Legacy Hilo Rehabilitation & Nursing Center
563 KAUMANA DRIVE, Hilo, HI 96720
Hilo, Hawaii · CMS verdict
CMS places Legacy Hilo Rehabilitation & Nursing Center in the average range on the federal scale, and below the Hawaii average of 3.6.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Legacy Hilo Rehabilitation & Nursing Center in Hilo, Hawaii holds a CMS overall rating of 3 of 5 stars and a PlainElderCare Quality & Compliance Index of 49 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (mid-pack deficiencies)
Its CMS deficiency count is mid-pack on inspection volume among U.S. homes. A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 49 is built
Each segment is a dimension's weighted points toward the score, summing to 49.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Legacy Hilo Rehabilitation & Nursing Center's mid-pack CMS deficiency book
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) scores Legacy Hilo Rehabilitation & Nursing Center on three sub-ratings that roll up into the overall star: health inspection, staffing, and quality measures. Each is charted against the Hawaii average below.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Hilo, Hawaii. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At about 86% occupancy, this facility's bed usage looks steady and consistent with a stabilized operation.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Legacy Hilo Rehabilitation & Nursing Center compares to Hawaii
CMS five-star sub-ratings (0–5) for this facility against the Hawaii facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Hawaii state average. Higher is better on all four CMS measures.
Facility details
| Attribute | Value |
|---|---|
| Beds | 100 |
| Residents | 86 |
| Ownership | For profit - Corporation |
| County | Hawaii |
| Penalties | 0 |
| Deficiencies | 27 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Legacy Hilo Rehabilitation & Nursing Center? ▾
CMS rates Legacy Hilo Rehabilitation & Nursing Center at 3 out of 5 stars overall. How its three sub-ratings compare with the Hawaii average is charted above.
How much does a nursing home cost per month in Hawaii? ▾
In Hawaii, a semi-private nursing home room runs a median $15,473/month ($185,679/year) per the CareScout 2025 survey; private rooms average $16,395/month.
What services does Legacy Hilo Rehabilitation & Nursing Center offer? ▾
Legacy Hilo Rehabilitation & Nursing Center operates as a skilled nursing facility. For the specific care and therapy services, contact the facility: CMS data covers capacity, ownership, ratings, and inspections, not a service menu.
Does Legacy Hilo Rehabilitation & Nursing Center have any deficiencies or penalties? ▾
Legacy Hilo Rehabilitation & Nursing Center has multiple deficiencies and no penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Hawaii? ▾
In Hawaii, alternatives include assisted living ($12,096/mo), home health aides ($7,817/mo), and adult day care ($2,551/mo).
Keep reading
Also see the Hawaii elder-care overview and highest-rated states. Provider ID: 125065.
Read our methodology - how this data is sourced, computed, and verified.