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Hale Anuenue Restorative Care
Nursing Home & Skilled Nursing · Hilo, HI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Exterior view of Hale Anuenue Restorative Care entrance Exterior sign of Hale Anuenue Restorative Care Center Cozy resident room with two beds and personal decor Outdoor garden area with a pond and tropical plants Interior rehabilitation area with equipment and bars A well-decorated resident room with floral bedding Dining area with tables and chairs in natural light Hair salon area in a senior living facility

Hale Anuenue Restorative Care

Nursing Home & Skilled Nursing · Hilo, HI
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Kaumana Springs Wilderness, 1333 Waianuenue Ave, Hilo, HI 96720 View map Calculator: See prices in your area
Hale Anuenue Restorative Care accepts Medicare, Medicaid, and private pay.
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Hale Anuenue Restorative Care accepts Medicare, Medicaid, and private pay.

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.

Facility Direct Line (808) 961-6644
Facility Direct Line (808) 961-6644

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 16.3% Above HI avg. ▲ 16.3% Above HI avg.HI average: 3.4Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 30.5% Below HI avg. ▼ 30.5% Below HI avg.HI average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 25.0% Above HI avg. ▲ 25.0% Above HI avg.HI average: 4.0Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 18.5% Above HI avg. ▲ 18.5% Above HI avg.HI average: 4.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Hawaii averages

Rank #22 / 26Nurse hours — State benchmarkedThis home is ranked 22nd out of 26 homes we track in Hawaii for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 26 Hawaii facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 22nd out of 26 homes we track in Hawaii for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.

3h 47m

10% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 14m
−25% State avg: 1h 38m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
35m
+64% State avg: 21m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
1h 59m
−27% State avg: 2h 44m per day · National avg: 2h 21m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
3h 23m
−19% State avg: 4h 11m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
11m
+117% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
51m
−31% State avg: 1h 14m per day · National avg: 29m per day

4 of 6 metrics below state avg

Standout metric: Physical Therapist is +117% above Hawaii average

By The Numbers

Community insights.

Bed count Info A larger shared setting that may offer more common spaces and organized community services. 120 Rank #9 / 84Bed count — State benchmarkedThis home is ranked 9th out of 84 homes we track in Hawaii for bed count. Shows this facility's certified or reported bed count compared to other Hawaii facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #165 / 174Walk Score — State benchmarkedThis home is ranked 165th out of 174 homes we track in Hawaii for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Hawaii facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
7 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #17 / 23Occupancy rate — State benchmarkedThis home is ranked 17th out of 23 homes we track in Hawaii for occupancy. Shows this facility's occupancy rate versus the Hawaii average, with its Statewide rank out of 23. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
79% This home usually has availability
Lower occupancy than the Hawaii average: 83.7%
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
94
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
101 days

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CMS Health Inspection History

Inspections Since 2021 · 5 years of data
Total health inspections 5

Hawaii average 4.4

Last Health inspection on Feb 2024

Total health citations
31 Rank #10 / 26Health citations — State benchmarkedThis home is ranked 10th out of 26 homes we track in Hawaii for health citations. Shows this facility's total health deficiency citations benchmarked to the Hawaii State average, with a ranking across all 26 HI facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Hawaii average 35.5

Citations per inspection
6.2 Rank #5 / 26Citations per inspection — State benchmarkedThis home is ranked 5th out of 26 homes we track in Hawaii for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Hawaii mean across 26 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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 5 years)
Critical health citations
0
100% better than Hawaii average

Hawaii average: 0.1

Serious health citations
2
100% worse than Hawaii average

Hawaii average: 1

0 critical citations Hawaii average: 0.1
2 serious citations Hawaii average: 1
28 moderate citations Hawaii average: 34.2
1 minor citation Hawaii average: 0.1
Citations history (last 5 years)
Infection Control moderate citation Feb 02, 2024
Corrected
Nursing Services moderate citation Feb 02, 2024
Corrected
Nutrition moderate citation Feb 02, 2024
Corrected
Nutrition moderate citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 107
Employees 102
Contractors 5
Staff to resident ratio 1.18 : 1
29% fewer staff per resident than Hawaii average
Hawaii average ratio: 1.65 : 1 Hawaii average ratio: 1.65 : 1See full Hawaii ranking
Avg staff/day 55
Average shift 7.8 hours
0% compared with Hawaii average
Hawaii average: 7.8 hours Hawaii average shift: 7.8 hoursSee full Hawaii ranking
Total staff hours (quarter) 39,423

