C78

LEGACIES NURSING AND REHABILITATION

Grade C 78/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
4/5
Health Insp.
5/5
Quality
1/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

90

Ownership

Government - Hospital district

Total Fines

None

Last Survey

N/A

355 FM 83 W, HEMPHILL, TX 75948
4097875300

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.22h
LPN
0.85h
CNA
2.83h
Total
3.89h
Facility
State Average

Turnover Rates

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

Ownership

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2021

100%

HEMPHILL SNF OPERATIONS LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Dec 2021

COORISTON, CRAIG

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2021

COOPER, KIMBERLY

IndividualCORPORATE DIRECTORSince Jan 2024

NEWTON, ELIZABETH

IndividualCORPORATE DIRECTORSince Feb 2024

BRADBERRY, TIFFANI

IndividualW-2 MANAGING EMPLOYEESince Dec 2021

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

January 15, 2025Health1 deficiency
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 Feb 5, 2025
December 20, 2023Health8 deficiencies
0644EMinimal harm, Pattern

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Jan 16, 2024
0554DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jan 16, 2024
0690EMinimal harm, Pattern

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 Jan 16, 2024
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Jan 16, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jan 16, 2024
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Jan 16, 2024
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 Jan 16, 2024
0813DMinimal harm, Isolated

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nutrition and Dietary Deficiencies

Corrected Jan 16, 2024
November 2, 2022Health5 deficiencies
0695DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Dec 1, 2022
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 Dec 1, 2022
0812EMinimal harm, Pattern

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 Dec 1, 2022
0813DMinimal harm, Isolated

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nutrition and Dietary Deficiencies

Corrected Dec 1, 2022
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Dec 1, 2022

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Frequently Asked Questions

What is the CareGrader rating for LEGACIES NURSING AND REHABILITATION?

LEGACIES NURSING AND REHABILITATION in HEMPHILL, Texas has a CareGrader grade of C (Average), with a composite score of 78.3 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 LEGACIES NURSING AND REHABILITATION?

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

How many health deficiencies does LEGACIES NURSING AND REHABILITATION have?

LEGACIES NURSING AND REHABILITATION has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does LEGACIES NURSING AND REHABILITATION have?

LEGACIES NURSING AND REHABILITATION has 90 certified beds with approximately 84 current residents (93% occupancy). The facility is located at 355 FM 83 W, HEMPHILL, Texas 75948. It is a government - hospital district 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.