Hilo Benioff Medical Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.34 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.44 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.19 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.61 hrs/resident/day on weekends vs 5.63 on weekdays — 18% thinner on weekends. RN hours go from 1.57 to 1.09 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 31% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.

• Actual harm · G2022-10-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure an environment free of accident hazards for one resident (Resident (R)32) and/or receives adequate supervision to prevent accidents for one resident (R142) sampled. As a result of this deficiency, both residents had falls and R142 experienced harm that required the resident to be transported to an acute hospital on another island and had emergency neurosurgery (brain surgery) and a long hospitalization with further complications. Findings include: 1) On 10/21/22 at 10:04 AM, reviewed the facility reported event that was received via email to the Office of Healthcare Assurance (OHCA) on 06/29/22 at 4:00 PM. R142 is a [AGE] year-old female with a history of chronic renal failure and on dialysis with a left below the knee amputation and was taking anticoagulants (blood thinner's). On 06/28/22 at 07:02 AM, R142 was found in the room, on the floor, laying on the right side. She was noted to have swelling to her right eye and vomiting. On 06/29/22,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-02-07 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to ensure appropriate protective and preventive measures for communicable diseases and infections were implemented. This is evidenced by the facility failing to ensure staff followed transmission-based precautions (additional infection control measures used when patients already have confirmed or suspected infections) by wearing the proper personal protective equipment (PPE) and adhered to standard precautions by performing proper hand and glove hygiene. In addition, the facility failed to have a surveillance plan for infections acquired outside of the facility. As a result of these deficient practices, staff and patient safety was compromised. Findings include: 1) On 01/27/25 at 11:14 AM, observed Droplet Precautions (transmission-based precautions for patients known or suspected to be infected with pathogens transmitted by respiratory droplets) signage outside of North room [ROOM NUMBER]. The signage displayed the following…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-02-07 · tag F0943 — widespread
  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility did not assure staff members received training for dementia management and resident abuse prevention, understanding expressions or indications of distress of residents to prevent abuse from occurring. This deficient practice has the potential to place at risk of resident-to-resident or staff to resident abuse. Findings include: Cross Reference to F600 - Free From Abuse and Neglect. The facility submitted event reports alleging resident-to-resident abuse, there were incidents of residents striking out, throwing items, and engaging in altercations related to inability to cope with other residents' behaviors of distress. A review of facility reported incidents found four allegations of resident-to-resident abuse. These incidents were investigated during the survey. The incidents occurred between 09/26/24 and 12/08/24. Resident (R)44 and R33 were involved in two incidents. The first documented incident occurred on 09/26/24 when two staff members on lunch witnessed R44 throwing rocks at R33. The second documented incident occurred on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-02-07 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to protect the residents' rights to be free from physical abuse by another resident. The facility did not assure residents with a history of distressed behaviors were identified to be at risk for abuse. The facility did not ensure staff were provided with training to assess potential situations that may result in abuse (Cross Reference to F943 - Abuse, Neglect, and Exploitation Training). The facility did not assure residents with a prior incident were supervised and monitored on the lanai. The facility submitted reports alleging resident-to-resident abuse involving a cognitive resident (Resident 44) that had two incidents as the alleged perpetrator, one with a cognitively impaired resident (Resident 33) and a cognitive resident (Resident 3). There were two incidents involving Resident (R)44 and R33. This deficient practice has the potential to result in psychosocial harm and/or injury. Findings include: 1) ACTS #HI00011229 On 09/26/24 at 12:30 PM, the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-02-07 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interview, and record review, the facility failed to ensure all medications used in the facility were labeled in accordance with professional standards. In addition, the facility failed to ensure all medications used in the facility were securely stored in locked compartments in 3 of 4 medication carts. Proper storage and labeling of medications is necessary to promote safe administration practices, and to decrease the risk of medication errors and diversion of resident medications. Findings include: 1) On 01/30/25 at 08:37 AM, an inspection was done of the North Pink medication cart. Observation was made of an insulin glargine pen in the cart for Resident (R)152. The pen was not marked when it had been opened. A concurrent interview with Registered Nurse (RN)6 confirmed that the insulin pen should have been labeled when it was opened, otherwise there was no way to tell when it should be discarded. RN6 also confirmed that she had used the insulin pen that morning and had not noticed that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-07 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on confidential interview and record review, the facility failed to treat each resident with respect and dignity for one of one sampled resident reviewed for dignity. This deficient practice caused the resident distress and affected his mood. Findings include: Confidential interview was conducted with a resident on 01/27/25 at 11:15 AM. The resident reported that some of the staff are assholes, treating me bad. Asked how do they treat you badly, resident