D68

LEGACY AT SALINA

Grade D 68/100 composite score

For profit - Limited Liability companyAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

45

Ownership

For profit - Limited Liability company

Total Fines

$22,910

Last Survey

N/A

623 S 3RD STREET, SALINA, KS 67401
7858256757

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.72h
LPN
0.75h
CNA
2.65h
Total
4.12h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

KS PORTFOLIO MASTER SNF HOLDCO, LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Nov 2015

100%

KS PORTFOLIO INVESTOR, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

KS PORTFOLIO MASTER HOLDCO, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

KS PORTFOLIO SPONSOR, LLC

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

NKERO INVESTMENTS LTD LLP

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Mar 2020

ADAMS, JOHN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

FISHFELD, JORDAN

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

KERO, SAMEER

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

MENDELOVITZ, ISIDORE

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

TOLIA, KIRIT

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

TOLIA, SANJAY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

TOLIA, VINAY

Individual5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Nov 2015

CAMPBELL STREET SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2022

KS PORTFOLIO MANAGER, LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2015

DOLE, ISAAC

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2015

IRVIN, BRADLEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2019

RODRIGUEZ, LORI

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2022

SEEGER, GREGORY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Mar 2022

DOLE, ISAAC

IndividualCORPORATE OFFICERSince Nov 2015

SALINA WINDSOR SNF REALCO, LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Nov 2015

Penalties & Fines (2)

$22,910total fines
DateTypeDescriptionAmount
Mar 4, 2025Fine$14,720
Jul 16, 2024Fine$8,190

Health Inspection Deficiencies (44)

November 18, 2025Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 17, 2025
September 10, 2025Health10 deficiencies
0605DMinimal harm, Isolated

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 20, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 17, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 17, 2025
0690DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Oct 20, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Oct 20, 2025
0801FMinimal harm, Widespread

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Nutrition and Dietary Deficiencies

Corrected Oct 22, 2025
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Oct 10, 2025
0849DMinimal harm, Isolated

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Administration Deficiencies

Corrected Oct 3, 2025
0851DMinimal harm, Isolated

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Administration Deficiencies

Corrected Oct 20, 2025
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Oct 20, 2025
March 4, 2025Health2 deficiencies1 severe
0600GActual harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 20, 2025
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 20, 2025
July 16, 2024Health1 deficiency1 severe
0689GActual harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jul 10, 2024
January 8, 2024Health13 deficiencies
0554DMinimal harm, Isolated

Allow residents to self-administer drugs if determined clinically appropriate.

Resident Rights Deficiencies

Corrected Feb 16, 2024
0561DMinimal harm, Isolated

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Resident Rights Deficiencies

Corrected Feb 16, 2024
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Feb 16, 2024
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Feb 16, 2024
0677DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 16, 2024
0689EMinimal harm, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Feb 16, 2024
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Feb 16, 2024
0699DMinimal harm, Isolated

Provide care or services that was trauma informed and/or culturally competent.

Quality of Life and Care Deficiencies

Corrected Feb 16, 2024
0761EMinimal harm, 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.

Pharmacy Service Deficiencies

Corrected Feb 16, 2024
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Feb 16, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 16, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 16, 2024
0920EMinimal harm, Pattern

Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.

Environmental Deficiencies

Corrected Feb 16, 2024
May 26, 2022Health17 deficiencies1 severe
0550DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jun 15, 2022
0656EMinimal harm, Pattern

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

Resident Assessment and Care Planning Deficiencies

Corrected Jul 14, 2022
0661DMinimal harm, Isolated

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 15, 2022
0676DMinimal harm, Isolated

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jul 14, 2022
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022
0690DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022
0692GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 14, 2022
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022
0698DMinimal harm, Isolated

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Jun 15, 2022
0756EMinimal harm, Pattern

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

Pharmacy Service Deficiencies

Corrected Jun 15, 2022
0757DMinimal harm, Isolated

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Pharmacy Service Deficiencies

Corrected Jun 15, 2022
0758DMinimal harm, Isolated

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Pharmacy Service Deficiencies

Corrected Jun 15, 2022
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 15, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 15, 2022

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Frequently Asked Questions

What is the CareGrader rating for LEGACY AT SALINA?

LEGACY AT SALINA in SALINA, Kansas has a CareGrader grade of D (Below Average), with a composite score of 68 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for LEGACY AT SALINA?

LEGACY AT SALINA has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGACY AT SALINA have?

LEGACY AT SALINA has 44 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has LEGACY AT SALINA been fined?

Yes. LEGACY AT SALINA has $22,910 in total fines from CMS enforcement actions across 2 penalties.

How many beds does LEGACY AT SALINA have?

LEGACY AT SALINA has 45 certified beds with approximately 39 current residents (87% occupancy). The facility is located at 623 S 3RD STREET, SALINA, Kansas 67401. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.