Legacy Hilo Rehabilitation & Nursing Center

Name: Legacy Hilo Rehabilitation & Nursing Center
Address: 563 KAUMANA DRIVE, Hilo, HI, 96720, US
Telephone: 8084980184

563 Kaumana Drive, Hilo, HI 96720 · Hawaii County · 100 certified beds · avg 89 residents/day · certified since Jan 20, 2016

Part of chain: OHANA PACIFIC MANAGEMENT CO. (6 facilities, chain avg rating 3.3★)

1/5

Health inspection rating (on-site)

Serious findings on record

$16,350

Fines, last 3 years

3.57

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Feb 27, 2026 · F-0686

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 24, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (34)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 27, 2026	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 27, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 27, 2026	E · Potential for harm, repeated	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Feb 27, 2026	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Feb 27, 2026	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint
Feb 27, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 27, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 27, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 27, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Feb 27, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 25, 2024	F · Potential for harm, facility-wide	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 25, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 10, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
Jul 10, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Oct 30, 2023	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Oct 30, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Oct 30, 2023	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Oct 30, 2023	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 30, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2023	14	0	E
2024	10	0	F
2026	10	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $16,350.

Date	Type	Amount / length
Feb 27, 2026	Fine	$16,350

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Hawaii avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.57	4.77	3.95	bottom 7% in Hawaii; bottom 40% in the U.S.
Registered Nurse hours	0.91	1.64	0.69	bottom 2% in Hawaii; top 20% in the U.S.
Weekend total nurse staffing	3.07	4.23	3.50	bottom 10% in Hawaii; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	1.33	0.48	bottom 5% in Hawaii; top 21% in the U.S.
Total nursing staff turnover (%)	62.3	36.4	45.8	bottom 7% in Hawaii; bottom 13% in the U.S.
RN turnover (%)	45.5	31.5	42.9	bottom 17% in Hawaii; bottom 43% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 0.95, weekend 3.20. Staffing rating: 3/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Kishaba, Richard	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2020
Ohana Pacific Management Company INC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2020
Richard S. Kishaba 2010 Dynasty Trust	Organization	Indirect Ownership Interest	NOT APPLICABLE	07/30/2010
First Hawaiian Bank	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/27/2019
Hata, Randall	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Hata, Randall	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2020
Kishaba, Richard	Individual	Corporate Officer	NOT APPLICABLE	09/04/2019
Kishaba, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Kishaba, Richard	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2020
Kishaba, Sandra	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	11/12/2025
Lore, Andrew	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2022
Lore, Andrew	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2022
McClennon, Pamela	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2025
McClennon, Pamela	Individual	ADP of the SNF	NOT APPLICABLE	04/01/2025
Morikuni, Suanne	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Morikuni, Suanne	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2020
Ohana Pacific Management Company INC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Ohana Pacific Management Company INC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2020
Pitcher, Kerry	Individual	Operational/Managerial Control	NOT APPLICABLE	04/03/2023
Pitcher, Kerry	Individual	ADP of the SNF	NOT APPLICABLE	04/03/2023

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Hale Anuenue Restorative Care	0.9 mi	Hilo, HI	★★★★☆	2/5
Hilo Benioff Medical Center	0.9 mi	Hilo, HI	★★★★☆	3/5
Yukio Okutsu State Veterans Home	0.9 mi	Hilo, HI	★★★★☆	3/5
Life Care Center of Hilo	2.0 mi	Hilo, HI	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Hilo →

Facility data as of CMS processing date 2026-08-01. CCN 125065.

The Care File

Visit checklist — Legacy Hilo Rehabilitation & Nursing Center

563 Kaumana Drive, Hilo, HI 96720 · 8084980184

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $16,350

Most serious findings on record:

▲ Feb 27, 2026 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 125065 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)