Note: Legacy Hilo Rehabilitation & Nursing Center has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

Legacy Hilo Rehabilitation & Nursing Center is an average-sized nursing home located in Hilo, Hawaii. With an overall rating of D, this is a subpar nursing home. This facility has very little working in its favor. While this nursing home received suboptimal grades this year, we did want to let you know that there was a recent ownership change. We will keep an eye on their inspections and quality scores to see whether their performance warrants better scores in the future.

Please note our records indicate that Legacy Hilo Rehabilitation & Nursing Center has changed ownership recently and while our data on this page is up-to-date there is a chance that the quality of this facility may change under new management.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 100 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Limited Liability company

Resident Council: TrueA checkmark indicating true.

Family Council: TrueA checkmark indicating true.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
March 1, 2019March 2, 2019March 3, 2019March 4, 2019March 5, 2019March 6, 2019March 7, 2019March 8, 2019March 9, 2019March 10, 2019March 11, 2019March 12, 2019March 13, 2019March 14, 2019March 15, 2019March 16, 2019March 17, 2019March 18, 2019March 19, 2019March 20, 2019March 21, 2019March 22, 2019March 23, 2019March 24, 2019March 25, 2019March 26, 2019March 27, 2019March 28, 2019March 29, 2019March 30, 2019March 31, 2019
April
April 1, 2019April 2, 2019April 3, 2019April 4, 2019April 5, 2019April 6, 2019April 7, 2019April 8, 2019April 9, 2019April 10, 2019April 11, 2019April 12, 2019April 13, 2019April 14, 2019April 15, 2019April 16, 2019April 17, 2019April 18, 2019April 19, 2019April 20, 2019April 21, 2019April 22, 2019April 23, 2019April 24, 2019April 25, 2019April 26, 2019April 27, 2019April 28, 2019April 29, 2019April 30, 2019
May
May 1, 2019May 2, 2019May 3, 2019May 4, 2019May 5, 2019May 6, 2019May 7, 2019May 8, 2019May 9, 2019May 10, 2019May 11, 2019May 12, 2019May 13, 2019May 14, 2019May 15, 2019May 16, 2019May 17, 2019May 18, 2019May 19, 2019May 20, 2019May 21, 2019May 22, 2019May 23, 2019May 24, 2019May 25, 2019May 26, 2019May 27, 2019May 28, 2019May 29, 2019May 30, 2019May 31, 2019
June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019

Facility Inspections

B-
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMar 19: FApr 19: B-May 19: B-Jun 19: B-Jul 19: B-Aug 19: DSep 19: DJan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

Although this nursing home's overall grade was not a highlight, it actually received a slightly more favorable grade in the category of inspections. We awarded it a B- for that area, which is a decent score. Inspection grades account for several factors included in a facility's inspection report. One key criteria we weigh heavily is the quantity and severity of deficiencies. This particular nursing home received 4 deficiencies on its inspection report. Another red flag is that CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.

Nurse Quality

B-
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-Mar 19: B-Apr 19: B-May 19: B-Jun 19: B-Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A-Mar 20: A-Apr 20: A-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

This nursing home actually received a decent grade in the area of nursing as well. We awarded it a grade of B- for that category, which is not a bad score. Nursing scores are primarily tied to the facility's nurse staffing. This nursing home provides only 0 hours of nursing care per resident each day. This is a somewhat concerning figure which is well below average. Lastly, we also looked at some nursing quality-based metrics. While this facility got docked a bit for nursing hours per resident, it excelled in a few of these quality-based metrics. With fewer than five percent of its patients experiencing pressure ulcers, it fared very well in this metric. This is often an indicator of quality nursing care. Pressure ulcers can often be avoided by providing better nursing care, such as employing a policy of moving a resident at least once a day.

