Legacy Hilo Rehabilitation & Nursing Center
563 Kaumana Drive, Hilo, HI 96720 · (808) 498-0184
For profit - Limited Liability company · 100 certified beds
Legacy Hilo Rehabilitation & Nursing Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 10 citations, 1 for actual harm or immediate jeopardy (the Hawaii average is 9.5). It was fined 1 time in the last three years, $10,628 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 27, 2026 found 10 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 27, 2026 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 27, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFebruary 27, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.February 27, 2026 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.February 27, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 27, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 27, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 27, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.February 27, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 27, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 4 citations.
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.February 27, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.July 10, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 10, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.October 30, 2023 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $10,628February 27, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Hawaii average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.72 | 4.97 | 3.86 |
| Registered nurses (RN) | 0.95 | 1.75 | 0.69 |
| Licensed practical nurses (LPN) | 0.59 | 0.34 | 0.86 |
| Nurse aides | 2.18 | 2.88 | 2.32 |
| Total nursing staff turnover | 62.3% | 36.4% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 100 |
| Average residents per day | 88.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Life Care Center of Hilo Hilo · ★★★★★ 5 out of 5 stars
- Hilo Benioff Medical Center Hilo · ★★★★★ 4 out of 5 stars
- Yukio Okutsu State Veterans Home Hilo · ★★★★★ 4 out of 5 stars
- Hale Anuenue Restorative Care Hilo · ★★★★★ 4 out of 5 stars
- Honoka'a Hospital & Skilled Nursing Honokaa · ★★★★★ 5 out of 5 stars
Compare every nursing home in Hilo, HI · Nursing homes in Hawaii
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Data from Medicare (CMS), updated October 2026, from Legacy Hilo Rehabilitation & Nursing Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.