Total staff
88
Employees
81
Contractors
7
Hilo Medical Center
Nursing Home & Assisted Living · Hilo, HI
CMS overall rating
4/5
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.
4/5
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.
Hilo Medical Center
Nursing Home & Assisted Living · Hilo, HI
CMS overall rating
4/5
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.
4/5
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.
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.
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 9th 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.
This home is ranked 9th 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.
4h 50m per day
Rank #9 / 33Nurse hours — State benchmarkedThis home is ranked 9th out of 33 homes in Hawaii. Shows adjusted nurse hours per resident per day benchmarked to the Hawaii average, with a ranking across 33 Hawaii facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs Hawaii avg
+15%
Standout metric
LPN / LVN is +143% above state avg
| 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 29m per day | ▼ 9% 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.
| 51m per day | ▲ 143% 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.
| 3h 17m per day | ▲ 20% 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.
| 4h 53m per day | ▲ 17% 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.
| 0m per day | ▼ 100% 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.
| 1h 14m per day | ■ Avg State avg: 1h 14m per day · National avg: 29m per day |
52-bed community Rank #23 / 87Bed count — State benchmarkedThis home is ranked 23rd out of 87 homes in Hawaii. 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.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.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 7 / 100 Rank #166 / 178Walk Score — State benchmarkedThis home is ranked 166th out of 178 homes in Hawaii. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Hawaii facilities. Higher scores benefit residents, families, and staff.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.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.76 : 1
6% more staff per resident than Hawaii average
Avg staff/day
40
Average shift
8.4 hours
8% better than Hawaii average
Total staff hours (quarter)
31,005
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
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
20 total: 16 full-time employees and 4 contractors.
20
20 total: 16 full-time employees and 4 contractors.
20
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
11 total: 8 full-time employees and 3 contractors.
11
11 total: 8 full-time employees and 3 contractors.
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
All 47 CNA Staff are full-time employees. No contractors work on this role.
47
All 47 CNA Staff are full-time employees. No contractors work on this role.
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
6%
1,854 contractor hours this quarter
Registered Nurse: 4
Licensed Practical Nurse: 3
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 47 | 0 | 47 | 16,545 | 92 | 100% | 8.6 |
| Registered Nurse | 16 | 4 | 20 | 7,039 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 8 | 3 | 11 | 4,287 | 92 | 100% | 8.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,619 | 87 | 95% | 8.1 |
| Administrator | 3 | 0 | 3 | 562 | 63 | 68% | 3.4 |
| Dietitian | 1 | 0 | 1 | 482 | 61 | 66% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
47 Certified Nursing Assistant
% of Days
100%
20 Registered Nurse
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
5 Other Dietary Services Staff
% of Days
95%
3 Administrator
% of Days
68%
1 Dietitian
% of Days
66%
1 Nurse Practitioner
% of Days
64%
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.2
40% worse than Hawaii averageHawaii average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
22% worse 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
24.4%
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
39% worse than Hawaii averageHawaii average: 17.6%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
34.9%
Percent of long-stay residents whose ability to move independently worsened
34.9%
35% worse 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
14.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.0%
24% better than Hawaii averageHawaii average: 18.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.6%
26% better than Hawaii averageHawaii average: 2.1%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
4.2%
Percent of long-stay high risk residents with pressure ulcers
4.2%
15% worse than Hawaii averageHawaii average: 3.6%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.5%
Percent of long-stay residents with a urinary tract infection
0.5%
78% better than Hawaii averageHawaii average: 2.4%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.1%
Percent of long-stay residents who lose too much weight
6.1%
28% worse than Hawaii averageHawaii average: 4.7%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
10.5%
Percent of long-stay residents who have depressive symptoms
10.5%
619% worse than Hawaii averageHawaii average: 1.5%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.9%
Percent of long-stay residents who received an antipsychotic medication
25.9%
157% worse than Hawaii averageHawaii average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
In line with Hawaii averageHawaii average: 96.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.87
Number of hospitalizations per 1,000 long-stay resident days.
1.87
40% worse 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.
1.27
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.27
43% worse than Hawaii averageHawaii average: 0.89
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
77.1%
7% worse than Hawaii averageHawaii average: 83.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50
Medicare
4
8% of residents
Medicaid
46
92% 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.
What does this home offer?
Building Type: Mid-rise
Social and Recreational Activities
On-site Medical Care and Health Services
Places of interest near Hilo Medical Center
2.3 miles from city center
Estimated distance in miles from Hilo's city center to Hilo Medical Center's address, calculated via Google Maps.
Calculate Travel Distance to Hilo Medical Center
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Financial Assistance for
Nursing Home in Hawaii
Hilo Medical Center is located in Hilo, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Frequently Asked Questions about Hilo Medical Center
What neighborhood is Hilo Medical Center in?
Hilo Medical Center is in the Waianuenue Avenue neighborhood.
Is Hilo Medical Center in a walkable area?
Hilo Medical Center has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.
Is Hilo Medical Center a government-operated facility?
Hilo Medical Center is a government-operated nursing facility.
Are there photos of Hilo Medical Center?
Yes — there are 4 photos of Hilo Medical Center in the photo gallery on this page.
What is the address of Hilo Medical Center?
Hilo Medical Center is located at 1190 Waianuenue Ave, Hilo, HI 96720.
What is the phone number of Hilo Medical Center?
(808) 932-3000 will put you in contact with the team at Hilo Medical Center.
Is Hilo Medical Center Medicare or Medicaid certified?
Yes — Hilo Medical Center is a CMS-certified provider of Medicare and Medicaid.
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