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HomeHawaiiLegacy Hilo Rehabilitation & Nursing Center

Legacy Hilo Rehabilitation & Nursing Center

563 Kaumana Drive, Hilo, HI 967208084980184WebsiteGoogle Maps
3.6on Google(18 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
3/5
Beds
100
certified
Special Focus Facility: SFF Candidate
1 fine(s) totaling $16,350

How Legacy Hilo Rehabilitation & Nursing Center Compares in Hawaii

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.

CMS overall rating
1/5
HI average
3.7/5
Below state average
Health inspection rating
1/5
HI average
2.9/5
Below state average
Staffing rating
3/5
HI average
4.5/5
Below state average
Nursing hours per resident
3.72 hrs/day
HI average
4.99 hrs/day
Below state average
RN hours per resident
0.95 hrs/day
HI average
1.76 hrs/day
Below state average
Staff turnover
62.3%
HI average
36.4%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Hawaii average of 3.7/5.
Its 1/5 health inspection rating is below the Hawaii average of 2.9/5.
Reported nursing time is 3.72 hours per resident per day, below the state average of 4.99.
Reported RN time is 0.95 hours per resident per day, below the state average of 1.76.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
11
deficiency citations
Inspected Oct 25, 2024
Most recent cycle
10
deficiency citations
Inspected Feb 27, 2026
The most recent cycle recorded 1 fewer deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$14,600/mo
Hawaii median
Private Room
$17,533/mo
Hawaii median
Hawaii County 65+
44,910
22.2% of county
County Population
202,163
Hawaii County

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.

Beds
100
Avg Residents/Day
88.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 20, 2016
Sprinklers
Yes
Council
Both
County
Hawaii
Last Inspection
Feb 27, 2026
Deficiencies (Cycle 1)
10
Weighted Score
99.5
Infection Citations
0

Deficiency Citations (34)

F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Feb 27, 2026Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Oct 25, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Jul 10, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 10, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0625Potential for Harm

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.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Oct 30, 2023Corrected: NoCycle: 3
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Oct 30, 2023Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$16,350
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineFeb 27, 2026
$16,350

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.18 hrs
National avg: 2.32 hrs
LPN0.59 hrs
National avg: 0.86 hrs
RN0.95 hrs
National avg: 0.69 hrs
Total Nursing3.72 hrs
National avg: 3.86 hrs
Weekend Total3.20 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
62.3%
RN Turnover
45.5%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (22)

NameRoleTypeOwnership %Since
OHANA PACIFIC MANAGEMENT COMPANY INCDIRECT OWNERSHIP INTERESTOrganizationN/AJan 1, 2020
RICHARD S. KISHABA 2010 DYNASTY TRUSTINDIRECT OWNERSHIP INTERESTOrganizationN/AJul 30, 2010
KISHABA, RICHARDINDIRECT OWNERSHIP INTERESTIndividualN/AJan 1, 2020
FIRST HAWAIIAN BANK5% OR GREATER MORTGAGE INTERESTOrganizationN/ADec 27, 2019
KISHABA, RICHARDCORPORATE OFFICERIndividualN/ASep 4, 2019
OHANA PACIFIC MANAGEMENT COMPANY INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AJan 1, 2020
HATA, RANDALLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2020
KISHABA, RICHARDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2020
LORE, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2022
MCCLENNON, PAMELAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2025
MORIKUNI, SUANNEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2020
PITCHER, KERRYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 3, 2023
KISHABA, SANDRAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ANov 12, 2025
OHANA PACIFIC MANAGEMENT COMPANY INCADP OF THE SNFOrganizationN/AJan 1, 2020
RICHARD S. KISHABA 2010 DYNASTY TRUSTADP OF THE SNFOrganizationN/AJan 1, 2020
HATA, RANDALLADP OF THE SNFIndividualN/AJan 1, 2020
KISHABA, RICHARDADP OF THE SNFIndividualN/AJan 1, 2020
LORE, ANDREWADP OF THE SNFIndividualN/AFeb 1, 2022
MCCLENNON, PAMELAADP OF THE SNFIndividualN/AApr 1, 2025
MORIKUNI, SUANNEADP OF THE SNFIndividualN/AJan 1, 2020
PITCHER, KERRYADP OF THE SNFIndividualN/AApr 3, 2023
SMITH, TOBYADP OF THE SNFIndividualN/ANov 1, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Legacy Hilo Rehabilitation & Nursing Center and nearby alternatives.

