Hale Anuenue Restorative Care
1333 Waianuenue Avenue · Hilo, HI · 96720 · 8089616644
120 certified beds For profit - Limited Liability company Chain: Life Care Centers of America
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.57 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.10 | 0.55–0.75 |
| Weekend hours / resident-day | 3.15 | ≈ weekday level |
| Nursing turnover / year | 15% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (28 in the current record)
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Potential for harm · D February 2, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 18, 2024 · Resident Rights
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Potential for harm · D February 2, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 18, 2024 · Resident Rights
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Potential for harm · D February 2, 2024
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected March 18, 2024 · Resident Rights
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Potential for harm · D February 2, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 2, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 18, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 2, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · D February 2, 2024
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.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · D February 2, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected March 18, 2024 · Quality of Life and Care
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Potential for harm · F February 2, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected March 18, 2024 · Nursing and Physician Services
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Potential for harm · F February 2, 2024
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected March 18, 2024 · Nutrition and Dietary
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Potential for harm · E February 2, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 18, 2024 · Nutrition and Dietary
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Potential for harm · F February 2, 2024
Provide and implement an infection prevention and control program.
Corrected March 18, 2024 · Infection Control
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Potential for harm · D August 8, 2023 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected September 8, 2023 · Resident Rights
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Potential for harm · D August 8, 2023 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 8, 2023 · Nursing and Physician Services
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Potential for harm · D August 8, 2023 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 8, 2023 · Environmental
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Potential for harm · D December 2, 2022
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 29, 2022 · Resident Rights
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Potential for harm · D December 2, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 29, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 2, 2022
Respond appropriately to all alleged violations.
Corrected December 29, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 2, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 29, 2022 · Nutrition and Dietary
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Actual harm · G July 16, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 13, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G July 16, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 13, 2021 · Quality of Life and Care
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Potential for harm · D July 16, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 13, 2021 · Resident Assessment and Care Planning
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Potential for harm · E July 16, 2021
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected August 13, 2021 · Nursing and Physician Services
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Potential for harm · E July 16, 2021
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 13, 2021 · Nutrition and Dietary
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Potential for harm · D July 16, 2021
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 13, 2021 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 125045 · certified since May 24, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.