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 16 RN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 48 CNA Staff are full-time employees. No contractors work on this role. 48
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

0.9%

355 contractor hours this quarter

Physical Therapy Assistant: 2 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4804817,07892100%7.3
Registered Nurse160166,66492100%8.5
Licensed Practical Nurse7074,45792100%8.6
Clinical Nurse Specialist6062,3837076%8.5
Other Dietary Services Staff5052,30592100%7.4
Respiratory Therapy Technician3031,0647683%8.3
Speech Language Pathologist4049977784%8.2
Physical Therapy Assistant4268127076%7.6
Mental Health Service Worker1015356267%8.6
Administrator1015286672%8
Nurse Practitioner1014886166%8
Occupational Therapy Aide1014886166%8
Dental Services Staff1014655964%7.9
Other Social Services Staff1014165257%8
Physical Therapy Aide2023925661%6.4
Qualified Social Worker1122884145%6.4
Occupational Therapy Assistant0113667%6.1
Medical Director0112933%9.5
48 Certified Nursing Assistant
% of Days 100%
16 Registered Nurse
% of Days 100%
7 Licensed Practical Nurse
% of Days 100%
6 Clinical Nurse Specialist
% of Days 76%
View All Staffing Data in Hilo

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 average

Hawaii average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 16.0
20% better than Hawaii average

Hawaii average: 20.0

Long-stay resident measures
Significantly above average Hawaii avg: 4.4 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 12.1%
31% better than Hawaii average

Hawaii average: 17.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.3%
33% better than Hawaii average

Hawaii average: 25.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.6%
In line with Hawaii average

Hawaii average: 18.3%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.7%
19% better than Hawaii average

Hawaii average: 2.1%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.4%
60% better than Hawaii average

Hawaii average: 3.6%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Hawaii average

Hawaii average: 2.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.5%
69% better than Hawaii average

Hawaii average: 4.7%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 1.8%
21% worse than Hawaii average

Hawaii average: 1.5%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 2.1%
80% better than Hawaii average

Hawaii average: 10.1%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.6%
In line with Hawaii average

Hawaii average: 96.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
In line with Hawaii average

Hawaii average: 95.4%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.10
18% better than Hawaii average

Hawaii average: 1.34

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.46
48% better than Hawaii average

Hawaii average: 0.89

Short-stay resident measures
Significantly above average Hawaii avg: 3.0 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 91.2%
9% better than Hawaii average

Hawaii average: 83.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.9%
20% better than Hawaii average

Hawaii average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 92.1%
9% better than Hawaii average

Hawaii average: 84.7%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 10.7%
45% better than Hawaii average

Hawaii average: 19.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 14.4%
32% worse than Hawaii average

Hawaii average: 10.9%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Hawaii average

Hawaii average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 95.1%
77% better than Hawaii average

Hawaii average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 66.3%
31% better than Hawaii average

Hawaii average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 91
Medicare
17
18.7% of residents
Medicaid
58
63.7% of residents
Private pay or other
16
17.6% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 03/2024.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$67.6K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.7M Rank #12 / 20Net patient revenue — State benchmarkedThis home is ranked 12th out of 20 homes we track in Hawaii. Shows this facility's net patient revenue compared to the Hawaii average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$67.6K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$15.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #16 / 20Payroll costs — State benchmarkedThis home is ranked 16th out of 20 homes we track in Hawaii. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Hawaii average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$7.3M 53.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #9 / 20Payroll % of net patient revenue — State benchmarkedThis home is ranked 9th out of 20 homes we track in Hawaii. Shows payroll as a percentage of net patient revenue versus the Hawaii average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Hawaii that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$6.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$13.6M
How we calculate these figures

This home is owned by Gail Kahookele

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 125045

Show certification details

What does this home offer?

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Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: Single-story

Beauty services icon
Beauty services icon

Beauty Services

Transportation services icon
Transportation services icon

Transportation Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (43% of admissions), and a typical Medicare stay runs around 1 months.

Admissions
270 total

Coverage residents most often arrive under.

Medicare 43%
Private pay 41%
Medicaid 16%
Discharges
298 total

Coverage residents most often leave under.

