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.
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.
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 25 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 10m per day | ▼ 28% 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.
| 28m per day | ▲ 33% 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.
| 2h 13m per day | ▼ 19% 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 22m per day | ▼ 19% 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 | ▲ 41% 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 |
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.
Key information about the people who lead and staff this community.
In Hawaii, the Department of Health, Office of Health Care Assurance performs regular inspections and unannounced surveys to verify that healthcare facilities maintain high standards of resident care.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Hawaii state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | HI Average | vs. HI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 28 | 25 | This facility has 12% more total deficiencies than a typical Hawaii nursing home (28 vs. HI avg 25).↑ 12% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 7 | 6.3 | This facility has 11% more deficiencies per inspection than a typical Hawaii nursing home (7 vs. HI avg 6.3).↑ 11% worse |
Inspections
| This Facility | HI Average | vs. HI Avg |
|---|---|---|---|
|
Total inspections
Combined count of all inspections conducted at this facility.
| 4 | 4 | This facility has total inspections in line with the Hawaii average (4 vs. HI avg 4).— At avg |
Hawaii average 4.4
Last Health inspection on Oct 2024
Hawaii average 35.5
Hawaii average 8.23
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 27 citations resulted from standard inspections; 2 of 27 resulted from complaint investigations; and 1 of 27 came from combined inspections (standard and complaint).
100% better than Hawaii averageHawaii average: 0.1
100% better than Hawaii averageHawaii average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
25% 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 15 RN Staff are full-time employees. No contractors work on this role.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursAssists with medical care and medications.
10 total: 9 full-time employees and 1 contractor.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
43 total: 39 full-time employees and 4 contractors.
43
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
5,587 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 39 | 4 | 43 | 16,212 | 92 | 100% | 7.8 |
| Registered Nurse | 15 | 0 | 15 | 5,698 | 92 | 100% | 8.2 |
| Licensed Practical Nurse | 9 | 1 | 10 | 3,412 | 92 | 100% | 7.9 |
| Clinical Nurse Specialist | 5 | 1 | 6 | 2,408 | 69 | 75% | 8 |
| Speech Language Pathologist | 0 | 4 | 4 | 1,361 | 75 | 82% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 1,310 | 79 | 86% | 7.9 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,243 | 91 | 99% | 8.1 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 864 | 61 | 66% | 8.5 |
| Qualified Social Worker | 0 | 3 | 3 | 676 | 63 | 68% | 7.1 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 62% | 8 |
| Dietitian | 1 | 0 | 1 | 399 | 55 | 60% | 7.2 |
| Occupational Therapy Aide | 1 | 0 | 1 | 143 | 32 | 35% | 4.5 |
| Nurse Aide in Training | 1 | 0 | 1 | 49 | 9 | 10% | 5.4 |
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.
12.8
26% worse than Hawaii averageHawaii average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
25.2
26% worse 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
16.3%
7% better than Hawaii averageHawaii average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
34.7%
34% worse than Hawaii averageHawaii average: 25.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.7%
35% worse than Hawaii averageHawaii average: 18.3%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
96% worse than Hawaii averageHawaii average: 2.1%
Percent of long-stay high risk residents with pressure ulcers
3.5%
In line with Hawaii averageHawaii average: 3.6%
Percent of long-stay residents with a urinary tract infection
4.7%
94% worse than Hawaii averageHawaii average: 2.4%
Percent of long-stay residents who lose too much weight
5.3%
12% worse than Hawaii averageHawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
0.5%
69% better than Hawaii averageHawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
5.9%
42% better than Hawaii averageHawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with Hawaii averageHawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Hawaii averageHawaii average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
2.20
64% worse than Hawaii averageHawaii average: 1.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.97
121% worse 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
94.9%
14% better than Hawaii averageHawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.2%
84% better than Hawaii averageHawaii average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.8%
12% better than Hawaii averageHawaii average: 84.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
24.6%
26% worse than Hawaii averageHawaii average: 19.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.7%
26% worse than Hawaii averageHawaii average: 10.9%
Percentage of SNF residents who experience falls with major injury during their stay.
0.9%
13% worse than Hawaii averageHawaii average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.5%
26% worse than Hawaii averageHawaii average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
68.1%
35% 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.
33% of new residents, usually for short-term rehab.
60% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
77Residents 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 Legacy Hilo Rehabilitation & Nursing Center from 2017–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #19 / 24Payroll — State benchmarkedThis home is ranked 19th out of 24 homes in Hawaii for payroll. 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.Facilities with the same value for a metric share the same rank. 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 #21 / 24Payroll % — State benchmarkedThis home is ranked 21st out of 24 homes in Hawaii for payroll %. Shows payroll as a percentage of revenue versus the Hawaii average. Well-run Hawaii facilities typically land around 55–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. 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).
No pets allowed
Building Type: Single-story
On-site Medical Care and Health Services
Social and Recreational Activities
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (60% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.7 miles from city center
Estimated distance in miles from Hilo's city center to Legacy Hilo Rehabilitation & Nursing Center's address, calculated via Google Maps.
