Overview
Legacy Hilo Rehabilitation & Nursing Center has a Medicare overall rating of 1 out of 5, below the Hawaii average of 3.8. It ranks 5th of 5 nursing homes in Hilo. Its strongest area is staffing (4 of 5), and its weakest is health inspections (1 of 5).
Residents receive about 4.1 hours of nursing care per day, fewer than at 77% of nursing homes in Hawaii (the state average is 5.0 hours). Of that, 0.9 hours come from registered nurses.
Its most recent standard inspection, on February 27, 2026, found 10 health deficiencies, more than the Hawaii average of 8.5. 1 of them came from complaint investigations. Medicare records 1 fine totaling $10,628 in the past three years.
Legacy Hilo Rehabilitation & Nursing Center is a for-profit facility with 100 certified beds, caring for about 83 residents on an average day. It accepts both Medicare and Medicaid and has participated since 2016.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 100%
Top 100%
Top 98%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- February 27, 2026
- Health deficiencies cited
- 10
- Complaint-related deficiencies
- 1
- Fines in the last 3 years
- 1 totaling $10,628
- Payment denials
- 0
- Total penalties
- 1
Staffing
Average hours of care each resident receives per day.
- All nursing staff4.14 hrs
- Registered nurses (RN)0.86 hrs
- Licensed practical nurses (LPN)0.74 hrs
- Nurse aides2.54 hrs
- Physical therapists0.12 hrs
Facility details
- Ownership
- For profit - Limited Liability company
- Certified beds
- 100
- Average residents per day
- 83
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- January 20, 2016
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes