Legacy Hilo Rehabilitation & Nursing Center — nursing home in Hilo, HI

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 100 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: 83.0 CMS, MDS-derived
CMS Certification Number: 125065
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 20, 2016
Ownership type: For profit - Limited Liability company
Operator (legal business name): Hilo SNF LLC
CMS chain: Ohana Pacific Management Co. 6 facilities
Phone: (808) 498-0184
Resident & family council: Both
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Feb 27, 2026

Citations

39

34 health · 5 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D29	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

1

$10,628

Payment denials

0

Latest

Feb 27, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 125065
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 100
First approved: Jan 20, 2016
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 27, 2026	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Feb 27, 2026	Health	Health Complaint, Health Standard	10	Actual harm	—	Open →
Oct 25, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 25, 2024	Health	Health Standard	8	Potential harm	—	Open →
Jul 10, 2024	Health	Health Complaint	2	Potential harm	—	Open →
Oct 30, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Oct 30, 2023	Health	Health Complaint, Health Standard	14	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.

Date	Type	Amount	Payment denial	Record
Feb 27, 2026	Civil money penalty (fine)	$10,628	—	125065\|Fine\|139211

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D29	E4	F5
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Feb 27, 2026	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 24, 2026
Feb 27, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 20, 2026
Feb 27, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 20, 2026
Feb 27, 2026	K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 20, 2026
Feb 27, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 20, 2026
Feb 27, 2026	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 20, 2026
Feb 27, 2026	F-0627	Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 24, 2026	Complaint
Feb 27, 2026	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	E · Potential harm Pattern	Corrected May 9, 2026
Feb 27, 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 Mar 24, 2026
Feb 27, 2026	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 Mar 24, 2026
Feb 27, 2026	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	E · Potential harm Pattern	Corrected May 9, 2026
Feb 27, 2026	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 Mar 24, 2026
Feb 27, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 24, 2026
Feb 27, 2026	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 Mar 24, 2026
Feb 27, 2026	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 Mar 24, 2026
Oct 25, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 15, 2024
Oct 25, 2024	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 Nov 15, 2024
Oct 25, 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	F · Potential harm Widespread	Corrected Nov 15, 2024
Oct 25, 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 Nov 15, 2024
Oct 25, 2024	F-0690	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 · Clinical care	D · Potential harm Isolated	Corrected Nov 15, 2024
Oct 25, 2024	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 Nov 15, 2024
Oct 25, 2024	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 Nov 15, 2024
Oct 25, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Nov 15, 2024
Jul 10, 2024	F-0726	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 · Staffing & supervision	D · Potential harm Isolated	Corrected Aug 9, 2024	Complaint
Jul 10, 2024	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 Aug 9, 2024	Complaint
Oct 30, 2023	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 8, 2023
Oct 30, 2023	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 8, 2023
Oct 30, 2023	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 Dec 8, 2023	Complaint
Oct 30, 2023	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 Dec 8, 2023
Oct 30, 2023	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 Dec 8, 2023
Oct 30, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 8, 2023
Oct 30, 2023	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 Dec 8, 2023
Oct 30, 2023	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 Dec 8, 2023
Oct 30, 2023	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 8, 2023
Oct 30, 2023	F-0679	Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Dec 8, 2023
Oct 30, 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 Dec 8, 2023
Oct 30, 2023	F-0758	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 8, 2023
Oct 30, 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	E · Potential harm Pattern	Corrected Dec 8, 2023
Oct 30, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 8, 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 staffing4.14

State avg 4.99US avg 3.90

Registered nurse (RN)0.86

State avg 1.73US avg 0.69

Licensed practical nurse0.74

State avg 0.35US avg 0.86

Nurse aide2.54

State avg 2.91US avg 2.35

Weekend total nurse3.64

State avg 4.41US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.03 (case-mix index 1.44).

Staff turnover

Total nursing staff turnover53.3%

State avg 34.5%US avg 45.3%

Registered nurse turnover45.0%

State avg 30.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Feb 27, 2026
Cycle 1 health score: 114
Total weighted score: 99.5

Operating entity

Hilo SNF LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Ohana Pacific Management Co.

6 facilities in 1 states. CMS chain ID 382.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.5

Ownership disclosures

Disclosures

22

Organizations

3

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ohana Pacific Management Company Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2020
Richard S. Kishaba 2010 Dynasty Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 30, 2010
Richard Kishaba	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2020

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
Ohana Pacific Management Company Inc	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2020
Richard S. Kishaba 2010 Dynasty Trust	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jul 30, 2010
Richard Kishaba	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2020
Sandra Kishaba	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Nov 12, 2025
Ohana Pacific Management Company Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Randall Hata	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Richard Kishaba	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Andrew Lore	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2022
Pamela Mcclennon	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
Suanne Morikuni	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Kerry Pitcher	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 3, 2023
Richard Kishaba	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Sep 4, 2019
First Hawaiian Bank	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Dec 27, 2019
Ohana Pacific Management Company Inc	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2020
Richard S. Kishaba 2010 Dynasty Trust	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2020
Randall Hata	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2020
Richard Kishaba	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2020
Andrew Lore	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2022
Pamela Mcclennon	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025
Suanne Morikuni	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2020
Kerry Pitcher	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 3, 2023
Toby Smith	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2023

Same chain in Hawaii

All 5 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Garden Isle Healthcare and Rehabilitation Center 3-3420 Kuhio Highway, Suite 300, Lihue, HI 96766 CCN 125004	110	Feb 21, 2025	39	—
Pu'uwai 'O Makaha 84-390 Jade Street, Waianae, HI 96792 CCN 125046	93	Jul 17, 2026	308 open	—
Ann Pearl Nursing Facility 45-181 Waikalua Road, Kaneohe, HI 96744 CCN 125048SFF Candidate	104	Mar 12, 2026	481 IJ2 harm	$15k
Hale Kupuna Heritage Home, LLC 4297a Omao Road, Koloa, HI 96756 CCN 125062	84	Mar 12, 2026	301 harm	$11k
The Ching Villas 2230 Liliha Street, Honolulu, HI 96817 CCN 125064	163	Jan 16, 2026	44	—

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: 563 Kaumana Drive, 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
Hale Anuenue Restorative Care 1333 Waianuenue Avenue, Hilo, HI 96720 CCN 125045	1.4 km	120	Feb 28, 2025	29	—
Hilo Benioff Medical Center 1190 Waianuenue Avenue, Hilo, HI 96720 CCN 125002	1.5 km	52	Feb 7, 2025	341 harm	—
Yukio Okutsu State Veterans Home 1180 Waianuenue Avenue, Hilo, HI 96720 CCN 125058	1.5 km	95	Nov 15, 2024	403 harm	$13k
Life Care Center of Hilo 944 West Kawailani Street, Hilo, HI 96720 CCN 125040	3.2 km	252	Jul 2, 2026	441 harm	$8,492

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	125065	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	125065	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 125065

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