The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
LEGACY HILO REHABILITATION & NURSING CENTER
HILO, HI · Medicare-certified · 100 beds
Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
LEGACY HILO REHABILITATION & NURSING CENTER has a 1-out-of-5 overall rating, with a 1-star health inspection rating, Special Focus Facility candidate status, and $16,350 in fines over the last 24 months. Staffing is 3.72 hours per resident day, below the 4.1 federal benchmark, while staffing and quality measures are each rated 3 stars.
Facility ratings
Health inspections
Staffing
3.7193 hrs/resident/day
Quality measures
Last inspection: February 27, 2026Penalties, last 24 months: $16,350special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7193.
Staffing detail
- Registered nurses
- 0.95
- Licensed practical nurses
- 0.59
- Nurse aides
- 2.18
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 46%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.1%15.9%Worsening
Residents with a fall causing major injury
3.3%0%Improving
Residents with pressure ulcers (bedsores)
2.9%4.8%Worsening
Residents with a urinary tract infection
1.7%0%Improving
Residents who lost too much weight
1.7%3.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
13.2%6.1%Improving
Residents whose ability to walk got worse
—30.1%—
Long-stay residents on antianxiety or sleep medication
5.2%5.6%No change
Short-stay residents newly given an antipsychotic
0.8%0.8%No change
Residents with a long-term catheter
1.3%1.3%No change
Residents with new or worsening incontinence
26.3%7.5%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
96.7%100%Improving
Short-stay residents given the seasonal flu vaccine
—94.8%—
Short-stay residents given the pneumonia vaccine
95.4%91.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: E
Recent history
- PENALTY
A federal fine of $16,350 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,350 in total fines.
- $16,350
Federal fine
Feb 27, 2026
Operator & ownership
Recent ownership change · Dec 31, 2019
Now operated by Hilo Snf LLC, previously Kaumana Drive Partners LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of OHANA PACIFIC MANAGEMENT CO. · 6 homes · 3.3 stars avg
- Occupancy
- 88.6 residents on an average day (89% of 100 beds)
- Resident voice
- Resident & family councils
- 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.