Medicare 41%
Private pay 38%
Medicaid 20%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Hale Anuenue Restorative Care

Address 2.3 miles from city center Info Estimated distance in miles from Hilo's city center to Hale Anuenue Restorative Care's address, calculated via Google Maps.

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Compare Nursing Homes around Hilo

Info below is compiled from CMS reports & the HI Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Hawaii average is: 64.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Hale Anuenue Restorative Care ★ ★ ★ ★ ☆
NH
SNF
Hilo
120
Facility 120
HI AVG 43
Rank #9 / 84
78.6%
Facility 78.6%
HI AVG 83.7%
Rank #17 / 23
-6%
3.79
Facility 3.79
HI AVG 4.20
Rank #22 / 26
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -27%-10%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
31
Facility 31
HI AVG 35.5
Rank #10 / 26
6.2
Facility 6.2
HI AVG 8.2
Rank #5 / 26
294-
7
Facility 7
HI AVG 50
Rank #165 / 174
Gail Kahookele
$13.7MFiscal year ending 03/2024
Facility $13.7MFiscal year ending 03/2024
HI AVG $17.9M
Rank #12 / 20
$7.3MFiscal year ending 03/2024
Facility $7.3MFiscal year ending 03/2024
HI AVG $10.1M
Rank #16 / 20
53.6%Fiscal year ending 03/2024
Facility 53.6%Fiscal year ending 03/2024
HI AVG 64.3%
Rank #9 / 20
125045
Yukio Okutsu State Veterans Home ★ ★ ★ ★ ☆
NH
HOS
RC
SNF
Hilo (Piʻihonua)
95
Facility 95
HI AVG 43
Rank #16 / 84
70.6%
Facility 70.6%
HI AVG 83.7%
Rank #22 / 23
-16%
5.17
Facility 5.17
HI AVG 4.20
Rank #8 / 26
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -24%+23%
$13.0k
Facility $13.0k
HI AVG $43.4k
Rank #20 / 26
39
Facility 39
HI AVG 35.5
Rank #14 / 26
13.0
Facility 13.0
HI AVG 8.2
Rank #25 / 26
367-
9
Facility 9
HI AVG 50
Rank #157 / 174
East Hawaii State Veterans Home
$12.5MFiscal year ending 06/2024
Facility $12.5MFiscal year ending 06/2024
HI AVG $17.9M
Rank #15 / 20
$7.7MFiscal year ending 06/2024
Facility $7.7MFiscal year ending 06/2024
HI AVG $10.1M
Rank #14 / 20
61.4%Fiscal year ending 06/2024
Facility 61.4%Fiscal year ending 06/2024
HI AVG 64.3%
Rank #6 / 20
125058
Hilo Medical Center ★ ★ ★ ★ ☆
NH
Hilo
52
Facility 52
HI AVG 43
Rank #22 / 84
--
5.30
Facility 5.30
HI AVG 4.20
Rank #7 / 26
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ +10%+26%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
23
Facility 23
HI AVG 35.5
Rank #6 / 26
7.7
Facility 7.7
HI AVG 8.2
Rank #14 / 26
161-
7
Facility 7
HI AVG 50
Rank #165 / 174
----125002
Life Care Center of Hilo ★ ★ ★ ☆ ☆
NH
SNF
Hilo
252
Facility 252
HI AVG 43
Rank #1 / 84
91.1%
Facility 91.1%
HI AVG 83.7%
Rank #7 / 23
+9%
3.96
Facility 3.96
HI AVG 4.20
Rank #20 / 26
 ★ ★ ☆ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ -16%-6%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
40
Facility 40
HI AVG 35.5
Rank #16 / 26
8.0
Facility 8.0
HI AVG 8.2
Rank #16 / 26
-230-
11
Facility 11
HI AVG 50
Rank #152 / 174
Lemapu Lemanua
$29.4MFiscal year ending 12/2023
Facility $29.4MFiscal year ending 12/2023
HI AVG $17.9M
Rank #3 / 20
$15.7MFiscal year ending 12/2023
Facility $15.7MFiscal year ending 12/2023
HI AVG $10.1M
Rank #3 / 20
53.5%Fiscal year ending 12/2023
Facility 53.5%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #10 / 20
125040
Legacy Hilo Rehabilitation & Nursing Center ★ ☆ ☆ ☆ ☆
NH
ADC
MC
SNF
Hilo
100
Facility 100
HI AVG 43
Rank #13 / 84
88.6%
Facility 88.6%
HI AVG 83.7%
Rank #8 / 23
+6%
3.57
Facility 3.57
HI AVG 4.20
Rank #24 / 26
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ -24%-15%
$0
Facility $0
HI AVG $43.4k
Rank #1 / 26
27
Facility 27
HI AVG 35.5
Rank #9 / 26
6.8
Facility 6.8
HI AVG 8.2
Rank #7 / 26
-89A+
7
Facility 7
HI AVG 50
Rank #165 / 174
Jennifer Pearce
$13.3MFiscal year ending 12/2023
Facility $13.3MFiscal year ending 12/2023
HI AVG $17.9M
Rank #13 / 20
$6.1MFiscal year ending 12/2023
Facility $6.1MFiscal year ending 12/2023
HI AVG $10.1M
Rank #18 / 20
46.1%Fiscal year ending 12/2023
Facility 46.1%Fiscal year ending 12/2023
HI AVG 64.3%
Rank #17 / 20
125065
Nursing Home Explorer

