LEGACY HILO REHABILITATION & NURSING CENTER

HILO, HI · 100 beds · For profit - Corporation

65 Trust Score
Grade: C MEDIUM Risk → Stable

Red Flags

No red flags identified.

Green Flags

  • No fines or penalties on record

Quick Facts

★★★☆☆
CMS Overall
★★★☆☆
Health Inspection
8
0.8x state avg
Deficiencies
$0
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

October 24, 2024

20 deficiencyies
F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Reasonably accommodate the needs and preferences of each resident.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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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.

F0623 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Reasonably accommodate the needs and preferences of each resident.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0623 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

Show details

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

Show details

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0755 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

Show details

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.

F0880 Potential Harm Scope/Severity: D

Infection Control Deficiencies

Show details

Provide and implement an infection prevention and control program.

F0558 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

Reasonably accommodate the needs and preferences of each resident.

F0584 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

Show details

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.

F0623 Potential Harm Scope/Severity: F

Resident Rights Deficiencies

Show details

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

F0656 Potential Harm Scope/Severity: D

Resident Assessment and Care Planning Deficiencies

Show details

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

See full violation history →

Staffing

0.89
RN hrs/res/day
0.38
LPN hrs/res/day
2.09
CNA hrs/res/day
3.03
Weekend hrs/res/day
60%
Total nurse turnover
52%
RN turnover

A nurse checks on each resident roughly every 7.1 hours on average.

Fines & Penalties

No fines or penalties on record.

Ownership

For profit - Corporation Chain: OHANA PACIFIC MANAGEMENT CO.
  • OHANA PACIFIC MANAGEMENT COMPANY INC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 04/23/2014

    100% Organization
  • KISHABA, RICHARD

    CORPORATE DIRECTOR

    Since since 09/04/2019

    Individual
  • HATA, RANDALL

    CORPORATE OFFICER

    Since since 12/15/2014

    Individual
  • KISHABA, RICHARD

    CORPORATE OFFICER

    Since since 09/04/2019

    Individual
  • MORIKUNI, SUANNE

    CORPORATE OFFICER

    Since since 01/01/2016

    Individual
  • PEARCE, JENNIFER

    CONTRACTED MANAGING EMPLOYEE

    Since since 02/01/2022

    Individual
  • PITCHER, KERRY

    CONTRACTED MANAGING EMPLOYEE

    Since since 04/03/2023

    Individual

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