Total health inspections
5
Hawaii average 4.4
Last Health inspection on Feb 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Hilo
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Hale Anuenue Restorative Care
Nursing Home in Hilo
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Hale Anuenue Restorative Care
Experience a better quality of life with Hale Anuenue Restorative Care, an putstanding community surrounded by delightful local amenities in Waianuenue Avenue, HIlo, HI, that offers skilled nursing and rehabilitation. Dedicated to improving residents’ well-being, a kind and highly qualified team provides exceptional care around the clock to optimize comfort and safety. As a member of Life Care Centers of America, the community promotes a cozy and nurturing environment so residents can thrive and live up to their potential.
Aside from their healthcare needs, the community strives to satisfy residents’ leisure and wellness with engaging recreational activities and enriching programs. Residents enjoy fine dining experience with delightful and healthy meals that satisfy their dietary needs and preferences. With its beautifully maintained grounds and purposely crafted amenities, residents make the most of their best years without worries.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
120
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
68.7%
Residents per day (avg)
92
Occupancy rate
68.7%
Residents per day (avg)
92
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
43% of new residents, usually for short-term rehab.
Typical stay
1 months
Private pay
41% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$17.5M
Profit
$83.1K
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$17.5M
Profit
$83.1K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$17.4M
What does this home offer?
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Dining Services
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
Types of Care at Hale Anuenue Restorative Care
Nursing Home
Health Inspection History
Inspections
Total health citations
31
Hawaii average 35.5
Citations per inspection
6.2
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
23 of 31 citations resulted from standard inspections; 6 of 31 resulted from complaint investigations; and 2 of 31 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Hawaii averageHawaii average: 0.1
Serious Health citations
2
2
100% worse than Hawaii averageHawaii average: 1
0 critical citations
2 serious citations
28 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 02, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 02, 2024
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Feb 02, 2024
Issues related to the availability and quality of nursing staff and the care they provide.
Feb 02, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 02, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 02, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 02, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 02, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Hilo The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
Filter by care type
Yukio Okutsu State Veterans Home
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Hilo
95
62.4%
-16%
4.67
+11%
1
39
13.0
3
64
9
East Hawaii State Veterans Home
$12.4M
$5.9M
47.1%
125058
Private / Semi-Private Rooms
Hale Anuenue Restorative Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Hilo
120
68.7%
-7%
3.78
-10%
0
31
6.2
2
92
7
Kahookele, Gail
$17.5M
$5.7M
32.6%
125045
Private / Semi-Private Rooms
Life Care Center of Hilo
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Hilo
252
81.7%
+10%
3.38
-20%
0
40
8.0
0
222
11
Lemanua, Lemapu
$41.3M
$12.1M
29.3%
125040
Private / Semi-Private Rooms
Places of interest near Hale Anuenue Restorative Care
2.3 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
106
Employees
103
Contractors
3
Staff to resident ratio
1.16:1
29% worse than Hawaii averageHawaii average ratio: 1.64:1
Avg staff/day
55
Average shift
7.7 hours
0% compared with Hawaii averageHawaii average: 7.8 hours
Total staff hours (quarter)
38,384
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.2%
83 contractor hours this quarter
Qualified Social Worker: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 49 | 0 | 49 | 17,303 | 91 | 100% | 7.2 |
| Registered Nurse | 17 | 0 | 17 | 5,910 | 91 | 100% | 8.4 |
| Licensed Practical Nurse | 7 | 0 | 7 | 4,309 | 91 | 100% | 8.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,904 | 66 | 73% | 8.3 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,860 | 91 | 100% | 7.5 |
| Speech Language Pathologist | 3 | 0 | 3 | 1,106 | 82 | 90% | 7.9 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,100 | 87 | 96% | 8.7 |
| Physical Therapy Assistant | 4 | 0 | 4 | 683 | 61 | 67% | 6.8 |
| Nurse Aide in Training | 2 | 0 | 2 | 530 | 53 | 58% | 7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 476 | 60 | 66% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 471 | 61 | 67% | 7.7 |
| Mental Health Service Worker | 1 | 0 | 1 | 469 | 59 | 65% | 8 |
| Other Social Services Staff | 1 | 0 | 1 | 464 | 58 | 64% | 8 |
| Physical Therapy Aide | 3 | 0 | 3 | 442 | 65 | 71% | 6.5 |
| Qualified Social Worker | 1 | 1 | 2 | 326 | 48 | 53% | 6.5 |
| Medical Director | 0 | 1 | 1 | 29 | 3 | 3% | 9.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 2 | 2% | 5.5 |
49 Certified Nursing Assistant
% of Days
100%
17 Registered Nurse
% of Days
100%
7 Licensed Practical Nurse
% of Days
100%
4 Clinical Nurse Specialist
% of Days
73%
4 Other Dietary Services Staff
% of Days
100%
3 Speech Language Pathologist
% of Days
90%
3 Respiratory Therapy Technician
% of Days
96%
4 Physical Therapy Assistant
% of Days
67%
2 Nurse Aide in Training
% of Days
58%
1 Administrator
% of Days
71%
1 Occupational Therapy Aide
% of Days
66%
1 Nurse Practitioner
% of Days
65%
1 Dental Services Staff
% of Days
67%
1 Mental Health Service Worker
% of Days
65%
1 Other Social Services Staff
% of Days
64%
3 Physical Therapy Aide
% of Days
71%
2 Qualified Social Worker
% of Days
53%
1 Medical Director
% of Days
3%
1 Occupational Therapy Assistant
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
91 residents
Residents by payment source
Medicare
17 residents (18.7%)
Medicaid
58 residents (63.7%)
Private pay or other
16 residents (17.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
33% better than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.0
20% better than Hawaii averageHawaii average: 20.0
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
31% better than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.3%
Percent of long-stay residents whose ability to move independently worsened
17.3%
33% better than Hawaii averageHawaii average: 25.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.6%
In line with Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
19% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.4%
Percent of long-stay high risk residents with pressure ulcers
1.4%
60% better than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.5%
Percent of long-stay residents who lose too much weight
1.5%
69% better than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.8%
Percent of long-stay residents who have depressive symptoms
1.8%
21% worse than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
2.1%
Percent of long-stay residents who received an antipsychotic medication
2.1%
80% better than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Hawaii averageHawaii average: 95.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.10
Number of hospitalizations per 1,000 long-stay resident days.
1.10
18% better than Hawaii averageHawaii average: 1.34
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.46
48% better than Hawaii averageHawaii average: 0.89
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
9% better than Hawaii averageHawaii average: 83.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
20% better than Hawaii averageHawaii average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.1%
9% better than Hawaii averageHawaii average: 84.7%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.7%
45% better than Hawaii averageHawaii average: 19.6%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
32% worse than Hawaii averageHawaii average: 10.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Hawaii averageHawaii average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
95.1%
Percentage of residents at or above expected ability to care for themselves at discharge.
95.1%
77% better than Hawaii averageHawaii average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
66.3%
Rate of successful return to home or community from a skilled nursing facility.
66.3%
31% better than Hawaii averageHawaii average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Hale Anuenue Restorative Care based on CMS SNF Cost Reports.
Occupancy Rate
68.7%
↓ 8.5pp vs 2023
Net Income
$83.1K
↓ ~$2.3M vs 2023
Total Payroll
$8.2M
↑ ~$430.1K vs 2023
Profit Margin
0.5%
↓ 12.1pp vs 2023
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