Palolo Chinese Home

For profit - Corporation · 113 certified beds · CCN 125059 · PALOLO CHINESE HOME · Honolulu · HI


Palolo Chinese Home is a 113-bed nursing home in HONOLULU, Hawaii. CMS has certified it for Medicare and Medicaid since 2008-06-13. It averages 96.7 residents a day.

What harm was found in the violations cited at Palolo Chinese Home?

CMS lists 48 health-inspection deficiencies for Palolo Chinese Home since 2023-03-31, 36 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-22.

Survey dateTagDeficiencySeverity
2026-05-22F0600, F0609, F0728, F0729Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.D
2025-09-05F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-09-05F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-05-23F0585, F0607Honor 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft.E
2025-05-23F0583, F0609, F0610Keep residents' personal and medical records private and confidential. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.D
2025-05-01F0550, F0558, F0561, F0578, F0584, F0641, F0656, F0657, F0689, F0726, F0761, F0803, F0805, F0812, F0880Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / 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. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.D
2024-11-22F0656, F0689Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-07-26F0684, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program.D
2024-03-07F0604, F0609, F0677, F0761, F0880, F0908Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely.D
2023-03-31F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-03-31F0885Report COVID19 data to residents and families.E
2023-03-31F0623, F0625, F0641, F0656, F0684, F0756, F0757, F0759, F0880, F0886Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff.D

How is Palolo Chinese Home staffed relative to the HI average?

MeasureThis facilityHI average
Total nurse staffing hours per resident per day4.125754.97232
Total nursing staff turnover (%)49.136.4
Average number of residents per day96.781.9

Who owns Palolo Chinese Home?

Palolo Chinese Home is registered with CMS as For profit - Corporation, operates under the legal business name PALOLO CHINESE HOME.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTPALOLO CHINESE HOMEsince 01/01/1966
CORPORATE DIRECTORAU, GORDON, BACKUS, PETER, BLANCHETTE, PATRICIA, CHING, ANTHONY, GOO, FRANCES, HWANG, RENA, LAU, RUSSELL JAMES, LEE, GLADYS, LEE, LENORA, LO, ELVIRA, MOATS, ANDREW, OSHIMA, ISOO, SCHMIDT, JEFFREY, SIMON, GARY, SMITH, DOUGLAS, SOUZA, SANDRA, TOKIOKA, TYLER, TSEU, LAWRENCE, WATANABE, ERIC, WONG, STACEY, WOO, BENJAMIN, YEE, REGINALDsince 01/01/1996
CORPORATE OFFICERNAKAYAMA, DARLENEsince 12/18/2003
OPERATIONAL/MANAGERIAL CONTROLNAKAYAMA, DARLENEsince 05/29/2014

Were you or a family member harmed at Palolo Chinese Home?