54/100
Below average
563 Kaumana Drive, Hilo, HI 96720
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$16,350 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 62%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: February 27, 2026 (5 months ago).
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Part of OHANA PACIFIC MANAGEMENT CO., which operates 6 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | DIRECT OWNERSHIP INTEREST | — |
| RICHARD S. KISHABA 2010 DYNASTY TRUST | Organization | INDIRECT OWNERSHIP INTEREST | — |
| KISHABA, RICHARD | Individual | INDIRECT OWNERSHIP INTEREST | — |
| FIRST HAWAIIAN BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | — |
| KISHABA, RICHARD | Individual | CORPORATE OFFICER | — |
| OHANA PACIFIC MANAGEMENT COMPANY INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| HATA, RANDALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| KISHABA, RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| LORE, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MCCLENNON, PAMELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MORIKUNI, SUANNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PITCHER, KERRY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Legacy Hilo Rehabilitation & Nursing Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.72 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 34 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Legacy Hilo Rehabilitation & Nursing Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.