Hale Anuenue Restorative Care — nursing home in Hilo, HI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 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: 92.7 CMS, MDS-derived
CMS Certification Number: 125045
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 24, 1996
Ownership type: For profit - Partnership
Operator (legal business name): Hilo Medical Investors Ltd
CMS chain: Life Care Centers of America 194 facilities
Phone: (808) 961-6644
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Feb 28, 2025

Citations

29

22 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E4	F5
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

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 125045
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: May 24, 1996
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
Feb 28, 2025	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Feb 28, 2025	Health	Health Standard	6	Potential harm	—	Open →
Feb 2, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Feb 2, 2024	Health	Health Standard	12	Potential harm	—	Open →
Dec 2, 2022	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Dec 2, 2022	Health	Health Standard	4	Potential harm	—	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.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E4	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Feb 28, 2025	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 Apr 11, 2025
Feb 28, 2025	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	E · Potential harm Pattern	Corrected Apr 11, 2025
Feb 28, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 11, 2025
Feb 28, 2025	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 Apr 11, 2025
Feb 28, 2025	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	F · Potential harm Widespread	Corrected Apr 11, 2025
Feb 28, 2025	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	E · Potential harm Pattern	Corrected Apr 11, 2025
Feb 2, 2024	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	K-0929	Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	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 Mar 18, 2024
Feb 2, 2024	F-0623	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	F-0625	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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	F-0640	Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	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 Mar 18, 2024
Feb 2, 2024	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 Mar 18, 2024
Feb 2, 2024	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 18, 2024
Feb 2, 2024	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	F · Potential harm Widespread	Corrected Mar 18, 2024
Feb 2, 2024	F-0800	Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Mar 18, 2024
Feb 2, 2024	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 Mar 18, 2024
Feb 2, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Mar 18, 2024
Dec 2, 2022	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Dec 23, 2022
Dec 2, 2022	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 23, 2022
Dec 2, 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	D · Potential harm Isolated	Corrected Dec 29, 2022
Dec 2, 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 Dec 29, 2022
Dec 2, 2022	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 29, 2022
Dec 2, 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	F · Potential harm Widespread	Corrected Dec 29, 2022

“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 staffing3.63

State avg 4.99US avg 3.90

Registered nurse (RN)1.16

State avg 1.73US avg 0.69

Licensed practical nurse0.64

State avg 0.35US avg 0.86

Nurse aide1.82

State avg 2.91US avg 2.35

Weekend total nurse3.17

State avg 4.41US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.86 (case-mix index 1.31).

Staff turnover

Total nursing staff turnover22.4%

State avg 34.5%US avg 45.3%

Registered nurse turnover23.8%

State avg 30.5%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Feb 28, 2025
Cycle 1 health score: 44
Total weighted score: 55

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	Sep 7, 1994
Gail Kahookele	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Apr 22, 2018

Other facilities operated by Hilo Medical Investors Ltd

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Life Care Center of Hilo 944 West Kawailani Street, Hilo, HI 96720 CCN 125040	252		Jul 2, 2026	441 harm	$8,492

Same chain in Hawaii

All 193 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Life Care Center of Hilo 944 West Kawailani Street, Hilo, HI 96720 CCN 125040	252	Jul 2, 2026	441 harm	$8,492
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: 1333 Waianuenue Avenue, 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
Hilo Benioff Medical Center 1190 Waianuenue Avenue, Hilo, HI 96720 CCN 125002	0 km	52	Feb 7, 2025	341 harm	—
Yukio Okutsu State Veterans Home 1180 Waianuenue Avenue, Hilo, HI 96720 CCN 125058	0 km	95	Nov 15, 2024	403 harm	$13k
Legacy Hilo Rehabilitation & Nursing Center 563 Kaumana Drive, Hilo, HI 96720 CCN 125065	1.4 km	100	Feb 27, 2026	391 harm	$11k
Life Care Center of Hilo 944 West Kawailani Street, Hilo, HI 96720 CCN 125040	4.4 km	252	Jul 2, 2026	441 harm	$8,492

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	125045	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	125045	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 125045

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