Nursing Home

Legacy Hilo Rehabilitation & Nursing Center

563 Kaumana Drive, Hilo, HI 96720

Part of Ohana Pacific Management Co.see all 14 affiliated facilities

100 certified beds 89 residents per day on average

CMS Five-Star Quality Rating

1 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.7 hours

HI average: 5.0 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.9 hours

HI average: 1.7 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.2 hours

HI average: 4.4 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
62.3%

HI average: 36.4% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

1 fine totaling $16,350 in the recent inspection window (most recent: February 27, 2026).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
For profit - Limited Liability company
Chain
Ohana Pacific Management Co.
Who owns this facility — 22 entries in CMS's ownership records expand ↓
  • Ohana Pacific Management Company Inc Organization
    Direct owner since 01/01/2020
  • Richard S. Kishaba 2010 Dynasty Trust Organization
    Indirect owner since 07/30/2010
  • Kishaba, Richard Individual
    Indirect owner since 01/01/2020
  • First Hawaiian Bank Organization
    Mortgage interest (≥5%) since 12/27/2019
  • Kishaba, Richard Individual
    Corporate officer since 09/04/2019
  • Ohana Pacific Management Company Inc Organization
    Operational/managerial control since 01/01/2020
  • Hata, Randall Individual
    Operational/managerial control since 01/01/2020
  • Kishaba, Richard Individual
    Operational/managerial control since 01/01/2020
  • Lore, Andrew Individual
    Operational/managerial control since 02/01/2022
  • Mcclennon, Pamela Individual
    Operational/managerial control since 04/01/2025

…and 12 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 10 health (HI avg 10) · 5 fire (HI avg 2.1) · ⚠ 1 serious Details

34 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy). Most recent survey: February 27, 2026.

Most recent inspection cycle: 10 health deficiencies · HI average: 10 · National: 9.3

5 fire-safety deficiencies cited — most often smoke (3) and miscellaneous (1).

Most recent fire-safety inspection (2026-02-27): 5 deficiencies · HI average: 2.1 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Legacy Hilo Rehabilitation & Nursing Center compares nearby

Compared with the 6 other nursing homes within 50 miles — 7 facilities in all, CMS data only.

Among the 7 nursing homes within 50 miles, Legacy Hilo Rehabilitation & Nursing Center's overall star rating is 1★; the median among the 6 peers reporting it is 4★.

Measure This facility Nearby median
Overall star rating reported by 6 of 6 nearby peers 1★ 4★
Health inspections reported by 6 of 6 nearby peers 1★ 2.5★
Staffing reported by 6 of 6 nearby peers 3★ 4.5★
Quality measures reported by 6 of 6 nearby peers 3★ 5★

The comparison group

Cohort: within 50 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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