Add your location
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.
| Hilo Medical Center | NH | Hilo (Waianuenue Avenue) | 52
Facility
52
HI AVG
43
Rank
#22 / 84 | - | - | 4.84
Facility
4.84
HI AVG
4.20
Rank
#6 / 25 | +10% | +15% | $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 | 1 | 55 | - |
7
Facility
7
HI AVG
49
Rank
#165 / 177 | - | - | - | - | 125002 | ||||
| Yukio Okutsu State Veterans Home | NH HOS RC SNF | Hilo (Piʻihonua) | 95
Facility
95
HI AVG
43
Rank
#16 / 84 |
68.1%
Facility
68.1%
HI AVG
84.1
Rank
#22 / 23 | -19% | 4.67
Facility
4.67
HI AVG
4.20
Rank
#8 / 25 | -24% | +11% | $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 | 3 | 65 | - |
9
Facility
9
HI AVG
49
Rank
#157 / 177 | East Hawaii State Veterans Home | $12.5MFiscal year ending 06/2024
Facility
$12.5MFiscal year ending 06/2024
HI AVG
$20.8M
Rank
#16 / 24 | $7.7MFiscal year ending 06/2024
Facility
$7.7MFiscal year ending 06/2024
HI AVG
$7.1M
Rank
#16 / 24 | 61.4%Fiscal year ending 06/2024
Facility
61.4%Fiscal year ending 06/2024
HI AVG
38.9%
Rank
#7 / 24 | 125058 | ||||
| Legacy Hilo Rehabilitation & Nursing Center | NH ADC MC SNF | Hilo (Kaumana) | 100
Facility
100
HI AVG
43
Rank
#13 / 84 |
79.8%
Facility
79.8%
HI AVG
84.1
Rank
#17 / 23 | -5% | 3.29
Facility
3.29
HI AVG
4.20
Rank
#22 / 25 | -24% | -22% | $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 | - | 80 | A+ |
7
Facility
7
HI AVG
49
Rank
#165 / 177 | Jennifer Pearce | $13.3MFiscal year ending 12/2023
Facility
$13.3MFiscal year ending 12/2023
HI AVG
$20.8M
Rank
#14 / 24 | $6.1MFiscal year ending 12/2023
Facility
$6.1MFiscal year ending 12/2023
HI AVG
$7.1M
Rank
#19 / 24 | 46.1%Fiscal year ending 12/2023
Facility
46.1%Fiscal year ending 12/2023
HI AVG
38.9%
Rank
#21 / 24 | 125065 | ||||
| Hale Anuenue Restorative Care | NH SNF | Hilo | 120
Facility
120
HI AVG
43
Rank
#9 / 84 |
78.8%
Facility
78.8%
HI AVG
84.1
Rank
#19 / 23 | -6% | 3.78
Facility
3.78
HI AVG
4.20
Rank
#18 / 25 | -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 | 2 | 95 | - |
7
Facility
7
HI AVG
49
Rank
#165 / 177 | Gail Kahookele | $13.7MFiscal year ending 03/2024
Facility
$13.7MFiscal year ending 03/2024
HI AVG
$20.8M
Rank
#15 / 24 | $7.3MFiscal year ending 03/2024
Facility
$7.3MFiscal year ending 03/2024
HI AVG
$7.1M
Rank
#14 / 24 | 53.6%Fiscal year ending 03/2024
Facility
53.6%Fiscal year ending 03/2024
HI AVG
38.9%
Rank
#13 / 24 | 125045 | ||||
| Life Care Center of Hilo | NH SNF | Hilo | 252
Facility
252
HI AVG
43
Rank
#1 / 84 |
89.0%
Facility
89.0%
HI AVG
84.1
Rank
#9 / 23 | +6% | 3.38
Facility
3.38
HI AVG
4.20
Rank
#21 / 25 | -16% | -20% | $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 | - | 224 | - |
11
Facility
11
HI AVG
49
Rank
#152 / 177 | Lemapu Lemanua | $29.4MFiscal year ending 12/2023
Facility
$29.4MFiscal year ending 12/2023
HI AVG
$20.8M
Rank
#4 / 24 | $15.7MFiscal year ending 12/2023
Facility
$15.7MFiscal year ending 12/2023
HI AVG
$7.1M
Rank
#3 / 24 | 53.5%Fiscal year ending 12/2023
Facility
53.5%Fiscal year ending 12/2023
HI AVG
38.9%
Rank
#18 / 24 | 125040 |
Legacy Hilo Rehabilitation & Nursing Center is located in Hilo, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Legacy Hilo Rehabilitation & Nursing Center is in the Kaumana neighborhood of Hilo.
Legacy Hilo Rehabilitation & Nursing Center has a walk score of 7. Car-dependent. Most errands require a car, with limited nearby walkable options.
Legacy Hilo Rehabilitation & Nursing Center's occupancy is 77.8%.
Legacy Hilo Rehabilitation & Nursing Center has been operating for approximately 10 years, based on available licensing and registration records.
No, Legacy Hilo Rehabilitation & Nursing Center has a no-pet policy.
Legacy Hilo Rehabilitation & Nursing Center is registered as a for-profit in HI.
Yes — there are 5 photos of Legacy Hilo Rehabilitation & Nursing Center in the photo gallery on this page.
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