Hawaii › Hawaii County › Hilo
Hale Anuenue Restorative Care
1333 Waianuenue Avenue, Hilo, HI 96720
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Hale Anuenue Restorative Care, in Hilo, Hawaii, is certified for 120 beds under for-profit, limited liability company ownership and belongs to the Life Care Centers Of America chain.
CMS gives it 4 of 5 stars overall, equal to the Hawaii median; the health inspection rating is 2, staffing 5 and quality measures 5.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (12, 4, 12 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 23.3 per 100 beds, fewer than the state median of 39.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (1.2 RN), below the Hawaii median of 4.6; nursing staff turnover is 16.2%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Hawaii Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 28 | 34 | 34 | 28.7 |
| Citations per 100 beds | 23.3 | 34.0 | 39.8 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.8 | 4.6 | 3.9 |
| RN hours per resident day | 1.2 | 1.2 | 1.6 | 0.7 |
| Nursing staff turnover | 16.2% | 30.8% | 32.2% | 45.8% |
| Fines listed | $0 | $8,492 | $8,018 | — |
County and state figures are medians across facilities (7 in the county, 43 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Hawaii average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Feb 2024, 2 Dec 2022.
Severity mix: G ×2 D ×17 E ×5 F ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 2 Feb 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0625 | 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 | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0688 | 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. | D | Standard survey | 18 Mar 2024 |
| 2 Feb 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 18 Mar 2024 |
| 8 Aug 2023 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 8 Sep 2023 |
| 8 Aug 2023 | F0726 | 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 investigation | 8 Sep 2023 |
| 8 Aug 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 8 Sep 2023 |
| 2 Dec 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Dec 2022 |
| 2 Dec 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 29 Dec 2022 |
| 2 Dec 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 29 Dec 2022 |
| 2 Dec 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 29 Dec 2022 |
| 16 Jul 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 13 Aug 2021 |
| 16 Jul 2021 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 13 Aug 2021 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 16.2%, RNs 20.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Hawaii median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 1.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.4% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.8% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.6% | 11.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Hilo Medical Investors Ltd. Chain: Life Care Centers Of America (194 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sbk LLC | 5% or greater direct ownership interest | 25% | 06/14/1999 |
| Life Care Centers of America, Inc. | Operational/managerial control | NOT APPLICABLE | 09/07/1994 |
| Sbk LLC | General partnership interest | NOT APPLICABLE | 06/14/1999 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hawaii County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Honoka'A Hospital & Skilled Nursing | Honokaa | 66 | 5 | 4 | 5 | 14 | 21.2 | — | 22 Nov 2024 |
| Hilo Benioff Medical Center | Hilo | 52 | 4 | 3 | 5 | 23 | 44.2 | — | 7 Feb 2025 |
| Yukio Okutsu State Veterans Home | Hilo | 95 | 4 | 3 | 4 | 39 | 41.1 | $13K | 15 Nov 2024 |
| Life Care Center of Hilo | Hilo | 252 | 3 | 2 | 4 | 41 | 16.3 | $8K | 1 Apr 2026 |
| Life Care Center of Kona | Kailua Kona | 94 | 3 | 2 | 4 | 44 | 46.8 | $28K | 25 Sep 2024 |
| Legacy Hilo Rehabilitation & Nursing Center | Hilo | 100 | 1 | 1 | 3 | 34 | 34.0 | $16K | 27 Feb 2026 |
All 7 facilities in Hawaii County
Questions and answers
How many deficiencies has Hale Anuenue Restorative Care been cited for?
28 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Hale Anuenue Restorative Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Hale Anuenue Restorative Care compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Hale Anuenue Restorative Care?
It is part of the Life Care Centers Of America chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Sbk LLC and Life Care Centers of America, Inc.. Individual owners and managers are not listed on this site.
When was Hale Anuenue Restorative Care last inspected?
The most recent survey or investigation in the CMS record is dated 2 Feb 2024; the most recent standard health survey was 2 Feb 2024.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.