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.
Conveniently located near Hilo Benioff Medical Center and Wailuku River State Park in Hilo, HI, Yukio Okutsu State Veterans Home is a distinct community that offers veterans care. Featuring different levels of care, including skilled nursing, respite, and hospice care, the community strives to meet Veterans’ unique needs. Here, residents also enjoy a maintenance-free lifestyle with a kind and highly skilled team helping with their daily living activities and household chores 24/7.
Activities are carefully curated according to residents’ interests and strengths to maximize enjoyment and wellness. With delicious and well-balanced dining options, residents can rest assured of having the finest dining experience that satisfy their dietary needs and preferences. The community also provides physical, occupational, and speech therapy to enhance residents’ living experiences. Veterans ease their worries and receive the utmost care they deserve amidst the community’s friendly setting and welcoming spaces.
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 11th 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 12m per day | ▼ 27% 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 | ▲ 49% 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 16m 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.
| 4h 25m per day | ▲ 5% 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.
| 3m per day | ▼ 32% 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 2m per day | ▼ 16% State avg: 1h 14m per day · National avg: 29m per day |
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.
| 37 | 25 | This facility has 48% more total deficiencies than a typical Hawaii nursing home (37 vs. HI avg 25).↑ 48% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 9.3 | 6.3 | This facility has 48% more deficiencies per year than a typical Hawaii nursing home (9.3 vs. HI avg 6.3).↑ 48% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Hawaii average 4.4
Last Health inspection on Nov 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.
38 of 39 citations resulted from standard inspections; and 1 of 39 resulted from complaint investigations.
100% better than Hawaii averageHawaii average: 0.1
200% worse than Hawaii averageHawaii average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
240% more 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 14 RN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursAssists with medical care and medications.
4 total: 1 full-time employee and 3 contractors.
4
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 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,767 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 19,406 | 92 | 100% | 7.9 |
| Registered Nurse | 14 | 0 | 14 | 5,761 | 92 | 100% | 8 |
| Licensed Practical Nurse | 1 | 3 | 4 | 1,739 | 88 | 96% | 8.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,368 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 904 | 61 | 66% | 8 |
| Speech Language Pathologist | 0 | 3 | 3 | 526 | 76 | 83% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 339 | 54 | 59% | 5.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 294 | 48 | 52% | 6.1 |
| Physical Therapy Assistant | 0 | 5 | 5 | 195 | 40 | 43% | 3.9 |
| Qualified Social Worker | 0 | 2 | 2 | 136 | 27 | 29% | 4.4 |
Includes penalties issued in 2023
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 (Data as of Jan 2026)
65% lower than Hawaii averageHawaii average: $38K
34% fewer fines than Hawaii averageHawaii average: 1.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Hawaii averageHawaii average: 0.1
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 30, 2023 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 30, 2023Last updated: Jan 2026
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.
9.0
12% better than Hawaii averageHawaii average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.4
23% 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
11.7%
33% better than Hawaii averageHawaii average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
20.1%
22% better than Hawaii averageHawaii average: 25.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.3%
22% better than Hawaii averageHawaii average: 18.3%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
82% 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
1.7%
28% better than Hawaii averageHawaii average: 2.4%
Percent of long-stay residents who lose too much weight
5.8%
23% worse than Hawaii averageHawaii average: 4.7%
Percent of long-stay residents who have depressive symptoms
11.0%
650% worse than Hawaii averageHawaii average: 1.5%
Percent of long-stay residents who received an antipsychotic medication
10.1%
In line with Hawaii averageHawaii average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.0%
In line with Hawaii averageHawaii average: 96.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.8%
In line with Hawaii averageHawaii average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
0.37
72% better than Hawaii averageHawaii average: 1.34
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.00
100% 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
79.6%
5% worse than Hawaii averageHawaii average: 83.4%
Percent of short-stay residents who newly received an antipsychotic medication
6.6%
469% worse than Hawaii averageHawaii average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.4%
In line with Hawaii averageHawaii average: 84.7%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.6%
31% worse than Hawaii averageHawaii average: 19.6%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.5%
51% worse than Hawaii averageHawaii average: 10.9%
Percentage of SNF residents who experience falls with major injury during their stay.
4.6%
491% worse than Hawaii averageHawaii average: 0.8%
Rate of successful return to home or community from a skilled nursing facility.
58.8%
16% 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.
27% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
16Residents 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 Yukio Okutsu State Veterans Home from 2011–2024, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 06/2024.
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 #17 / 29Payroll — State benchmarkedThis home is ranked 17th 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 #8 / 29Payroll % — State benchmarkedThis home is ranked 8th 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: 2-story
Transportation 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 (69% of admissions), and a typical private pay stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.8 miles from city center
Estimated distance in miles from Hilo's city center to Yukio Okutsu State Veterans Home's address, calculated via Google Maps.
Add your location
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 |
Yukio Okutsu State Veterans Home is located in Hilo, Hawaii.
Here are the financial assistance programs available to residents in Hawaii.
Yukio Okutsu State Veterans Home is in the Piʻihonua neighborhood of Hilo.
Yukio Okutsu State Veterans Home has a walk score of 9. Car-dependent. Most errands require a car, with limited nearby walkable options.
Yukio Okutsu State Veterans Home's occupancy is 62.4%.
Yukio Okutsu State Veterans Home is a government-operated nursing facility in HI.
Yes — there are 10 photos of Yukio Okutsu State Veterans Home in the photo gallery on this page.
Yukio Okutsu State Veterans Home is located at 1180 Waianuenue Ave, Hilo, HI 96720.
(808) 961-1500 will put you in contact with the team at Yukio Okutsu State Veterans Home.
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