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LEGACY HILO REHABILITATION & NURSING CENTER is a for profit - limited liability company nursing home in HILO, HI with 100 certified beds.
Capacity
100 residents
Location
Hilo, HI
Status
Listed in a public registry
563 KAUMANA DRIVE, Hilo, Hawaii 96720
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 27, 2026, state inspectors cited 10 health deficiencies (the Hawaii average is 9.2).
Nurses and nurse aides spend 3 hours 43 minutes with each resident a day, below the Hawaii average of 4 hours 58 minutes.
Medicare fined Legacy Hilo Rehabilitation & Nursing Center once in the last three years, $10,628 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 43 minutesBelow the Hawaii average |
| Registered nurse time per resident, per day | 57 minutesBelow the Hawaii average |
| Nursing staff who left in the past year | 62%Above the Hawaii average |
34 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
February 27, 2026 · Standard inspection · 10 citations
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are free from significant medication errors.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
October 25, 2024 · Standard inspection · 8 citations
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide and implement an infection prevention and control program.
Reasonably accommodate the needs and preferences of each resident.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Provide activities to meet all resident's needs.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Reasonably accommodate the needs and preferences of each resident.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
1 fine totaling $10,628 in the last three years.
563 KAUMANA DRIVEHilo, HI 96720
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State inspectors visited on February 27, 2026 and cited 10 health deficiencies, 1 of them from complaint investigations. The Hawaii average is 9.2.
Nurses and aides spend 3 hours 43 minutes with each resident per day, including 57 minutes from registered nurses. 62% of nursing staff left over the past year.
Yes. Medicare fined Legacy Hilo Rehabilitation & Nursing Center once in the last three years, totaling $10,628.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.