Nursing homes › Hawaii › Palolo Chinese Home
2459 10Th Avenue, Honolulu, HI 96816 · 8087372555 · 113 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Corporation.
Total nurse staffing: 4.13 (Hawaii median: 4.62). RN hours: 1.34. Weekend total: 3.78. Nursing staff turnover: 49%.
All-time on record: 48 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-22 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-22 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | complaint | Deficient, Provider has no plan of correction |
| 2026-05-22 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | complaint | Deficient, Provider has no plan of correction |
| 2025-09-05 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | complaint | corrected 2025-10-09 |
| 2025-09-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-10-09 |
| 2025-05-23 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | complaint | corrected 2025-06-13 |
| 2025-05-23 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2025-06-13 |
| 2025-05-23 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-06-13 |
| 2025-05-23 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-06-13 |
| 2025-05-23 | Respond appropriately to all alleged violations. | D | complaint | corrected 2025-06-13 |
| 2025-05-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Health | corrected 2025-06-02 |
| 2025-05-01 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-05-28 |
| 2025-05-01 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2025-06-02 |
| 2025-05-01 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Health | corrected 2025-05-30 |
| 2025-05-01 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Health | corrected 2025-05-30 |
| 2025-05-01 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2025-05-30 |
| 2025-05-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-05-30 |
| 2025-05-01 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2025-05-30 |
| 2025-05-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2025-05-30 |
| 2025-05-01 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | complaint | corrected 2025-05-30 |
| 2025-05-01 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2025-05-30 |
| 2025-05-01 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Health | corrected 2025-05-30 |
| 2025-05-01 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Health | corrected 2025-05-30 |
| 2025-05-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-05-30 |
| 2025-05-01 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-05-30 |
| 2024-11-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-12-12 |
| 2024-11-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-12-12 |
| 2024-07-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-08-30 |
| 2024-07-26 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2024-08-30 |
| 2024-03-07 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2024-03-28 |
| 2024-03-07 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2024-03-28 |
| 2024-03-07 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-03-28 |
| 2024-03-07 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Health | corrected 2024-03-28 |
| 2024-03-07 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-03-28 |
| 2024-03-07 | Keep all essential equipment working safely. | D | Health | corrected 2024-03-28 |
| 2023-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-04-21 |
| 2023-03-31 | Report COVID19 data to residents and families. | E | Health | corrected 2023-04-21 |
| 2023-03-31 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Health | corrected 2023-04-21 |
| 2023-03-31 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2023-04-21 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| PALOLO CHINESE HOME | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 01/01/1966 |
| AU, GORDON | Corporate Director | Individual | NOT APPLICABLE | since 01/07/2008 |
| BACKUS, PETER | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2014 |
| BLANCHETTE, PATRICIA | Corporate Director | Individual | NOT APPLICABLE | since 01/07/2008 |
| CHING, ANTHONY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2017 |
| GOO, FRANCES | Corporate Director | Individual | NOT APPLICABLE | since 01/01/1996 |
| HWANG, RENA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2020 |
| LAU, RUSSELL JAMES | Corporate Director | Individual | NOT APPLICABLE | since 01/07/2008 |
| LEE, GLADYS | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2008 |
| LEE, LENORA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2019 |
| LO, ELVIRA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2020 |
| MOATS, ANDREW | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2017 |
| OSHIMA, ISOO | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2015 |
| SCHMIDT, JEFFREY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2013 |
| SIMON, GARY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2019 |
| SMITH, DOUGLAS | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2014 |
| SOUZA, SANDRA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| TOKIOKA, TYLER | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2019 |
| TSEU, LAWRENCE | Corporate Director | Individual | NOT APPLICABLE | since 01/07/2008 |
| WATANABE, ERIC | Corporate Director | Individual | NOT APPLICABLE | since 01/07/2008 |
| WONG, STACEY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| WOO, BENJAMIN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2019 |
| YEE, REGINALD | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2018 |
| NAKAYAMA, DARLENE | Corporate Officer | Individual | NOT APPLICABLE | since 12/18/2003 |
| NAKAYAMA, DARLENE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/29/2014 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 125059. Corrections: data@carerecords.org.