C70

LEGACY MANOR NURSING AND REHABILITATION

Grade C 70/100 composite score

For profit - Limited Liability companyAbuse Citation

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
5/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

60

Ownership

For profit - Limited Liability company

Total Fines

$27,024

Last Survey

N/A

1935 NORTH THEOBOLD EXTENSION, GREENVILLE, MS 38704
6623344501

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.54h
LPN
1.17h
CNA
2.13h
Total
3.84h
Facility
State Average

Turnover Rates

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

Ownership

REGIONAL CARE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

FLIPPIN, DAVID

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2018

PARKINSON, TONI

IndividualCORPORATE OFFICERSince Nov 2015

KELLY, DIANE

IndividualW-2 MANAGING EMPLOYEESince Nov 2019

ELTON G BEEBE SR LIMITED PTRSHP TR

Organization5% OR GREATER SECURITY INTERESTSince Jan 2011

Penalties & Fines (2)

$27,024total fines
DateTypeDescriptionAmount
Jan 14, 2025Fine$16,985
Sep 9, 2024Fine$10,039

Health Inspection Deficiencies (18)

January 14, 2025Health1 deficiency1 severe
0600JImmediate jeopardy, 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 Dec 27, 2024
September 9, 2024Health2 deficiencies2 severe
0656JImmediate jeopardy, Isolated

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 Sep 6, 2024
0678JImmediate jeopardy, Isolated

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Quality of Life and Care Deficiencies

Corrected Sep 6, 2024
June 13, 2024Health3 deficiencies
0584DMinimal harm, 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.

Resident Rights Deficiencies

Corrected Jul 12, 2024
0656DMinimal harm, Isolated

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 12, 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 Jul 12, 2024
June 29, 2023Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jul 28, 2023
February 9, 2023Health5 deficiencies
0656DMinimal harm, Isolated

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 Mar 10, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Mar 10, 2023
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 10, 2023
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Mar 10, 2023
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 Mar 10, 2023
August 15, 2019Health6 deficiencies
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Sep 23, 2019
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 23, 2019
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Sep 23, 2019
0623EMinimal harm, Pattern

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Resident Rights Deficiencies

Corrected Sep 23, 2019
0656DMinimal harm, Isolated

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 Sep 23, 2019
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 23, 2019

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Frequently Asked Questions

What is the CareGrader rating for LEGACY MANOR NURSING AND REHABILITATION?

LEGACY MANOR NURSING AND REHABILITATION in GREENVILLE, Mississippi has a CareGrader grade of C (Average), with a composite score of 70.3 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 MANOR NURSING AND REHABILITATION?

LEGACY MANOR NURSING AND REHABILITATION has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does LEGACY MANOR NURSING AND REHABILITATION have?

LEGACY MANOR NURSING AND REHABILITATION has 18 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 MANOR NURSING AND REHABILITATION been fined?

Yes. LEGACY MANOR NURSING AND REHABILITATION has $27,024 in total fines from CMS enforcement actions across 2 penalties.

How many beds does LEGACY MANOR NURSING AND REHABILITATION have?

LEGACY MANOR NURSING AND REHABILITATION has 60 certified beds with approximately 49 current residents (82% occupancy). The facility is located at 1935 NORTH THEOBOLD EXTENSION, GREENVILLE, Mississippi 38704. 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.