Life Care Center of Hilo — nursing home in Hilo, HI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 252 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 222.0 CMS, MDS-derived
CMS Certification Number: 125040
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 1, 1993
Ownership type: For profit - Corporation
Operator (legal business name): Hilo Medical Investors Ltd
CMS chain: Life Care Centers of America 194 facilities
Phone: (808) 959-9151
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jul 2, 2026

Citations

44

43 health · 1 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D32	E11	F·
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$8,492

Payment denials

0

Latest

Apr 1, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 125040
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 252
First approved: Jun 1, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Hawaii.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 2, 2026	Health	Health Standard	5	Potential harm	—	Open →
Apr 1, 2026	Health	Health Complaint	3	Actual harm	—	Open →
May 1, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Dec 1, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Dec 1, 2023	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Nov 18, 2022	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Nov 18, 2022	Health	Health Standard	24	Potential harm	—	Open →
Oct 26, 2021	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Apr 1, 2026	Civil money penalty (fine)	$8,492	—	125040\|Fine\|138970

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D32	E11	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 2, 2026	F-0576	Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 7, 2026
Jul 2, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 7, 2026
Jul 2, 2026	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Aug 7, 2026
Jul 2, 2026	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 7, 2026
Jul 2, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Aug 7, 2026
Apr 1, 2026	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected May 1, 2026	Complaint
Apr 1, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2026	Complaint
Apr 1, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2026	Complaint
May 1, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance May 1, 2025	Complaint
Dec 1, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 15, 2024
Dec 1, 2023	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 15, 2024
Dec 1, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2024
Dec 1, 2023	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2024
Dec 1, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 15, 2024	Complaint
Dec 1, 2023	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 15, 2024
Dec 1, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 15, 2024
Dec 1, 2023	F-0761	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 · Medication management	D · Potential harm Isolated	Corrected Jan 15, 2024
Dec 1, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 15, 2024
Dec 1, 2023	F-0847	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jan 15, 2024
Nov 18, 2022	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 26, 2022
Nov 18, 2022	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0575	Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0584	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0656	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 · Clinical care	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0744	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0761	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 · Medication management	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0790	Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 2, 2023
Nov 18, 2022	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jan 2, 2023
Nov 18, 2022	F-0920	Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 2, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.8

Health inspectionsstate 3

Staffingstate 4.5

Quality measuresstate 4.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.92

State avg 4.99US avg 3.90

Registered nurse (RN)0.98

State avg 1.73US avg 0.69

Licensed practical nurse0.48

State avg 0.35US avg 0.86

Nurse aide2.46

State avg 2.91US avg 2.35

Weekend total nurse3.37

State avg 4.41US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.21 (case-mix index 1.30).

Staff turnover

Total nursing staff turnover28.4%

State avg 34.5%US avg 45.3%

Registered nurse turnover17.0%

State avg 30.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jul 2, 2026
Cycle 1 health score: 48
Total weighted score: 48

Operating entity

Hilo Medical Investors Ltd

CMS legal business name of the certified provider. Operates 2 facilities.

VerifiedLinked by exact legal name

CMS chain

Life Care Centers of America

194 facilities in 26 states. CMS chain ID 311.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.4

Ownership disclosures

Disclosures

7

Organizations

3

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Sak Jr LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jun 14, 1999
Sbk LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jun 14, 1999
Stiles Kellett	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jun 14, 1999

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Sak Jr LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jun 14, 1999
Sbk LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	25%	Jun 14, 1999
Stiles Kellett	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	25%	Jun 14, 1999
Sak Jr LLC	Organization	Partner	GENERAL PARTNERSHIP INTEREST	not provided	Jun 14, 1999
Sbk LLC	Organization	Partner	GENERAL PARTNERSHIP INTEREST	not provided	Jun 14, 1999
Life Care Centers of America, Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 1994
Lemapu Lemanua	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Sep 20, 2021

Other facilities operated by Hilo Medical Investors Ltd

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Hale Anuenue Restorative Care 1333 Waianuenue Avenue, Hilo, HI 96720 CCN 125045	120		Feb 28, 2025	29	—

Same chain in Hawaii

All 193 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Hale Anuenue Restorative Care 1333 Waianuenue Avenue, Hilo, HI 96720 CCN 125045	120	Feb 28, 2025	29	—
Ka Punawai Ola 91-575 Farrington Highway, Kapolei, HI 96707 CCN 125051	120	Apr 24, 2026	392 harm	$8,673
Life Care Center of Kona 78-6957 Kamehameha III Road, Kailua Kona, HI 96740 CCN 125052	94	Jan 15, 2026	442 harm	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 944 West Kawailani Street, Hilo, HI 96720
ZIP: 96720
County: Hawaii County FIPS 15001
State: Hawaii
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Legacy Hilo Rehabilitation & Nursing Center 563 Kaumana Drive, Hilo, HI 96720 CCN 125065	3.2 km	100	Feb 27, 2026	391 harm	$11k
Hale Anuenue Restorative Care 1333 Waianuenue Avenue, Hilo, HI 96720 CCN 125045	4.4 km	120	Feb 28, 2025	29	—
Hilo Benioff Medical Center 1190 Waianuenue Avenue, Hilo, HI 96720 CCN 125002	4.4 km	52	Feb 7, 2025	341 harm	—
Yukio Okutsu State Veterans Home 1180 Waianuenue Avenue, Hilo, HI 96720 CCN 125058	4.4 km	95	Nov 15, 2024	403 harm	$13k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	125040	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	125040	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 125040

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction