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Nursing home report

LEGACY HILO REHABILITATION & NURSING CENTER

HILO, HI · Medicare-certified · 100 beds

In good standing
For-profitChain member
3 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.8499 hrs/resident/day

Quality measures

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

F-Tag 627 — 42 CFR §483.15(c) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

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.