With a score of 31/100, Legacy At Herington 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 Herington is near the national average, with 4.13 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 45 deficiencies at Legacy At Herington, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qu.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.13 | 3.8 | Average |
| Registered Nurses (RN) | 0.77 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.53 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.83 | 2.4 | Above Average |
| Weekend Total Nursing | 3.50 | 3.8 | Average |
| Weekend RN Hours | 0.67 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0801 Severity FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quOct 30, 2024 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Oct 30, 2024 · Nutrition and Dietary Deficiencies
- Tag 0851 Severity FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Oct 30, 2024 · Administration Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Oct 30, 2024 · Resident Rights Deficiencies
- Tag 0623 Severity DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aOct 30, 2024 · Resident Rights 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 | 8.3% | 4.5% | Worse |
| Falls with major injury | 1.7% | 3.0% | Better |
| On antipsychotic medication | 25.9% | 14.5% | Worse |
| Urinary tract infections | 3.5% | 2.5% | Worse |
| ADL decline (daily activities) | 21.2% | 14.0% | Worse |
| Excessive weight loss | 4.6% | 7.5% | Better |
| New/worsened incontinence | 21.0% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $29,273
How This Grade Was Calculated
This facility's grade of F is based on a score of 31 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: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -2 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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