Legacy Hilo Rehabilitation & Nursing Center
Nursing home in Hilo, HI
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 563 Kaumana Drive, Hilo, HI 96720
- Phone
- (808) 498-0184
- Listed under
- For-profit
- Medicare CCN
- 125065
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 100
- Average residents per day
- 89
- Ownership
- For-profit, limited Liability company
- Legal business name
- Hilo SNF LLC
- Chain
- Ohana Pacific Management CO. (6 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jan 20, 2016
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident and family councils
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Feb 27, 2026. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 30, 2023 to Feb 27, 2026): 4 from complaint inspections, 1 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 27, 2026 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| Feb 27, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Feb 27, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| Feb 27, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Feb 27, 2026 | Ensure that residents are free from significant medication errors. | D |
| Feb 27, 2026 | 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… | D |
| Feb 27, 2026 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E |
| Feb 27, 2026 | 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. | E |
| Feb 27, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| Feb 27, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| Oct 25, 2024 | Reasonably accommodate the needs and preferences of each resident. | D |
| Oct 25, 2024 | 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 |
Fines and payment denials
CMS records 1 fine totalling $16,350 in the last three years.
| Feb 27, 2026 | Fine: $16,350 |
Staffing
- Total nurse staffing per resident per day
- 3.72 hours
- Registered nurse (RN) time per resident per day
- 0.95 hours
- Nurse aide time per resident per day
- 2.18 hours
- Total nurse staffing on weekends
- 3.20 hours
- Nursing staff turnover (yearly)
- 62%
- RN turnover (yearly)
- 46%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.