LEGACY HILO REHABILITATION & NURSING CENTER
LEGACY HILO REHABILITATION & NURSING CENTER is a 100-bed nursing home in HILO, Hawaii. CMS has certified it for Medicare and Medicaid since 2016-01-20. It averages 88.6 residents a day.
What harm was found in the violations cited at LEGACY HILO REHABILITATION & NURSING CENTER?
CMS lists 34 health-inspection deficiencies for LEGACY HILO REHABILITATION & NURSING CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-02-27.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-02-27 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2026-02-27 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-02-27 | F0655, F0688 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. | E |
| 2026-02-27 | F0627, F0656, F0657, F0689, F0760, F0761 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. / 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. | D |
| 2024-10-25 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F |
| 2024-10-25 | F0558, F0584, F0656, F0690, F0755, F0761, F0880 | Reasonably accommodate the needs and preferences of each resident. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-07-10 | F0726, F0755 | 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-10-30 | F0656, F0812 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-10-30 | F0558, F0580, F0607, F0623, F0625, F0641, F0655, F0676, F0679, F0689, F0758, F0880 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide and implement an infection prevention and control program. | D |
Why was LEGACY HILO REHABILITATION & NURSING CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2026-02-27 | Fine | $16,350 |
How is LEGACY HILO REHABILITATION & NURSING CENTER staffed relative to the HI average?
| Measure | This facility | HI average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.71925 | 4.97232 |
| Total nursing staff turnover (%) | 62.3 | 36.4 |
| Average number of residents per day | 88.6 | 81.9 |
Who owns LEGACY HILO REHABILITATION & NURSING CENTER, and what chain is it in?
LEGACY HILO REHABILITATION & NURSING CENTER is registered with CMS as For profit - Limited Liability company, operates under the legal business name HILO SNF LLC and belongs to the OHANA PACIFIC MANAGEMENT CO. chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | OHANA PACIFIC MANAGEMENT COMPANY INC | since 01/01/2020 |
| INDIRECT OWNERSHIP INTEREST | RICHARD S. KISHABA 2010 DYNASTY TRUST, KISHABA, RICHARD | since 01/01/2020 |
| 5% OR GREATER MORTGAGE INTEREST | FIRST HAWAIIAN BANK | since 12/27/2019 |
| CORPORATE OFFICER | KISHABA, RICHARD | since 09/04/2019 |
| OPERATIONAL/MANAGERIAL CONTROL | OHANA PACIFIC MANAGEMENT COMPANY INC, HATA, RANDALL, KISHABA, RICHARD, LORE, ANDREW, MCCLENNON, PAMELA, MORIKUNI, SUANNE, PITCHER, KERRY | since 01/01/2020 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | KISHABA, SANDRA | since 11/12/2025 |
| ADP OF THE SNF | OHANA PACIFIC MANAGEMENT COMPANY INC, RICHARD S. KISHABA 2010 DYNASTY TRUST, HATA, RANDALL, KISHABA, RICHARD, LORE, ANDREW, MCCLENNON, PAMELA, MORIKUNI, SUANNE, PITCHER, KERRY, SMITH, TOBY | since 01/01/2020 |
Were you or a family member harmed at LEGACY HILO REHABILITATION & NURSING CENTER?