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Hilo Medical Center

Nursing Home Facility

1190 Waianuenue Ave, Hilo, HI 96720

Nursing Home Care Senior Living
Hilo Medical Center

Hilo Medical Center is a senior care community located in Hilo, HI. It provides nursing home care and senior living for older adults in the Hilo area. To learn more or schedule a tour, call (808) 932-3000.

With 52 beds, Hilo Medical Center is smaller than most nearby options, senior care communities in Hilo average about 130 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.

Medicare rates this community 4 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 5 stars for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in February 2025 and recorded 15 deficiencies.

Residents receive about 5.3 hours of nursing care per day on average, including 1.4 hours from a registered nurse. Communities in Hilo average about 4.3 hours. Nursing staff turnover over the past year was about 31%.

The community is located in Hawaii County, HI.

Medicare five-star ratings

  • Overall ★★★★★ 4/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 23 problems at Hilo Medical Center. 1 finding involved harm to a resident. 1 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, widespread Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, widespread Freedom from Abuse, Neglect, and Exploitation

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected February 2025, after a complaint. Corrected by March 24, 2025.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    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.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Inspected February 2025. Corrected by March 24, 2025.

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  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    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.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

    Inspected February 2025. Corrected by March 24, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Inspected February 2025. Corrected by March 24, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Hilo Medical Center offers nursing home care and senior living.

Facility details

  • Organization type Government - State
  • Beds / units 52
  • Nursing hours per resident/day 5.3
  • Annual staff turnover 31%
  • Last health inspection February 2025

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