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Nursing homesHawaii › Legacy Hilo Rehabilitation & Nursing Center

Legacy Hilo Rehabilitation & Nursing Center

563 Kaumana Drive, Hilo, HI 96720 · 8084980184 · 100 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★☆☆☆☆ 1/5
Staffing★★★☆☆ 3/5
Quality measures★★★☆☆ 3/5
Special Focus: CMS lists this facility as SFF Candidate — among the facilities with the most serious ongoing compliance problems in the country.

Ownership group

Per CMS filings, this facility is affiliated with Ohana Pacific Management Co., a group operating 6 facilities in 1 states. Group record: average rating 3.3/5, 0 abuse citation icons, 2 facilities on the Special Focus list, $121,675 in federal fines. This facility rates below its group average (3.3/5).

See all 6 facilities in this group →

Staffing (hours per resident per day)

Total nurse staffing: 3.72 (Hawaii median: 4.62). RN hours: 0.95. Weekend total: 3.20. Nursing staff turnover: 62%.

Inspection deficiencies

All-time on record: 34 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-02-27Provide appropriate pressure ulcer care and prevent new ulcers from developing. GHealthcorrected 2026-03-24
2026-02-27Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2026-03-24
2026-02-27Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted EHealthcorrected 2026-05-09
2026-02-27Provide 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. EHealthcorrected 2026-05-09
2026-02-27Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Dcomplaintcorrected 2026-03-24
2026-02-27Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2026-03-24
2026-02-27Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2026-03-24
2026-02-27Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2026-03-24
2026-02-27Ensure that residents are free from significant medication errors. DHealthcorrected 2026-03-24
2026-02-27Ensure 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. DHealthcorrected 2026-03-24
2024-10-25Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. FHealthcorrected 2024-11-15
2024-10-25Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2024-11-15
2024-10-25Honor 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. DHealthcorrected 2024-11-15
2024-10-25Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2024-11-15
2024-10-25Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2024-11-15
2024-10-25Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. DHealthcorrected 2024-11-15
2024-10-25Ensure 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. DHealthcorrected 2024-11-15
2024-10-25Provide and implement an infection prevention and control program. DHealthcorrected 2024-11-15
2024-07-10Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Dcomplaintcorrected 2024-08-09
2024-07-10Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Dcomplaintcorrected 2024-08-09
2023-10-30Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. EHealthcorrected 2023-12-08
2023-10-30Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. EHealthcorrected 2023-12-08
2023-10-30Reasonably accommodate the needs and preferences of each resident. DHealthcorrected 2023-12-08
2023-10-30Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. DHealthcorrected 2023-12-08
2023-10-30Develop and implement policies and procedures to prevent abuse, neglect, and theft. Dcomplaintcorrected 2023-12-08
2023-10-30Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. DHealthcorrected 2023-12-08
2023-10-30Notify 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. DHealthcorrected 2023-12-08
2023-10-30Ensure each resident receives an accurate assessment. DHealthcorrected 2023-12-08
2023-10-30Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted DHealthcorrected 2023-12-08
2023-10-30Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. DHealthcorrected 2023-12-08
2023-10-30Provide activities to meet all resident's needs. DHealthcorrected 2023-12-08
2023-10-30Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2023-12-08
2023-10-30Implement 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. DHealthcorrected 2023-12-08
2023-10-30Provide and implement an infection prevention and control program. DHealthcorrected 2023-12-08

Federal penalties

DateTypeAmount
2026-02-27Fine$16,350

Ownership & control records (CMS filings)

NameRoleType%Since
OHANA PACIFIC MANAGEMENT COMPANY INCDirect Ownership InterestOrganizationNOT APPLICABLEsince 01/01/2020
RICHARD S. KISHABA 2010 DYNASTY TRUSTIndirect Ownership InterestOrganizationNOT APPLICABLEsince 07/30/2010
KISHABA, RICHARDIndirect Ownership InterestIndividualNOT APPLICABLEsince 01/01/2020
KISHABA, RICHARDCorporate OfficerIndividualNOT APPLICABLEsince 09/04/2019
OHANA PACIFIC MANAGEMENT COMPANY INCOperational/Managerial ControlOrganizationNOT APPLICABLEsince 01/01/2020
HATA, RANDALLOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2020
KISHABA, RICHARDOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2020
LORE, ANDREWOperational/Managerial ControlIndividualNOT APPLICABLEsince 02/01/2022
MCCLENNON, PAMELAOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/01/2025
MORIKUNI, SUANNEOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2020
PITCHER, KERRYOperational/Managerial ControlIndividualNOT APPLICABLEsince 04/03/2023

Compare nearby (Hawaii County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 125065. Corrections: data@carerecords.org.