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Best Nursing Homes in Hilo, HI

Why trust this guide? Our editorial team analyzed 6 nursing homes in Hilo, HI using Centers for Medicare & Medicaid Services (CMS) data, inspection records, complaints, amenities, and facility-level details. How we rank nursing homes in HI
Reviewed by
Last updated
Feb 2026
We analyzed
6 homes
Other senior care options in Hilo:
Avg Overall CMS Rating: 3.7/ 5The average Overall CMS Rating for all CMS-certified nursing homes in Hilo, HI. Ratings combine health inspections, staffing, and quality measures, with inspections weighted most. Individual facilities can vary widely from this average.
National Average: 3.2/ 5
Avg Staffing Rating: 4.2/ 5The average Staffing Rating across all CMS-certified nursing homes in Hilo, HI. Reflects nursing staff hours per resident per day (including RNs), adjusted for residents' care needs. Individual facilities can vary widely from this average.
National Average: 3.4/ 5
Avg Health Insp. Rating: 2.8/ 5The average Health Inspection Rating across all CMS-certified nursing homes in Hilo, HI. Based on each facility's recent inspections and complaint investigations, weighing the number, scope, and severity of deficiencies. Individual facilities can vary widely from this average.
National Average: 3.0/ 5

Compare Nursing Homes around Hilo

The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

6 facilities compared · CMS & HI Dept. of Health data

Hale Anuenue Restorative Care
NH
Hilo
120
Facility 120
HI AVG 43
Rank #9 / 87
68.7%
Facility 68.7%
HI AVG 74.2%
Rank #21 / 28
-7%
3.78
Facility 3.78
HI AVG 4.20
Rank #22 / 33
-27%-10%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
31
Facility 31
HI AVG 35.5
Rank #16 / 34
6.2
Facility 6.2
HI AVG 8.2
Rank #11 / 34
295-
7
Facility 7
HI AVG 49
Rank #166 / 178
Gail Kahookele
$13.7M
Facility $13.7M
HI AVG $20.8M
Rank #16 / 29
$7.3M
Facility $7.3M
HI AVG $7.1M
Rank #15 / 29
53.6%
Facility 53.6%
HI AVG 38.9%
Rank #14 / 29
125045
Hale Nā Koa ‘O Hanakahi
NH
IL
Hilo
66
Facility 66
HI AVG 43
Rank #22 / 87
--
5.51
Facility 5.51
HI AVG 4.20
Rank #2 / 33
+13%+31%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
15
Facility 15
HI AVG 35.5
Rank #2 / 34
3.8
Facility 3.8
HI AVG 8.2
Rank #2 / 34
158-
48
Facility 48
HI AVG 49
Rank #90 / 178
----125032
Yukio Okutsu State Veterans Home
NH
HC
RC
Hilo (Piʻihonua)
95
Facility 95
HI AVG 43
Rank #16 / 87
62.4%
Facility 62.4%
HI AVG 74.2%
Rank #23 / 28
-16%
4.67
Facility 4.67
HI AVG 4.20
Rank #11 / 33
-24%+11%
$13.0k
Facility $13.0k
HI AVG $43.4k
Rank #24 / 34
39
Facility 39
HI AVG 35.5
Rank #21 / 34
13.0
Facility 13.0
HI AVG 8.2
Rank #33 / 34
365-
9
Facility 9
HI AVG 49
Rank #158 / 178
East Hawaii State Veterans Home
$12.5M
Facility $12.5M
HI AVG $20.8M
Rank #20 / 29
$7.7M
Facility $7.7M
HI AVG $7.1M
Rank #17 / 29
61.4%
Facility 61.4%
HI AVG 38.9%
Rank #8 / 29
125058
Life Care Center of Hilo
NH
NC
Hilo
252
Facility 252
HI AVG 43
Rank #1 / 87
81.7%
Facility 81.7%
HI AVG 74.2%
Rank #13 / 28
+10%
3.38
Facility 3.38
HI AVG 4.20
Rank #29 / 33
-16%-20%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
40
Facility 40
HI AVG 35.5
Rank #23 / 34
8.0
Facility 8.0
HI AVG 8.2
Rank #23 / 34
-224-
11
Facility 11
HI AVG 49
Rank #153 / 178
Lemapu Lemanua
$29.4M
Facility $29.4M
HI AVG $20.8M
Rank #4 / 29
$15.7M
Facility $15.7M
HI AVG $7.1M
Rank #3 / 29
53.5%
Facility 53.5%
HI AVG 38.9%
Rank #22 / 29
125040
Legacy Hilo Rehabilitation & Nursing Center
NH
ADC
MC
NC
Hilo (Kaumana)
100
Facility 100
HI AVG 43
Rank #13 / 87
77.8%
Facility 77.8%
HI AVG 74.2%
Rank #16 / 28
+5%
3.29
Facility 3.29
HI AVG 4.20
Rank #30 / 33
-24%-22%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
27
Facility 27
HI AVG 35.5
Rank #15 / 34
6.8
Facility 6.8
HI AVG 8.2
Rank #13 / 34
-80A+
7
Facility 7
HI AVG 49
Rank #166 / 178
Jennifer Pearce
$13.3M
Facility $13.3M
HI AVG $20.8M
Rank #15 / 29
$6.1M
Facility $6.1M
HI AVG $7.1M
Rank #23 / 29
46.1%
Facility 46.1%
HI AVG 38.9%
Rank #25 / 29
125065
Hilo Medical Center
NH
AL
Hilo (Waianuenue Avenue)
52
Facility 52
HI AVG 43
Rank #23 / 87
--
4.84
Facility 4.84
HI AVG 4.20
Rank #9 / 33
+10%+15%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 34
23
Facility 23
HI AVG 35.5
Rank #9 / 34
7.7
Facility 7.7
HI AVG 8.2
Rank #21 / 34
155-
7
Facility 7
HI AVG 49
Rank #166 / 178
----125002

Hale Anuenue Restorative Care

Kaumana Springs Wilderness, 1333 Waianuenue Ave, Hilo, HI 96720
Overview of 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.

