Home

Health Inspection History

Inspections since 2022
Total health inspections 8

State average N/A


Last Health inspection on Sep 2025

Total health citations
45 Rank #28 / 34Health citations — State benchmarkedThis home is ranked 28th out of 34 homes in Hawaii. Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 34 HI facilities. Lower citation counts earn a better 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.

State average N/A

Citations per inspection
5.62 Rank #9 / 34Citations per inspection — State benchmarkedThis home is ranked 9th out of 34 homes in Hawaii. Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 34 facilities with citation data. Lower is better.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.

State average N/A


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 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

44 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Quality of Care serious citation Sep 05, 2025
Corrected

Care Planning moderate citation Sep 05, 2025
Corrected

Abuse/Neglect moderate citation May 23, 2025
Corrected

Abuse/Neglect moderate citation May 23, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 165
Employees 80
Contractors 85
Staff to resident ratio 1.74 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 57
Average shift 7.9 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 41,404

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 50 total: 24 full-time employees and 26 contractors. 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 1 LPN Staff are contractors. 1
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 70 total: 38 full-time employees and 32 contractors. 70
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

28%

11,576 contractor hours this quarter

Certified Nursing Assistant: 32 Registered Nurse: 26 Speech Language Pathologist: 6 Respiratory Therapy Technician: 6 Physical Therapy Aide: 5 Physical Therapy Assistant: 5 Other Dietary Services Staff: 2 Qualified Social Worker: 2 Licensed Practical Nurse: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant38327022,05292100%8.3
Registered Nurse24265011,06492100%8
Other Dietary Services Staff3251,1819098%7.3
Clinical Nurse Specialist2028346267%8.1
Speech Language Pathologist0667778491%7.3
Physical Therapy Aide0556267379%6.4
Dental Services Staff2025926267%8.5
Nurse Practitioner2025565863%7.9
Nurse Aide in Training3035535257%9.7
Administrator1015275257%10.1
RN Director of Nursing1015146773%7.7
Dietitian1014896571%7.5
Qualified Social Worker0224736166%7.6
Occupational Therapy Aide1013844852%8
Respiratory Therapy Technician0663017076%2.8
Mental Health Service Worker1012204852%4.6
Physical Therapy Assistant0552145459%3.6
Licensed Practical Nurse0114155%8.2
Medical Director101755%1.3
70 Certified Nursing Assistant
% of Days 100%
50 Registered Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 98%
2 Clinical Nurse Specialist
% of Days 67%
6 Speech Language Pathologist
% of Days 91%
5 Physical Therapy Aide
% of Days 79%
2 Dental Services Staff
% of Days 67%
2 Nurse Practitioner
% of Days 63%
3 Nurse Aide in Training
% of Days 57%
1 Administrator
% of Days 57%
1 RN Director of Nursing
% of Days 73%
1 Dietitian
% of Days 71%
2 Qualified Social Worker
% of Days 66%
1 Occupational Therapy Aide
% of Days 52%
6 Respiratory Therapy Technician
% of Days 76%
1 Mental Health Service Worker
% of Days 52%
5 Physical Therapy Assistant
% of Days 59%
1 Licensed Practical Nurse
% of Days 5%
1 Medical Director
% of Days 5%

Penalties and fines

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)

Total fines amount $13K Rank #1 / 34Federal fines — State benchmarkedThis home is ranked 1st out of 34 homes in Hawaii. Shows this facility's cumulative CMS federal fine dollars versus the Hawaii average among facilities with fines, and where it ranks among 34 facilities in the pool. Lower total dollars mean a better 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.
66% lower than State average

State average: $38K

Number of fines 1
34% fewer fines than State average

State average: 1.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than State average

State average: 0.1

Fines amount comparison
Fines amount comparison
This facility $13K
State average $38K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 5, 2025 · $13K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 5, 2025
$13K

Last updated: Jan 2026

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 Info 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 State average

State average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 31.2
56% worse than State average

State average: 20.0

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 22.6%
28% worse than State average

State average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 48.4%
87% worse than State average

State average: 25.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.7%
24% worse than State average

State average: 18.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.5%
15% worse than State average

State average: 2.1%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
25% better than State average

State average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.8%
27% better than State average

State average: 2.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.1%
13% better than State average

State average: 4.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.4%
73% better than State average

State average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 12.9%
28% worse than State average

State average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
In line with State average

State average: 96.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
In line with State average

State average: 95.4%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.3%
16% worse than State average

State average: 83.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.6%
38% worse than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 84.7%
In line with State average

State average: 84.7%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 95
Medicare
8
8.4% of residents
Medicaid
49
51.6% of residents
Private pay or other
38
40% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info 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."
$15.6M
Net patient income Info 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."
-$4.9M
For-profit Corporation
Net patient revenue Info 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."
$15.6M Rank #9 / 29Revenue — State benchmarkedThis home is ranked 9th out of 29 homes in Hawaii. Shows this facility's annual revenue compared to the Hawaii average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$4.9M
Other income Info 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.
$5.9M
Payroll costs Info 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 / 29Payroll — State benchmarkedThis home is ranked 9th out of 29 homes in Hawaii. 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.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.
$10.3M 66.4% of net patient revenue Info 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 #20 / 29Payroll % — State benchmarkedThis home is ranked 20th out of 29 homes in Hawaii. Shows payroll as a percentage of revenue versus the Hawaii average. Well-run Hawaii facilities typically land around 52–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.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.
Other operating costs Info 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).
$10.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$20.5M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Primarily short stays

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.

Admissions
387 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 74%
Medicaid 3%
Discharges
415 total

Coverage residents most often leave under.

Medicare 20%
Private pay 74%
Medicaid 6%

Places of interest near Pālolo Chinese Home

Address 3.4 miles from city center Info 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)

Calculate Travel Distance to Pālolo Chinese Home

Add your location

Address

Compare Nursing Homes around the area

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

Pālolo Chinese Home
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Frequently Asked Questions about Pālolo Chinese Home

What neighborhood is Pālolo Chinese Home in?

Pālolo Chinese Home is in the Palolo neighborhood of Honolulu.

Who is the owner of Pālolo Chinese Home?

Pālolo Chinese Home is legally operated by Darlene Nakayama.

Is Pālolo Chinese Home in a walkable area?

Pālolo Chinese Home has a walk score of 10. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Pālolo Chinese Home?

According to HI state health department records, Pālolo Chinese Home's license number is 1563-C.

When does Pālolo Chinese Home's license expire?

According to HI state health department records, Pālolo Chinese Home's license expires on March 31, 2026.

What is the occupancy rate at Pālolo Chinese Home?

Pālolo Chinese Home's occupancy is 80%.

Does Pālolo Chinese Home operate as a for-profit or non-profit?

Pālolo Chinese Home is registered as a for-profit in HI.

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