Legacy Hilo Rehabilitation & Nursing Center
Nursing Home · Hilo, HI
CMS certification number125065
Contact & location
563 Kaumana DriveHilo, HI 96720
Hawaii County
- Phone
- (808) 498-0184
- ZIP code
- 96720 – all care providers
Facility details
- Certified beds
- 100
- Residents per day
- 88.6 (89% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Hilo SNF LLC
- Chain
- Ohana Pacific Management Co. (6 facilities, avg 3.3★)
- Medicare certified since
- January 20, 2016
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.72 (state 4.97 · U.S. 3.86)
- Registered nurses (RN)
- 0.95 (state 1.75 · U.S. 0.69)
- Licensed practical nurses
- 0.59 (state 0.34 · U.S. 0.86)
- Nurse aides
- 2.18 (state 2.88 · U.S. 2.32)
- Weekend total
- 3.20 (state 4.41 · U.S. 3.42)
- Nursing staff turnover
- 62.3 (state 36.4 · U.S. 45.8)%
- RN turnover
- 45.5 (state 31.5 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- February 27, 2026
- Health deficiencies (last cycle)
- 10.0 (state 10.0 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 34 health · 5 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-02-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2026-03-24 |
| 2026-02-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-03-24 |
| 2026-02-27 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-09 |
| 2026-02-27 | 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. F0688 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-09 |
| 2026-02-27 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. F0627 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-24 |
| 2026-02-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-24 |
| 2026-02-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-24 |
| 2026-02-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-24 |
| 2026-02-27 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-24 |
| 2026-02-27 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-24 |
| 2024-10-25 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-25 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-25 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-25 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-25 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-25 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-10-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-15 |
| 2024-07-10 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2024-07-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-09 |
| 2023-10-30 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | 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. F0625 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
| 2023-10-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $16,350 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-02-27 | Fine | $16,350 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| First Hawaiian Bank (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Hata, Randall (individual) | Administrator · NOT APPLICABLE | |
| Kishaba, Richard (individual) | Administrator · NOT APPLICABLE | |
| Lore, Andrew (individual) | Administrator · NOT APPLICABLE | |
| McClennon, Pamela (individual) | Administrator · NOT APPLICABLE | |
| Morikuni, Suanne (individual) | Administrator · NOT APPLICABLE | |
| Ohana Pacific Management Company INC (organization) | Administrator · NOT APPLICABLE | |
| Pitcher, Kerry (individual) | Administrator · NOT APPLICABLE | |
| Richard S. Kishaba 2010 Dynasty Trust (organization) | Administrator · NOT APPLICABLE | |
| Smith, Toby (individual) | Administrator · NOT APPLICABLE | |
| Kishaba, Richard (individual) | Corporate Officer · NOT APPLICABLE | |
| Ohana Pacific Management Company INC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Kishaba, Richard (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Richard S. Kishaba 2010 Dynasty Trust (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Kishaba, Sandra (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Hata, Randall (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kishaba, Richard (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Lore, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McClennon, Pamela (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Morikuni, Suanne (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ohana Pacific Management Company INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Pitcher, Kerry (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Legacy Hilo Rehabilitation & Nursing Center?
Legacy Hilo Rehabilitation & Nursing Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.6-star average in Hawaii.
How many beds does Legacy Hilo Rehabilitation & Nursing Center have?
It has 100 certified beds and cares for about 89 residents per day.
Has Legacy Hilo Rehabilitation & Nursing Center been fined?
Yes. CMS lists 1 penalty totaling $16,350 in the last three years.
Who owns Legacy Hilo Rehabilitation & Nursing Center?
It is part of Ohana Pacific Management Co. and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Legacy Hilo Rehabilitation & Nursing Center?
(808) 498-0184. The facility is located at 563 Kaumana Drive, Hilo, HI 96720.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.