All Hawaii facilities
Legacy Hilo Rehabilitation & Nursing Center
Hilo, HICurrent facility
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $16,350
Hale Anuenue Restorative Care
Hilo, HI4,752 ft
CMS
4/5
Health
2/5
Staffing
5/5
Recorded fines: None
Hilo Benioff Medical Center
Hilo, HI4,752 ft
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
Yukio Okutsu State Veterans Home
Hilo, HI4,752 ft
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: $13,049
Life Care Center of Hilo
Hilo, HI2.0 mi
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $13,065
Honoka'a Hospital & Skilled Nursing
Honokaa, HI34.8 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Life Care Center of Kona
Kailua Kona, HI56.2 mi
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $27,612
FacilityDistanceCMSHealthStaffingRecorded fines
Legacy Hilo Rehabilitation & Nursing Center
Hilo, HI · Current facility
—1/51/53/5$16,350
Hale Anuenue Restorative Care
Hilo, HI
4,752 ft4/52/55/5None recorded
Hilo Benioff Medical Center
Hilo, HI
4,752 ft4/53/55/5None recorded
Yukio Okutsu State Veterans Home
Hilo, HI
4,752 ft4/53/54/5$13,049
Life Care Center of Hilo
Hilo, HI
2.0 mi3/52/54/5$13,065
Honoka'a Hospital & Skilled Nursing
Honokaa, HI
34.8 mi5/54/55/5None recorded
Life Care Center of Kona
Kailua Kona, HI
56.2 mi3/52/54/5$27,612

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.

Frequently Asked Questions

What is the CMS rating for Legacy Hilo Rehabilitation & Nursing Center?▾
Legacy Hilo Rehabilitation & Nursing Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Legacy Hilo Rehabilitation & Nursing Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Hawaii is $14,600/month for a semi-private room and $17,533/month for a private room (Genworth/CareScout 2024). Legacy Hilo Rehabilitation & Nursing Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Legacy Hilo Rehabilitation & Nursing Center had any health inspection violations?▾
Legacy Hilo Rehabilitation & Nursing Center had 10 deficiency citations in its most recent health inspection (Feb 27, 2026). The current CMS dataset records 1 fine(s) totaling $16,350.
What are the staffing levels at Legacy Hilo Rehabilitation & Nursing Center?▾
Legacy Hilo Rehabilitation & Nursing Center provides 3.72 total nursing staff hours per resident per day, including 0.95 RN hours, 0.59 LPN hours, and 2.18 nurse aide hours. The total staff turnover rate is 62.3%.
How many beds does Legacy Hilo Rehabilitation & Nursing Center have?▾
Legacy Hilo Rehabilitation & Nursing Center has 100 certified beds with an average of 88.6 residents per day, resulting in approximately 89% occupancy. The facility is For profit - Limited Liability company owned and is part of the Ohana Pacific Management Co. chain.
Are there other nursing homes near Legacy Hilo Rehabilitation & Nursing Center?▾
Yes. This page lists 6 nearby nursing homes in Hawaii, including 4 in Hilo. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Legacy Hilo Rehabilitation & Nursing Center?▾
On Google Maps, Legacy Hilo Rehabilitation & Nursing Center has a rating of 3.6 out of 5 based on 18 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Ohana Pacific Management Co.

This chain operates 6 facilities. View all →