3/5
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.
3/5
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.
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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.
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.
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.
This home is ranked 22nd out of 33 homes 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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 6m per day | ▼ 33% State avg: 1h 38m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 31m per day | ▲ 46% State avg: 21m per day · National avg: 52m per day |
|
Nurse Aide
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 58m per day | ▼ 28% State avg: 2h 44m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 9m per day | ▼ 25% State avg: 4h 11m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 7m per day | ▲ 47% State avg: 5m per day · National avg: 4m per day |
|
Weekend RN
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.
| 48m per day | ▼ 35% State avg: 1h 14m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% fewer staff per resident than Hawaii average
0% compared with Hawaii average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 16 RN Staff are full-time employees. No contractors work on this role.
16
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
All 48 CNA Staff are full-time employees. No contractors work on this role.
48
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
355 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 48 | 0 | 48 | 17,078 | 92 | 100% | 7.3 |
| Registered Nurse | 16 | 0 | 16 | 6,664 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 7 | 0 | 7 | 4,457 | 92 | 100% | 8.6 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,383 | 70 | 76% | 8.5 |
| Other Dietary Services Staff | 5 | 0 | 5 | 2,305 | 92 | 100% | 7.4 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 1,064 | 76 | 83% | 8.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 997 | 77 | 84% | 8.2 |
| Physical Therapy Assistant | 4 | 2 | 6 | 812 | 70 | 76% | 7.6 |
| Mental Health Service Worker | 1 | 0 | 1 | 535 | 62 | 67% | 8.6 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 465 | 59 | 64% | 7.9 |
| Other Social Services Staff | 1 | 0 | 1 | 416 | 52 | 57% | 8 |
| Physical Therapy Aide | 2 | 0 | 2 | 392 | 56 | 61% | 6.4 |
| Qualified Social Worker | 1 | 1 | 2 | 288 | 41 | 45% | 6.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 36 | 6 | 7% | 6.1 |
| Medical Director | 0 | 1 | 1 | 29 | 3 | 3% | 9.5 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
12.1%
31% better than Hawaii averageHawaii average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
17.3%
33% better than Hawaii averageHawaii average: 25.8%
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%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
19% better than Hawaii averageHawaii average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
1.4%
60% better than Hawaii averageHawaii average: 3.6%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Hawaii averageHawaii average: 2.4%
Percent of long-stay residents who lose too much weight
1.5%
69% better than Hawaii averageHawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
1.8%
21% worse than Hawaii averageHawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
2.1%
80% better than Hawaii averageHawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.6%
In line with Hawaii averageHawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
In line with Hawaii averageHawaii average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
1.10
18% better than Hawaii averageHawaii average: 1.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.46
48% better than Hawaii averageHawaii average: 0.89
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.2%
9% better than Hawaii averageHawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
20% better than Hawaii averageHawaii average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.1%
9% better than Hawaii averageHawaii average: 84.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
10.7%
45% better than Hawaii averageHawaii average: 19.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.4%
32% worse than Hawaii averageHawaii average: 10.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Hawaii averageHawaii average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
95.1%
77% better than Hawaii averageHawaii average: 53.7%
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.
43% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Hale Anuenue Restorative Care from 2012–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 03/2024.
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."
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."
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."
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."
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.
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 #15 / 29Payroll — State benchmarkedThis home is ranked 15th out of 29 homes in Hawaii. Shows total annual staff payroll benchmarked to the Hawaii average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #14 / 29Payroll % — State benchmarkedThis home is ranked 14th out of 29 homes in Hawaii. Shows payroll as a percentage of revenue versus the Hawaii average. Well-run Hawaii facilities typically land around 52–61% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Hawaii that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private / Semi-Private Rooms
Building Type: Single-story
Beauty Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
On-site Medical Care and Health Services
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.3 miles from city center
Estimated distance in miles from Hilo's city center to Hale Anuenue Restorative Care's address, calculated via Google Maps.
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The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.
| 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 | 3 | 65 | - |
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 | ||||
| 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 | - | 80 | A+ |
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 | ||||
| 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 | 2 | 95 | - |
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 | ||||
| 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 |
Hale Anuenue Restorative Care is located in Hilo, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Hale Anuenue Restorative Care has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.
Hale Anuenue Restorative Care's occupancy is 68.7%.
Hale Anuenue Restorative Care is registered as a for-profit.
Yes — there are 8 photos of Hale Anuenue Restorative Care in the photo gallery on this page.
Hale Anuenue Restorative Care is located at Kaumana Springs Wilderness, 1333 Waianuenue Ave, Hilo, HI 96720.
(808) 961-6644 will put you in contact with the team at Hale Anuenue Restorative Care.
Yes — Hale Anuenue Restorative Care is a CMS-certified provider of Medicare and Medicaid.
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