Contact Hale Anuenue Restorative Care

Overview of Hale Nā Koa ‘o Hanakahi

Hale Na Koa ‘O Hanakahi is an idyllic haven nestled near Lokahi Park and Botanical Garden at the University of Hawaii – Hilo on West Kawili Street, Hilo, HI, that offers independent living. Residents, especially those 62+, experience the best of their golden years with the community’s beautifully furnished and cozy one-bedroom floor plans, designed for better comfort and safety. The community promotes a warm and friendly environment, ensuring residents feel at ease during their stay.

Residents can spend their days as they please with the community’s ideal location near recreation sites and delightful amenities, making it easier to access their needs and wants. The community accommodates those with incomes ranging from 30% to 80% of the median income, maintaining their independence without financial constraints. Amenities include a lounge, a coffee bar, a multi-purpose room, and an exercise room, creating the perfect setting for a blissful retirement.

Contact Hale Nā Koa ‘O Hanakahi

Overview of Yukio Okutsu State Veterans Home

Conveniently located near Hilo Benioff Medical Center and Wailuku River State Park in Hilo, HI, Yukio Okutsu State Veterans Home is a distinct community that offers veterans care. Featuring different levels of care, including skilled nursing, respite, and hospice care, the community strives to meet Veterans’ unique needs. Here, residents also enjoy a maintenance-free lifestyle with a kind and highly skilled team helping with their daily living activities and household chores 24/7.

Activities are carefully curated according to residents’ interests and strengths to maximize enjoyment and wellness. With delicious and well-balanced dining options, residents can rest assured of having the finest dining experience that satisfy their dietary needs and preferences. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. Veterans ease their worries and receive the utmost care they deserve amidst the community’s friendly setting and welcoming spaces.

Contact Yukio Okutsu State Veterans Home

Overview of Life Care Center of Hilo

Age with dignity with at Life Care Center of Hilo, an exceptional community situated near Ahualani Park and Ainaola Park in Hilo, HI, that offers rehabilitation and skilled nursing. Residents receive the highest quality of care tailored to their unique needs from a compassionate and well-trained team available around the clock. Purposely designed and spacious accommodations are available in a warm and nurtuiring environment, ensuring residents feel at ease during their stay.

Residents are encouraged to live actively with a robust calendar of fun recreational activities and engaging programs, highlighting their interests and strengths. Delicious and well-balanced meals are served for residents to enjoy a satisfactory dining experience that cater to their dietary needs and preferences. The community is ideal for those seeking exceptional care to recover quickly and live up to their potential.

Contact Life Care Center of Hilo

Overview of Legacy Hilo Rehabilitation & Nursing Center

Live comfortably in your golden years with Legacy Hilo Rehabilitation & Nursing Center, a dependable community located in the peaceful neighborhood along Kaumana Drive, Hilo, HI, that offers rehabilitation and skilled nursing. This 100-bed community strives to provide the highest quality of care tailored to residents’ special needs 24/7 to optimize comfort and independence. Residents keep their peace of mind within the community specially crafted and sophisticated accommodations in a cozy and nurturing environment.

Fun recreational activities and stimulating programs are also conducted, promoting an active lifestyle. Healthy meals are important for residents’ well-being, so delicious and well-balanced dining options are served to satisfy dietary needs and preferences. The community’s wide range of care options and state-of-the-art amenities create the perfect setting for a quick recovery and blissful retirement.

Contact Legacy Hilo Rehabilitation & Nursing Center

Overview of Hilo Medical Center

Hilo Medical Center is a trusted community located near Wailuku River State Park in Hilo, HI, offering medical and rehabilitation services. Residents do not have to worry about their unique needs with a compassionate and highly trained team providing exceptional care around the clock. The community also promotes a warm and nurturing environment for residents to feel at ease and recover quickly.

Therapy services, including physical, occupational, and speech therapy are provided to enhance residents’ living experiences. The community also collaborates with top-rated organizations like East Hawaii Health for those who need behavioral health care. Residents here have the finest retirement experience with the community’s extensive amenities and wide range of care.

Contact Hilo Medical Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

  • CMS data
  • 5 weighted categories
  • Updated quarterly
Full methodology

Weighting overview

  • 35%
    Care Quality
  • 20%
    Staffing
  • 20%
    Regulatory
  • 20%
    Operational
  • 5%
    Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

  • Includes
  • Overall Rating
  • Health Inspection
  • QM Rating
  • Long-Stay QM
  • Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

  • Includes
  • Nurse Hrs/Res/Day
  • RN vs State
  • Total Nurse Staff Hrs vs State
  • RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

  • Includes
  • Citations
  • Citations/Inspection
  • Severe Citations
  • Fines
  • Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

  • Includes
  • Occupancy vs State
  • Avg Length of Stay
  • Revenue
  • Payroll %
  • Years in Operation
  • Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

  • Includes
  • Walk Score
  • BBB Rating
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Frequently Asked Questions about Nursing Homes in Hilo, HI

What's the difference between assisted living and a nursing home in Hawaii?

Assisted living in Hawaii is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Hawaii Medicaid cover nursing home care?

Yes — Hawaii Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 6 nursing homes in Hilo, HI. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Hilo, HI?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Hilo, HI, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Hilo, HI?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.