Legacy Manor Nursing And Rehabilitation Center is an average performer in CMS ratings, earning a C grade with a score of 66/100. Located in Greenville, Mississippi, the facility meets baseline standards across most quality metrics.
Staffing at Legacy Manor Nursing And Rehabilitation Center is near the national average, with 3.53 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 18 deficiencies at Legacy Manor Nursing And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.53 | 3.8 | Average |
| Registered Nurses (RN) | 0.50 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.07 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 3.17 | 3.8 | Below Average |
| Weekend RN Hours | 0.29 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jan 13, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0656 Severity JDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Sep 8, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0678 Severity JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advancSep 8, 2024 · Quality of Life and Care Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dJun 12, 2024 · Resident Rights Deficiencies
- Tag 0656 Severity DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Jun 12, 2024 · Resident Assessment and Care Planning 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 | 8.5% | 4.5% | Worse |
| Falls with major injury | 1.0% | 3.0% | Better |
| On antipsychotic medication | 0.0% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 4.0% | 14.0% | Better |
| Excessive weight loss | 3.3% | 7.5% | Better |
| New/worsened incontinence | 6.9% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $27,024
How This Grade Was Calculated
This facility's grade of C is based on a score of 66 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 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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