replied the staff member yells and cusses him/her out. The resident reported that this Certified Nurse Aide (CNA)2 is really loud, screaming and laughing, the resident finds it very disturbing. The resident reported residents are trying to rest and CNA2 is disrupting. The resident further reported the CNA is so loud it wakes him/her. Further queried whether CNA2 has been physical, resident replied no. The resident further shared that there have been times when, he/she yelled at CNA2 to shut up and used expletives. Then CNA2 will respond, is that how your mother taught you to act? Resident further stated taking offense to this…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-07 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interview, the facility did not ensure a resident's right to a safe and homelike environment was provided for one of one residents that expressed concern regarding their home environment. This deficient practice affects the resident's comfort and safety. Findings include: On 01/26/25 at 11:23 AM an interview was conducted with Resident (R)29. R29 reported the grab bar next to the toilet is tied up with plastic bags. Following the resident interview, observation of the bathroom found the grab bar to the left of the toilet was anchored with two plastic bags to the bar at the back of the toilet. Also observed a large area of the paint behind the toilet was blistered and peeling. On 01/28/25 at 08:34 AM concurrent observation was done with Licensed Practical Nurse (LPN)1. Inquired why is the bar tied up, LPN1 reported the resident has requested the grab bar to be out of the way to facilitate transfer to the toilet. Further queried whether the grab bar would stay up without it being tied. LPN1 was agreeable to undo the two plastic bags. Upon removal, observed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-07 · tag F0585 — failed to handle grievances — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record review, the facility did not ensure the resident was apprised of the progress toward resolution of a filed grievance and prompt efforts were not made to resolve a grievance for one (Resident 1) of one residents that filed a grievance. This deficient practice resulted in the resident being unaware of the outcome of the grievance; therefore, five months have passed and Resident (R)1 continues without knowledge of the results of her grievance and an iPad. Findings include: On 01/29/25 at 01:03 PM, during the resident council interview, Resident (R)1 reported her iPad was damaged by a staff member. R1 shared the Certified Nurse Aides (CNA) was not careful during care, resulting in water damage to the iPad. R1 filed a grievance and reported she had not received a response from the facility on the disposition of the grievance. On 01/30/25 at 08:20 AM an interview was conducted with the Administrator. The Administrator was familiar with the grievance filed by R1 and stated the facility will replace the resident's iPad. Inquired whether the facility informed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-07 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interview, the facility failed to develop a baseline care plan that provided effective and person-centered care for 1 of 4 new admissions in the sample. Specifically, despite identifying that Resident (R)151 had psychotropic medication (medications that affect the mind, emotions, and behavior) needs, the facility failed to develop and implement a behavior-monitoring care plan. As a result of these deficient practices, the facility placed R151 at risk for avoidable declines or injury. Findings include: Resident (R)151 is a [AGE] year-old female admitted to the facility on [DATE] for long-term care. A review of her electronic health record (EHR) noted she was admitted with diagnoses that include, but are not limited to, dementia with behaviors, generalized anxiety disorder (GAD), and cerebral atherosclerosis (when the arteries in the brain become hard, thick, and narrow due to the buildup of plaque (fatty deposits) inside the artery walls). As a result, R151 was admitted…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-07 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  2) Cross Reference to F692 (Nutrition Status Maintenance) and F710 (Resident's Care Supervised by a Physician). The facility failed to revise R10's care plan to reflect individualized preferences for foods and snacks. Record review found R10 had a significant weight loss. On 01/31/25 at 10:50 AM an interview was conducted with the Registered Dietitian (RD). RD confirmed significant weight loss occurred. Following identification of significant weight loss, RD reported she met with the resident to inquire what are his food and snack preferences are and discussed the use of dietary supplement. RD acknowledged the care plan was not updated to include the resident's preference as well as the interventions that were discussed. Based on record review and interview, the facility failed to review and revise the Comprehensive Care Plan (CP) for 1 of 1 resident (R) sampled for falls. Despite experiencing an unwitnessed fall with major injury, the facility failed to thoroughly revise R21's care plan to ensure his safety when alone. As a result of this deficient practice, R21 remained at risk…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility did not assure one (Resident 10) of one resident who is unable to carry out activities of daily living (ADL) receives the necessary services to keep his fingernails clean. This deficient practice has the potential to result in unsanitary practice which may lead to infections. Findings include: Resident (R)23 was admitted to the facility on [DATE]. Diagnoses includes but not limited to depression, anxiety, acute hypoxemic respiratory failure, chronic shortness of breath, and chronic obstructive pulmonary disease. Review of the admission Minimum Data Set (MDS) with assessment reference date of 12/16/24 notes R23 is cognitively intact. In Section GG. Functional Abilities, R23 was coded as requiring substantial/maximal assistance for personal hygiene. Helper does more than half the effort. R23 has a care plan for potential for decrease in ADL with the goal to maintain/improve ADLs. The intervention for personal hygiene is for staff to assist resident.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to HAWAII HEALTH SYSTEMS CORPORATION — 7 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in HI