LEGACY HILO REHABILITATION & NURSING CENTER has a 3-star overall rating, with 3-star health inspection and staffing ratings and 4-star quality measures. Reported staffing is 3.85 hours per resident per day, below the 4.1 federal benchmark, with $0 in fines in the last 24 months and recent inspection citations related to transfer/discharge notice, care planning, and food handling.
Last inspection: February 27, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8499.
Staffing detail
Registered nurses
1.17
Licensed practical nurses
0.46
Nurse aides
2.22
Weekend nursing
3.37
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 54%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.9%Worsening
Residents with a fall causing major injury
2.1%Improving
Residents with pressure ulcers (bedsores)
4.2%Steady
Residents with a urinary tract infection
2.9%Improving
Residents who lost too much weight
3.5%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
10.8%Improving
Residents whose ability to walk got worse
29.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
4.7%Worsening
Short-stay residents newly given an antipsychotic
0.4%Steady
Residents with a long-term catheter
0.9%Improving
Residents with new or worsening incontinence
21.1%Improving
Residents with depressive symptoms
0.4%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
98.8%Steady
Short-stay residents given the seasonal flu vaccine
94.8%Steady
Short-stay residents given the pneumonia vaccine
94.1%Improving
What the inspectors found
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited October 2023 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2023 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited September 2022 — limited pattern, potential for harm.
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F-Tag 607 — 42 CFR §483.12 — S/S: E
The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited February 2026 — isolated incident, potential for harm.
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F-Tag 627 — 42 CFR §483.15(c) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 8 health deficiencies.
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INSPECTION
Health inspection found 2 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of OHANA PACIFIC MANAGEMENT CO. · 6 homes · 3.3 stars avg
Occupancy
79.8 residents on an average day (80% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 10 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.