Nursing home
Legacy Hilo Rehabilitation & Nursing Center
563 Kaumana Drive, Hilo, HI 96720 · Map
For profit - Corporation · Part of Ohana Pacific Management Co. (6 facilities) · 100 certified beds
Legacy Hilo Rehabilitation & Nursing Center is a Medicare-certified nursing home in Hilo, Hawaii. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.61 hours per resident per day, below the Hawaii average of 4.71. Its most recent inspection on Oct 25, 2024 cited 8 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Legacy Hilo Rehabilitation & Nursing Center compares
This facility vs. the Hawaii and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Hawaii avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.61 | 4.71 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.96 | 1.63 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.24 | 2.73 | 2.34 | below avg |
| Nursing staff turnover | 59.8% | 36.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 10.4 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 27, 2026 inspection was corrected by May 9, 2026
What inspectors found at Legacy Hilo Rehabilitation & Nursing Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Feb 27, 2026 · Full report (PDF) - Potential for harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Oct 25, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Oct 25, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Jul 10, 2024 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · Jul 10, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 30, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 563 Kaumana Drive
Hilo, HI 96720 - CMS certification #
- 125065
- Ownership
- For profit - Corporation
- Certified beds
- 100
- Avg residents/day
- 86.4
- Provider type
- Medicare and Medicaid
- First certified
- 2016-01-20
- Chain
- Ohana Pacific Management Co. (6 facilities)
- Setting
- Rural
Part of Ohana Pacific Management Co.
Ohana Pacific Management Co. operates 6 nursing facilities across the United States. View all Ohana Pacific Management Co. facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Legacy Hilo Rehabilitation & Nursing Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2019, 2 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Aug 27, 2019: programmed (planned) inspection, complete (health). Case open. 2 violations cited (2 serious). Penalties: $17,350 proposed, $17,350 now. OSHA record. OSHA recorded the employer as Kaumana Drive Partners LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(g)(2)(vii)). Penalty $8,675 proposed, $8,675 now. To be fixed by Feb 25, 2020.
- Serious: Bloodborne pathogens (needles, blood and body fluids) (1910.1030(h)(2)(i)). Penalty $8,675 proposed, $8,675 now. To be fixed by Feb 25, 2020.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Hilo Benioff Medical Center, Hilo. 0.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Hale Anuenue Restorative Care, Hilo. 0.9 miles away, straight line.
- Nearest home health agency office
- Bayada Home Health Care, Hilo. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Shiigi Drug. 2.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 96720 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Fresenius Kidney Care Hilo Lanikaula, Hilo, 2.2 miles away, straight line (CMS rating 4 of 5 stars)
Liberty Dialysis Hawaii - Hilo Dialysis, Hilo, 2.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Usrc Hilo Dialysis, Hilo, 2.9 miles away, straight line (CMS rating 2 of 5 stars) - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 96720.
Dba Hawai'I Care Choices, office in Hilo, 0.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Hawaii Permanente Medical Group Inc, Wailuku. 121.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Hilo, HI, risk to homes is greater than 18% of communities in Hawaii and 85% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively moderate, tornado very low, earthquake very high. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Legacy Hilo Rehabilitation & Nursing Center a good nursing home?
CMS gives Legacy Hilo Rehabilitation & Nursing Center an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Legacy Hilo Rehabilitation & Nursing Center staffed?
Legacy Hilo Rehabilitation & Nursing Center reports 3.61 total nurse hours per resident per day, compared with the Hawaii average of 4.71.
Has Legacy Hilo Rehabilitation & Nursing Center had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Legacy Hilo Rehabilitation & Nursing Center have?
Legacy Hilo Rehabilitation & Nursing Center is certified for 100 beds.