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Legacies Nursing And Rehabilitation

355 Fm 83 W, Hemphill, TX 75948
4097875300
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Overall CMS Rating

4.0/5

vs State Average: 2.8 stars

5.0/5

Health Inspections

vs State Average: 2.8/5

2.0/5

Staffing Level

vs State Average: 2.1/5

1.0/5

Quality Measures

vs State Average: 3.8/5

0 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

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Ratings Deep Dive

Score
5.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Jan 15, 2025 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D
Dec 20, 2023 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. E
Dec 20, 2023 Ensure that residents are free from significant medication errors. D
Dec 20, 2023 Provide and implement an infection prevention and control program. E
Dec 20, 2023 Allow residents to self-administer drugs if determined clinically appropriate. D
Score
2.0
State Average
2.1
National Average
2.9
0.2 RN Hours / Resident / Day
3.6 Total Nurse Hours / Resident / Day
RN Turnover Rate
Score
1.0
State Average
3.8
National Average
3.6
1.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
84.9 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
OPERATIONAL/MANAGERIAL CONTROL HEMPHILL SNF OPERATIONS LLC
OPERATIONAL/MANAGERIAL CONTROL COORISTON, CRAIG
CORPORATE DIRECTOR COOPER, KIMBERLY
CORPORATE DIRECTOR NEWTON, ELIZABETH
W-2 MANAGING EMPLOYEE BRADBERRY, TIFFANI
Recent Penalties

No penalty records found.

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