Short-term Care Quality

B-
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: B-Feb 19: B-Mar 19: B-Apr 19: B-May 19: B-Jun 19: B-Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A-Mar 20: A-Apr 20: AMay 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

This facility was awarded its next highest category grade in the category of short-term care. We gave this facility a B- in this category, which is a respectable score. In computing our short-term care ratings, we scrutinize the facility's levels of highly skilled nursing, which includes registered nurses, physical therapists speech therapists and other highly trained professionals. This grade is frequently a fair assessment of a facility's rehabilitation services. In this place's case, we were surprised to learn that it actually provides less physical therapist and registered nurse hours per patient than a typical facility. The hope is always that this does not adversely impact the quality of care. Lastly, we considered the percentage of residents who were able to return to the community from this nursing home. This was a much stronger area for this facility. It outperformed most nursing homes in this metric with 57.2 percent of its residents returning home.

Long-term Care Quality

C
Oct 18: B-Nov 18: B-Dec 18: B-Jan 19: DFeb 19: DMar 19: DApr 19: DMay 19: DJun 19: DJul 19: CAug 19: CSep 19: CJan 20: B-Mar 20: B-Apr 20: B-May 20: B-Jun 20: B-Jul 20: CAug 20: C
Historical

The final category we analyzed is long-term care. We awarded this nursing home a grade of C in this category. In a long-term care setting, the facility's primary goal is to maintain residents' quality of life and keep them safe. One of the statistics we considered in addition to nursing hours was vaccinations. Thankfully, this nursing home administered the pneumonia vaccination to 99.61686 percent of its residents. This place also excelled at keeping its patients out of the hospital. Indeed, it had just 1.17 hospitalizations per 1,000 long-term resident days, which is a significantly better hospitalization rate than most nursing homes.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
D
State:
A-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Legacy Hilo Rehabilitation & Nursing Center Quality Metrics

Minimizes Pressure Ulcers

This indicates the percentage of residents that suffered from a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of patients staying in one position for too long. Better nursing care reduces the number of pressure ulcers sustained by residents in a nursing home.

Provider
A+
0.6%
State
A-
4.27%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This metric gauges the percentage of long-term stay residents that suffered falls resulting in serious injury. Falls can arise for a variety of reasons, but high rates of major falls could be an indicator of lower quality nursing care.

Provider
B-
3.83%
State
B+
2.98%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percentage of patients who sustained a urinary tract infection. UTI's are considered by many in the nursing home industry to be an indicator of nursing care at a nursing home. UTI's are routinely the result of worse hygiene protocols. However, this datapoint may also be misleading for some nursing homes due to inconsistent reporting standards for urinary tract infections.

Provider
C
3.54%
State
B
2.84%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percent of patients who were prescribed antipsychotic drugs. While antipsychotic drugs may be helpful for many residents, it is important to make sure these medications are being used appropriately. In some situations, excessive reliance on these medications may mean a facility is using these medications to control patient behavior.

Provider
B
12.7%
State
A-
8.46%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percentage of patients given antianxiety drugs. Antianxiety medications are prescribed to residents suffering from anxiety and depression.

Provider
A-
13.64%
State
A
8.74%
National
B
19.67%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percentage of patients who are demonstrating depressive symptoms.

Provider
B+
0.81%
State
A-
1.11%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This indicates the percent of residents who were given the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.

Provider
A
99.81%
State
B
92.75%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This tells you the percent of residents that needed increased assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living could be a sign of the decline of a patient's well-being.

Provider
A-
11.52%
State
A-
11.79%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

Measures the percent of long-term care patients that were able to retain mobility.

Provider
C
13.5%
State
B+
19.98%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This metric tracks the number of hospitalizations per thousand days of patient care.

Provider
B+
1.39
State
A
0.99
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This datapoint measures the number of rehospitalizations per thousand days of short-term care.

Provider
A-
13.5
State
B-
19.98
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This is the number of emergency room visits per thousand days of short-term patient care. There is generally a correlation between reduced emergency room visits and the overall quality of care.

Provider
D
13.95
State
A-
7.48
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This indicates the percentage of short-term stay residents that saw functional improvements, such as enhanced ability to perform activities of daily living.

Provider
B
71.16%
State
B
67.84%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Hilo Medical Center 0.98 mi
1190 Waianuenue Avenue Hilo Hawaii 96720
(808) 932-3000
Acute Care Hospitals
Government - State

Nearby Dialysis

Hilo Dialysis 2.22 mi
CMS Rating: 4 stars
Dialysis Stations: 48
1384 Kinoole Street Big Island Hilo Hawaii 96720
(808) 935-3422