Legacy Hilo Rehabilitation & Nursing Center
563 Kaumana Drive · Hilo, HI · 96720 · 8084980184
100 certified beds For profit - Limited Liability company Chain: Ohana Pacific Management Co.
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.85 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.17 | 0.55–0.75 |
| Weekend hours / resident-day | 3.37 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (34 in the current record)
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Actual harm · G February 27, 2026
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · E February 27, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 9, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · E February 27, 2026
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.
Corrected May 9, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 24, 2026 · Quality of Life and Care
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Potential for harm · D February 27, 2026
Ensure that residents are free from significant medication errors.
Corrected March 24, 2026 · Pharmacy Service
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Potential for harm · D February 27, 2026
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.
Corrected March 24, 2026 · Pharmacy Service
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Potential for harm · F February 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 24, 2026 · Nutrition and Dietary
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Potential for harm · D February 27, 2026 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected March 24, 2026 · Resident Rights
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Potential for harm · D October 25, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · D October 25, 2024
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.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · F October 25, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 15, 2024 · Resident Rights
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Potential for harm · D October 25, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 25, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D October 25, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · D October 25, 2024
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.
Corrected November 15, 2024 · Pharmacy Service
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Potential for harm · D October 25, 2024
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
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Potential for harm · D July 10, 2024 · found via complaint
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.
Corrected August 9, 2024 · Nursing and Physician Services
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Potential for harm · D July 10, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 9, 2024 · Pharmacy Service
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Potential for harm · D October 30, 2023
Reasonably accommodate the needs and preferences of each resident.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · D October 30, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · D October 30, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · D October 30, 2023
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.
Corrected December 8, 2023 · Resident Rights
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Potential for harm · D October 30, 2023
Ensure each resident receives an accurate assessment.
Corrected December 8, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125065 · certified since January 20, 2016. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.