Hawaii › Hawaii County › Hilo
Legacy Hilo Rehabilitation & Nursing Center
563 Kaumana Drive, 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.
Legacy Hilo Rehabilitation & Nursing Center, in Hilo, Hawaii, is certified for 100 beds under for-profit, limited liability company ownership and belongs to the Ohana Pacific Management Co. chain.
CMS gives it 1 of 5 stars overall, below the Hawaii median of 4; the health inspection rating is 1, staffing 3 and quality measures 3.
Inspectors recorded 34 health deficiencies across the three most recent survey cycles (10, 8, 16 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 34.0 per 100 beds, about the same as the state median of 39.8.
CMS lists 1 penalty in the period covered: fines totalling $16K.
Reported nurse staffing is 3.7 hours per resident per day (0.9 RN), close to the Hawaii median of 4.6; nursing staff turnover is 62.3%.
Compared with county, state and nation
| Measure | This facility | Hawaii Co. median | Hawaii median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 4 | 3.0 |
| Health citations, 3 cycles | 34 | 34 | 34 | 28.7 |
| Citations per 100 beds | 34.0 | 34.0 | 39.8 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.8 | 4.6 | 3.9 |
| RN hours per resident day | 0.9 | 1.2 | 1.6 | 0.7 |
| Nursing staff turnover | 62.3% | 30.8% | 32.2% | 45.8% |
| Fines listed | $16,350 | $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: 27 Feb 2026, 25 Oct 2024.
Severity mix: G ×1 D ×27 E ×4 F ×2
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 |
|---|---|---|---|---|---|
| 27 Feb 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 24 Mar 2026 |
| 27 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 24 Mar 2026 |
| 27 Feb 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 9 May 2026 |
| 27 Feb 2026 | 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. | E | Standard survey | 9 May 2026 |
| 27 Feb 2026 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 24 Mar 2026 |
| 27 Feb 2026 | 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 | 24 Mar 2026 |
| 27 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 24 Mar 2026 |
| 27 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 24 Mar 2026 |
| 27 Feb 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 24 Mar 2026 |
| 27 Feb 2026 | F0761 | 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. | D | Standard survey | 24 Mar 2026 |
| 25 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Standard survey | 15 Nov 2024 |
| 25 Oct 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 15 Nov 2024 |
| 25 Oct 2024 | F0584 | 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 | Standard survey | 15 Nov 2024 |
| 25 Oct 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 | 15 Nov 2024 |
| 25 Oct 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Nov 2024 |
| 25 Oct 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 15 Nov 2024 |
| 25 Oct 2024 | F0761 | 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. | D | Standard survey | 15 Nov 2024 |
| 25 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Nov 2024 |
| 10 Jul 2024 | 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 | 9 Aug 2024 |
| 10 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 9 Aug 2024 |
| 30 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 8 Dec 2023 |
| 30 Oct 2023 | 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 | 8 Dec 2023 |
| 30 Oct 2023 | 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 | 8 Dec 2023 |
| 30 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 8 Dec 2023 |
| 30 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Feb 2026 | Fine | $16,350 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Hawaii average. Turnover: nursing staff 62.3%, RNs 45.5%; 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 | 10.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.3% | 1.2% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.1% | 20.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.8% | 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 Snf Llc. Chain: Ohana Pacific Management Co. (6 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ohana Pacific Management Company Inc | Direct ownership interest | NOT APPLICABLE | 01/01/2020 |
| First Hawaiian Bank | 5% or greater mortgage interest | NOT APPLICABLE | 12/27/2019 |
| Ohana Pacific Management Company Inc | Operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| Ohana Pacific Management Company Inc | Adp of the snf | NOT APPLICABLE | 01/01/2020 |
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 |
| Hale Anuenue Restorative Care | Hilo | 120 | 4 | 2 | 5 | 28 | 23.3 | — | 2 Feb 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 |
All 7 facilities in Hawaii County
Questions and answers
How many deficiencies has Legacy Hilo Rehabilitation & Nursing Center been cited for?
34 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Hawaii median is 34 per facility.
Has Legacy Hilo Rehabilitation & Nursing Center been fined?
Yes. CMS lists fines totalling $16K in the period covered.
How does staffing at Legacy Hilo Rehabilitation & Nursing Center compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Hawaii median of 4.6 and a national average of 3.9.
Who operates Legacy Hilo Rehabilitation & Nursing Center?
It is part of the Ohana Pacific Management Co. chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ohana Pacific Management Company Inc and Ohana Pacific Management Company Inc. Individual owners and managers are not listed on this site.
When was Legacy Hilo Rehabilitation & Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 27 Feb 2026; the most recent standard health survey was 27 Feb 2026.
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.