With a score of 10/100, Legacy At College Hill ranks in the bottom tier of Kansas nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Legacy At College Hill is near the national average, with 3.86 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 71 deficiencies at Legacy At College Hill, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: make sure there is a pest control program to prevent/deal with mice, insects, or other pests..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.86 | 3.8 | Average |
| Registered Nurses (RN) | 0.31 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.82 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.73 | 2.4 | Above Average |
| Weekend Total Nursing | 3.56 | 3.8 | Average |
| Weekend RN Hours | 0.21 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0925 Severity FMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.May 20, 2025 · Environmental Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dMay 20, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 20, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Feb 12, 2025 · Infection Control Deficiencies
- Tag 0921 Severity FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Feb 12, 2025 · Environmental Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.7% | 4.5% | Worse |
| Falls with major injury | 4.1% | 3.0% | Worse |
| On antipsychotic medication | 22.1% | 14.5% | Worse |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 15.6% | 14.0% | Worse |
| Excessive weight loss | 10.4% | 7.5% | Worse |
| New/worsened incontinence | 10.7% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $96,031
How This Grade Was Calculated
This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -9 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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