1 / 5CMS Care Compare
Reviewers describe a mix of experiences at Legacy Hilo, with several praising the warmth and professionalism of nursing staff and therapists, especially for long-term residents. Others report serious lapses including a cockroach in a patient's room, medication delays, inconsistent staffing, and poor communication.
AI-generated from reviews and community data.
Legacy Hilo Rehabilitation & Nursing Center is a senior living community in Hilo, Hawaii offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 3.6 out of 5 across 19 reviews.
Legacy Hilo Rehabilitation & Nursing Center is a 100-bed skilled nursing and rehabilitation facility located in Hilo, Hawaii. The facility serves patients who require clinical and rehabilitative care with the goal of safely transitioning them home or into long-term care communities, using a multidisciplinary team approach.
The rehabilitation program provides evaluation and treatment for neurological and orthopedic disorders through inpatient physical, occupational, and speech therapy. Services include discharge planning, family and caregiver training, and assessments to ensure safe transitions to home. A Restorative Nursing Program helps residents maintain their highest functioning level.
The center offers assistance with activities of daily living including personal hygiene, dressing, eating, walking, toileting, and transferring. Registered and licensed nurses and certified nursing assistants provide 24-hour care. Services encompass medication management, food and nutritional evaluation, and specialized dietary support. Each resident receives an individualized plan of care developed by an interdisciplinary team including the medical director, in-house physician, licensed nurses, social workers, rehabilitation therapists, activities coordinator, and dietitian.
Specialized clinical services include advanced wound care, diabetes support, IV therapy, enteral nutrition, and pain management. The facility has been recognized for participation in the American Heart Association's Mission: Lifeline Stroke Post-Acute Care Initiative, highlighting its commitment to quality, patient-centered care for stroke patients. Planned social events provide residents with opportunities for companionship in a family-oriented setting.
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Help Me Choose3.6overall · 19 ratings combined
3.6★ on Google (19)
Abel Tom Brown
Aug 2025
My Brother has been in legacy for many years needing around the clock. The nursing and aids have been so friendly kind and caring, even when my brother has been very grumpy and agitated at times. Mahalo to all staff and administrators.
Jeff Mills
May 2025
The facility is nice. The staff are friendly and professional. My low review comes from putting my 94 yr old mother in with a roommate who had an infectious cough. After her five day respite, she's now home achy and coughing.
Robbie Rose
Mar 2025
Beware - it looks like a nice place but don't be fooled. The people who are working there (with the exception of the Dr I had dealings with) were professional and caring if overloaded. The first day I was there, no meds were sent with me from Hilo Beniof Medical Center. I was there for PR from a shattered femur - I was made to wait from arrival (around noon) til 8:10 pm for any meds from the pharmacy. When I arrived the room was nice but there was a chemical smell. A worker came in and said he had sprayed for cockroaches. He then proceede to step on 5 or 6. At 11:40 pm I was awoken by one crawling on my face. Terrified I stayed up the rest of the night, drinking coffee. The next day, the arrogant Dr (who would use his ability to walk) would leave in the middle of my speaking. He tried to cut and make changes to the meds I was taking prior to th shattered femur. I left AMA. My family came and got me. Legacy provided a wheelchair but no human help to get me in the car. Legacy treated me with dispect,would not listen to me and the Dr actually treated me a bit like an addict.
Andrew Johnson
Aug 2024
The staff are absolutely incredible! They all knew me by first name from day one and provided very thorough and professional care during my entire time at the facility. Whether the nurses, aides, physicians, physical therapists, anyone at the facility for that matter were amazing! Thank you all so much for everything that you do!!
A A
Aug 2024
A review that is NOT by staff; unreliable staff. You'll never see the same worker twice. The majority seem dismissive and uncaring about things. Most don't even know what is going on and it takes multiple tries to find answers to the most basic questions. Very very poor communication. It's depressing here. If you want a place that does the bare, and I mean BARE minimum, this is your stop.
5 inspection visits in the last three years, 34 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G of L: actual harm, isolatedCorrected Mar 24, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 24, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 9, 2026
Provide 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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 9, 2026
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 24, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2026
Ensure that residents are free from significant medication errors.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2026
Ensure 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 24, 2026
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Nov 15, 2024
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024
Honor 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024
Ensure 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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Nov 15, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 9, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 9, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 8, 2023
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 8, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
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 of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Provide activities to meet all resident's needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
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 limited.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 8, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Legacy Hilo Rehabilitation & Nursing Center offers Skilled Nursing / Long Term Care.
Legacy Hilo Rehabilitation & Nursing Center is located at 563 Kaumana Drive in Hilo, Hawaii.
Reviewers describe a mix of experiences at Legacy Hilo, with several praising the warmth and professionalism of nursing staff and therapists, especially for long-term residents. Others report serious lapses including a cockroach in a patient's room, medication delays, inconsistent staffing, and poor communication.
Legacy Hilo Rehabilitation & Nursing Center had 5 government inspection visits in the last three years, with 34 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
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