Nursing Homes in Hilo, Hawaii
Hilo has 5 Medicare-certified nursing homes with 619 beds. The city average CMS rating is 3.2 stars, which is at Hawaii's state average of 3.4 stars. 0 facilities earn a B grade or better and are recommended for family consideration.
Compare 5 nursing homes · data
Worth Considering
0
Facilities graded A or B that meet our quality standards
City Average
-0.24 vs state
Total Beds
619
across 5 facilities
High Risk Facilities
0
0 under CMS review
0 with abuse citations
Nurse Availability
61 min
RN time per resident daily
Meets CMS recommendation
Well Staffed
3
exceed staffing threshold
60% of facilities
Zero Fines
passed all inspections
✓ Start your search here
Trend
0
improved vs last year
0 declined
Top Rated in Hilo
Hilo Benioff Medical Center
Explore Nearby Cities
Hilo Benioff Medical Center
★★★★★ · 65/100 · 52 beds
Life Care Center Of Hilo
★★★★★ · 63/100 · 252 beds
Hale Anuenue Restorative Care
★★★★★ · 55/100 · 120 beds
Legacy Hilo Rehabilitation & Nursing Center
★★★★★ · 55/100 · 100 beds
Yukio Okutsu State Veterans Home
★★★★★ · 33/100 · 95 beds
Showing 1–5 of 5 facilities
All 5 Nursing Homes in Hilo
A-ZWant to learn more about nursing home care in Hilo?
Fines · Deficiencies · Ownership Data · Quality Comparisons
About Nursing Home Care in Hilo
Hilo's nursing home market is a mixed bag, with some facilities offering reasonable care but overall, the options are limited and concerning. The standout is Hilo Medical Center Extended Care, which has a decent reputation, but it's crucial to approach with caution as none of the facilities can be deemed excellent. Families looking for nursing home care in Hilo should be prepared for a challenging search, as the average rating is about 3.2 stars, which doesn’t inspire confidence.
When considering specific facilities, check out Hilo Medical Center Extended Care, which is well-staffed and has maintained a clean record with zero fines in the last three years. Another option is Life Care Center of Hilo, which, despite its average rating, has some strengths like a responsive staff that families have noted positively. However, it’s wise to explore nearby cities like Kona or Waimea for potentially better options.
On the other hand, definitely skip Yukio Okutsu State Veterans Home. This facility has a troubling Grade F rating and has been cited for serious issues that could compromise resident care. Families should also be wary of Hilo Health and Rehabilitation, which has faced significant abuse citations. When visiting any facility, always ask to see the most recent inspection report and talk to current residents and their families to get a true sense of the care being provided.
Hilo at a Glance
Good News
- • 4 facilities with clean records—no fines in 3 years
- • 3 facilities have more nurses than required
Be Aware
- • Always check recent inspection reports before visiting
What's Changing
- → 5 facilities stayed the same
- ★ Overall: Hilo is stable
Questions Hilo Families Should Ask
Based on what we found in local inspection data
How many RN hours per resident do you provide daily?
CMS recommends 0.75 hrs; Hilo avg is 1.01 hrs (61 min)
Have you received any fines in the past 3 years?
4 of 5 Hilo facilities have zero fines
What were your most recent inspection findings?
Ask for specifics—0 local facilities have serious deficiencies
What is your staff-to-resident ratio on weekends?
Weekend staffing often differs from weekday levels
Finding Quality Nursing Home Care in Hilo, Hawaii
Hilo, Hawaii's Hawaii County seat, has 5 Medicare-certified nursing homes with approximately 619 beds. Families have solid options to choose from.
Hilo vs. Hawaii: Near State Average
Hilo nursing homes perform near the state average on key quality metrics. The city's average CMS rating of 3.20 stars is close to Hawaii's statewide average of 3.44 stars.
0 of 5 facilities earn a B grade or better. Families should still research carefully, as quality varies by facility.
Understanding Our Trust Score System
The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:
- Health Inspection Results — Recent deficiencies, their severity, and patterns over time
- Staffing Levels — RN hours, total nursing hours, and weekend staffing
- Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
- Penalties — Fines, payment denials, and enforcement actions
- Complaints — Substantiated complaints and their severity
In Hilo, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.
Staffing: Meeting Standards in Hilo
Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.
Hilo facilities average 1.01 RN hours per resident day, which meets the CMS-recommended threshold of 0.75 hours. The typical Hilo resident receives approximately 61 minutes of RN attention daily—compared to the 45 minutes experts recommend.
3 Hilo facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.
Ownership: An All For-Profit Market
Hilo has no non-profit nursing homes—all 3 facilities with reported ownership data are for-profit operations. 5 of 5 facilities are chain-owned, meaning these facilities are part of larger corporate systems rather than independently operated.
Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average. The absence of non-profit options in Hilo may be worth noting. Families seeking non-profit care should consider facilities in surrounding areas.
Ownership type alone does not guarantee quality. Several for-profit facilities in Hilo perform well. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports rather than ownership type alone.
Nearby Alternatives Worth Considering
Families may also want to consider nearby Hawaii cities for additional options. The following Hawaii cities offer multiple nursing home options:
Frequently Asked Questions
How many nursing homes are in Hilo, Hawaii?
Hilo has 5 Medicare-certified nursing homes with a total of 619 beds. The city average CMS rating is 3.2 stars, which is below Hawaii's state average of 3.4 stars.
What are the best nursing homes in Hilo?
Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Hilo include:
- • Hilo Benioff Medical Center — Grade C+, 65/100 Trust Score
- • Life Care Center Of Hilo — Grade C+, 63/100 Trust Score
- • Hale Anuenue Restorative Care — Grade C, 55/100 Trust Score
These facilities have strong inspection records and staffing levels.
Which Hilo nursing homes should I avoid?
We flag 0 facilities in Hilo as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.
We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.
The Bottom Line on Hilo Nursing Homes
Hilo offers typical nursing home options for the state. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing.