CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Hawaii. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Legacy Hilo Rehabilitation & Nursing Center is a 1-star Medicare and Medicaid certified nursing home in Hilo, Hawaii with 100 certified beds. It has been operating since 2016. Its overall CMS rating is 1 out of 5.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Provide 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.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
+ 4 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| OHANA PACIFIC MANAGEMENT COMPANY INC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Jan 1, 2020 |
| RICHARD S. KISHABA 2010 DYNASTY TRUST | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Jul 30, 2010 |
| KISHABA, RICHARD | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2020 |
| FIRST HAWAIIAN BANK | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Dec 27, 2019 |
| KISHABA, RICHARD | CORPORATE OFFICER | Individual | N/A | Sep 4, 2019 |
| OHANA PACIFIC MANAGEMENT COMPANY INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Jan 1, 2020 |
| HATA, RANDALL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2020 |
| KISHABA, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2020 |
| LORE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2022 |
| MCCLENNON, PAMELA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2025 |
| MORIKUNI, SUANNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2020 |
| PITCHER, KERRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 3, 2023 |
| KISHABA, SANDRA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Nov 12, 2025 |
| OHANA PACIFIC MANAGEMENT COMPANY INC | ADP OF THE SNF | Organization | N/A | Jan 1, 2020 |
| RICHARD S. KISHABA 2010 DYNASTY TRUST | ADP OF THE SNF | Organization | N/A | Jan 1, 2020 |
| HATA, RANDALL | ADP OF THE SNF | Individual | N/A | Jan 1, 2020 |
| KISHABA, RICHARD | ADP OF THE SNF | Individual | N/A | Jan 1, 2020 |
| LORE, ANDREW | ADP OF THE SNF | Individual | N/A | Feb 1, 2022 |
| MCCLENNON, PAMELA | ADP OF THE SNF | Individual | N/A | Apr 1, 2025 |
| MORIKUNI, SUANNE | ADP OF THE SNF | Individual | N/A | Jan 1, 2020 |
| PITCHER, KERRY | ADP OF THE SNF | Individual | N/A | Apr 3, 2023 |
| SMITH, TOBY | ADP OF THE SNF | Individual | N/A | Nov 1, 2023 |
Compare CMS ratings and recorded fines for Legacy Hilo Rehabilitation & Nursing Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 6 facilities. View all →