Legacy Hilo Rehabilitation & Nursing Center

Certification

Medicare-certified.

Ratings

Inspection history (34)

Records from October 2023 to February 2026.

• October 30, 2023

  Tag F0641

  Ensure each resident receives an accurate assessment.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0558

  Reasonably accommodate the needs and preferences of each resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0676

  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0625

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0655

  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

• October 30, 2023

  Tag F0679

  Provide activities to meet all resident's needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 8, 2023.

Penalties (1)

Total fines: $16,350

• February 27, 2026 · Fine

  CMS recorded a civil money penalty of $16,350 against this nursing home on February 27, 2026.

Staffing

4.14 nurse hours per resident per day in Q2 2026, up from 3.85 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

For profit