Federal inspection record · CMS data as of October 1, 2026
Legacy Hilo Rehabilitation & Nursing Center
563 Kaumana Drive, Hilo, HI · (808) 498-0184
- Certified beds
- 100
- Residents per day
- 83
- Ownership
- For-Profit
- Chain
- Ohana Pacific Management Co.
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 20, 2016
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Hawaii.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Hawaii homes
Legacy Hilo Rehabilitation & Nursing Center carries 99.5 inspection points. That is fewer than 12% of Hawaii's 41 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Hawaii: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–20 pts
- 4★ 20–48 pts
- 3★ 48–69 pts
- 2★ 69–86 pts
- 1★ over 86 pts
Bars show every rated home in Hawaii by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Rights8F
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- F
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
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
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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 Assessment and Care Planning7E
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care6E
- E
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service6D
- D
Ensure that residents are free from significant medication errors.
- D
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
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.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2026-02-27
10 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-10-25
8 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-10-30
16 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 8 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 8 min
Hawaii average
5 h
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 53% of nursing staff and 45% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$10,628 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-27 | Fine | $10,628 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.4 | 1.1 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts worse | 2.0 | 0.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts better | 99.1% | 96.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.1 pts better | 96.7% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 0.4% | 2.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.3 pts better | 0.0% | 1.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.8 pts better | 4.5% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better | 5.4% | 9.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.2 pts better | 11.2% | 12.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.1 pts worse | 27.2% | 18.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts better | 9.4% | 16.9% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts better | 0.5% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 2.2% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts better | 15.5% | 17.1% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.2 pts worse | 3.7% | 3.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.2 pts better | 93.3% | 83.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.3 pts worse | 13.9% | 11.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts better | 0.6% | 1.5% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.8 pts worse | 79.9% | 84.7% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.6 pts worse | 25.4% | 18.8% | 23.4% |
·
Who owns and runs it
22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| First Hawaiian Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Hata, Randall | Operational/Managerial Control · Individual | 0% | 6 facilities |
| Hata, Randall | Adp Of The SNF · Individual | 0% | 6 facilities |
| Kishaba, Richard | Indirect Ownership Interest · Individual | 0% | 9 facilities |
| Kishaba, Richard | Corporate Officer · Individual | 0% | 9 facilities |
| Kishaba, Richard | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Kishaba, Richard | Adp Of The SNF · Individual | 0% | 9 facilities |
| Kishaba, Sandra | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 6 facilities |
| Lore, Andrew | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Lore, Andrew | Adp Of The SNF · Individual | 0% | 8 facilities |
| Mcclennon, Pamela | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Mcclennon, Pamela | Adp Of The SNF · Individual | 0% | 8 facilities |
| Morikuni, Suanne | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Morikuni, Suanne | Adp Of The SNF · Individual | 0% | 8 facilities |
| Ohana Pacific Management Company Inc | Direct Ownership Interest · Organization | 0% | 8 facilities |
| Ohana Pacific Management Company Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Ohana Pacific Management Company Inc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Pitcher, Kerry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pitcher, Kerry | Adp Of The SNF · Individual | 0% | 1 facilities |
| Richard S. Kishaba 2010 Dynasty Trust | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Richard S. Kishaba 2010 Dynasty Trust | Adp Of The SNF · Organization | 0% | 3 facilities |
| Smith, Toby | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
·
Other homes nearby
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Hale Anuenue Restorative Care
Hilo, HI · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 38 min
- Fines
- $0
-
Hilo Benioff Medical Center
Hilo, HI · Hawaii Health Systems Corporation
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 30 min
- Fines
- $0
-
Yukio Okutsu State Veterans Home
Hilo, HI · Hawaii Health Systems Corporation
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 40 min
- Fines
- $13,049