nursing home in Hilo, HI
Legacy Hilo Rehabilitation & Nursing Center
563 Kaumana Drive, Hilo, HI 96720 · (808) 498-0184
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legacy Hilo Rehabilitation & Nursing Center at a glance
Legacy Hilo Rehabilitation & Nursing Center is a 100-bed for-profit nursing home in Hilo, Hawaii (Hawaii County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Hawaii average of 3.7.
Residents receive about 3.7 hours of nursing care per day (0.9 of them from registered nurses), worse than the state average of 5 hours.
Its most recent standard health inspection (February 27, 2026) found 10 health citations. The Hawaii average is 9.2.
Federal regulators fined it 1 time in the past three years, totaling $10,628.
Nursing staff turnover is 62.3% per year (state average 36.4%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ohana Pacific Management Co.
- Medicare-certified since
- January 20, 2016
- Resident/family council
- Both
- County
- Hawaii County
- CMS Certification Number
- 125065
Ratings
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 3 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 4.4 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 4.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.3 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 4.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.72 hrs | 4.97 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.95 hrs | 1.75 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.18 hrs | 2.88 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.20 hrs | 4.41 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.3% | 36.4% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 45.5% | 31.5% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 1 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 99.5 | 67.9 | 80.6 | Worse |
Penalties
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $10,628 | $19,339 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 101 | 107 | |
| Average residents per day | 89 | 82 | 86 | |
| Occupancy | 88.6% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.3% | 1.9% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 8.8% | 11.9% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 1% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 10.5% | 16.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 30.1% | 20.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.1% | 4.9% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 1.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 5.3% | 9.1% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 17.5% | 17.6% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.4% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.7% | 96.1% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Hawaii avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.6% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.8% | 84.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 93.9% | 82.7% | 82% | Better |
Inspection citations
State inspectors cited this home for 34 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 27, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 20, 2026 |
| February 27, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 20, 2026 |
| February 27, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 20, 2026 |
| February 27, 2026 Fire safety | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Tag K0362 | D Potential harm, isolated | Corrected July 20, 2026 |
| February 27, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected July 20, 2026 |
| February 27, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 24, 2026 |
| February 27, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 24, 2026 |
| February 27, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | E Potential harm, pattern | Corrected May 9, 2026 |
| February 27, 2026 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected May 9, 2026 |
| February 27, 2026 Complaint | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Tag F0627 | D Potential harm, isolated | Corrected March 24, 2026 |
| February 27, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 24, 2026 |
| February 27, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 24, 2026 |
| February 27, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 24, 2026 |
| February 27, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 24, 2026 |
| February 27, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 24, 2026 |
| October 25, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | F Potential harm, widespread | Corrected November 15, 2024 |
| October 25, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 25, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 25, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 25, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 25, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 25, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 15, 2024 |
| October 25, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected November 15, 2024 |
| July 10, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected August 9, 2024 |
| July 10, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 9, 2024 |
| October 30, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected December 8, 2023 |
| October 30, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 8, 2023 |
| October 30, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected December 8, 2023 |
| October 30, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected December 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $10,628 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 27, 2026 | Fine | $10,628 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FIRST HAWAIIAN BANK Organization | 5% or greater mortgage interest | NOT APPLICABLE | 12/27/2019 |
| HATA, RANDALL Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| KISHABA, RICHARD Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| LORE, ANDREW Individual | adp of the snf | NOT APPLICABLE | 02/01/2022 |
| MCCLENNON, PAMELA Individual | adp of the snf | NOT APPLICABLE | 04/01/2025 |
| MORIKUNI, SUANNE Individual | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| OHANA PACIFIC MANAGEMENT COMPANY INC Organization | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| PITCHER, KERRY Individual | adp of the snf | NOT APPLICABLE | 04/03/2023 |
| RICHARD S. KISHABA 2010 DYNASTY TRUST Organization | adp of the snf | NOT APPLICABLE | 01/01/2020 |
| SMITH, TOBY Individual | adp of the snf | NOT APPLICABLE | 11/01/2023 |
| KISHABA, RICHARD Individual | corporate officer | NOT APPLICABLE | 09/04/2019 |
| OHANA PACIFIC MANAGEMENT COMPANY INC Organization | direct ownership interest | NOT APPLICABLE | 01/01/2020 |
| KISHABA, RICHARD Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2020 |
| RICHARD S. KISHABA 2010 DYNASTY TRUST Organization | indirect ownership interest | NOT APPLICABLE | 07/30/2010 |
| KISHABA, SANDRA Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/12/2025 |
| HATA, RANDALL Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| KISHABA, RICHARD Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| LORE, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 02/01/2022 |
| MCCLENNON, PAMELA Individual | operational/managerial control | NOT APPLICABLE | 04/01/2025 |
| MORIKUNI, SUANNE Individual | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| OHANA PACIFIC MANAGEMENT COMPANY INC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2020 |
| PITCHER, KERRY Individual | operational/managerial control | NOT APPLICABLE | 04/03/2023 |
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Frequently asked questions
What is Legacy Hilo Rehabilitation & Nursing Center's rating?
Legacy Hilo Rehabilitation & Nursing Center has 1 out of 5 stars on the CMS overall star rating. The average for Hawaii nursing homes is 3.7 stars.
How many inspection citations did Legacy Hilo Rehabilitation & Nursing Center receive?
Its most recent standard health inspection found 10 citations, compared with a Hawaii average of 9.2. Every citation is listed on this page with its severity.
Does Legacy Hilo Rehabilitation & Nursing Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legacy Hilo Rehabilitation & Nursing Center?
It is for profit - limited liability company and part of Ohana Pacific Management Co.. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legacy Hilo Rehabilitation & Nursing Center and how do I contact it?
Legacy Hilo Rehabilitation & Nursing Center is at 563 Kaumana Drive, Hilo, HI 96720. Phone: (808) 498-0184.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.