Legacy Hilo Rehabilitation & Nursing Center

Nursing Home in 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.

(808) 498-0100

Staffing hours breakdown

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 — compared to Hawaii state averages

Staff typeHours / dayvs 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. 57m per day ▼ 42% 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. 25m per day ▲ 19% 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. 2h 15m per day ▼ 18% State avg: 2h 44m per day · National avg: 2h 21m per day
Total Nursing (Weekend) 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 16m per day ▼ 22% 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. 7m per day ▲ 40% State avg: 5m per day · National avg: 4m per day
RN (Weekend) 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. 36m per day ▼ 51% State avg: 1h 14m per day · National avg: 29m per day
Years in operation
9 years in operation
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 7 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Tammy Silva, Administrator

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Specific ProgramsHome Health, Adult Day Health, Care Management

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

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

On-site Medical Care and Health Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Types of Care at Legacy Hilo Rehabilitation & Nursing Center

Nursing Home

Contact Legacy Hilo Rehabilitation & Nursing Center

Financial Assistance for
Nursing Home in Hawaii

Legacy Hilo Rehabilitation & Nursing Center 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%)

Senior Community Service Employment Program (SCSEP)

Hawaii SCSEP (Federally Funded, State-Administered)

Age 55+
General unemployed, low-income, Hawaii resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
HI

~800 slots; prioritizes veterans, rural residents.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

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)

Places of interest near Legacy Hilo Rehabilitation & Nursing Center

Address 2.7 miles from city center Info Estimated distance in miles from Hilo's city center to Legacy Hilo Rehabilitation & Nursing Center's address, calculated via Google Maps.

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Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.20
64% worse 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. 1.97
121% worse than Hawaii average

Hawaii average: 0.89

Short-stay resident measures
Average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 24.6%
26% worse than Hawaii average

Hawaii average: 19.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 13.7%
26% 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. 0.9%
13% worse 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. 39.5%
26% worse 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. 68.1%
35% better than Hawaii average

Hawaii average: 50.6%

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

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

No penalties in the past 3 years

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

Compare Nursing Home around Hilo The information below is reported by the Hawaii Department of Health, Office of Health Care Assurance.

2 facilities compared · CMS & HI Dept. of Health data · Updated Apr 2026

Filter by care type
Legacy Hilo Rehabilitation & Nursing Center -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hilo (Kaumana)100--------000.00-A+ 7 -----
Hilo Medical Center -
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Hilo (Waianuenue Avenue)35--------000.00-- 7 -----

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