Financial Assistance for
Nursing Home in Hawaii

Hale Anuenue Restorative Care is located in Hilo, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.

Get Financial aid guidance

QUEST Integration

Hawaii Medicaid QUEST Integration

Age 65+ or disabled
General Hawaii resident, Medicaid-eligible, long-term care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
HI

High cost of living adjustments.

Benefits
In-home care (6-8 hours/day) Nursing home Respite (240 hours/year) Medical services

Kupuna Care

Hawaii Kupuna Care

Age 60+
General Hawaii resident, unable to perform 2+ ADLs.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
HI

Limited funding; island-specific delivery.

Benefits
In-home care (3-5 hours/week) Adult day care (~$70/day) Transportation (~5 trips/month)

Program of All-Inclusive Care for the Elderly (PACE)

Hawaii Medicaid PACE

Age 55+
General Hawaii resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR
Asset Limits $2,000 (individual), $3,000 (couple).
HI

Limited to Oahu (e.g., Maluhia in Honolulu); few providers.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

Medicare Savings Program (MSP)

Hawaii Medicare Savings Program

Age 65+ or disabled
General Hawaii resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual, adjusted annually.
Asset Limits $9,430 (individual), $14,130 (couple).
HI

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

National Family Caregiver Support Program (NFCSP) Respite

Hawaii NFCSP Respite Care

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; Hawaii resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
HI

Four county AAAs; prioritizes low-income.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($80/day) Counseling

VA Aid and Attendance (A&A) and Housebound Benefits

Hawaii VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/surviving spouse
General Hawaii resident, wartime service, need for aid with ADLs (A&A) or homebound status.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 2025 net worth limit
HI

Applies statewide; high demand due to veteran population.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Senior Companion Program (SCP)

Hawaii Senior Companion Program

Age —
General Volunteers: 55+, low-income, Hawaii resident, able to work 20 hours/week. Recipients: Frail elders needing companionship.
Income Limits (2025) Volunteers: ~$24,980/year (200% FPL); recipients: no limit.
Asset Limits Not specified for volunteers; need-based for recipients.
HI

Statewide; managed by DHS Social Services.

Benefits
Volunteers paid ~$4/hour for companionship (~20 hours/week); recipients get free support (~4-6 hours/week)

Frequently Asked Questions about Hale Anuenue Restorative Care

Is Hale Anuenue Restorative Care in a walkable area?

Hale Anuenue Restorative Care has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Hale Anuenue Restorative Care?

Hale Anuenue Restorative Care's occupancy is 68.7%.

Are pets allowed at Hale Anuenue Restorative Care?

No, Hale Anuenue Restorative Care has a no-pet policy.

Does Hale Anuenue Restorative Care operate as a for-profit or non-profit?

Hale Anuenue Restorative Care is registered as a for-profit.

Are there photos of Hale Anuenue Restorative Care?

Yes — there are 8 photos of Hale Anuenue Restorative Care in the photo gallery on this page.

What is the address of Hale Anuenue Restorative Care?

Hale Anuenue Restorative Care is located at Kaumana Springs Wilderness, 1333 Waianuenue Ave, Hilo, HI 96720.

What is the phone number of Hale Anuenue Restorative Care?

(808) 961-6644 will put you in contact with the team at Hale Anuenue Restorative Care.

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