D

LEGACY HEALTH AND REHAB

811 KEYLON STREET, MANCHESTER, TN 37355
Score: 40 / 100

Legacy Health And Rehab faces challenges in its CMS ratings, earning a D grade with a score of 40/100. The facility ranks in the 31th percentile among Tennessee nursing homes, suggesting significant room for improvement.

Staffing at Legacy Health And Rehab is near the national average, with 3.78 total nursing hours per resident per day (national average: 3.8 hours).

Recent inspections identified 24 deficiencies at Legacy Health And Rehab. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.78 3.8 Average
Registered Nurses (RN) 0.38 0.7 Below Average
Licensed Practical Nurses (LPN) 1.58 0.7 Above Average
Certified Nursing Assistants (CNA) 1.81 2.4 Below Average
Weekend Total Nursing 3.21 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

24
Total Deficiencies
Jun 24, 2025
Most Recent Inspection
🟠 24 Moderate
View recent deficiencies (5 shown)
  • Tag 0584 Severity D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for d
    Jun 24, 2025 · Resident Rights Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Jun 24, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jun 24, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0657 Severity D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    Jun 24, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0695 Severity D
    Provide safe and appropriate respiratory care for a resident when needed.
    Jun 24, 2025 · Quality of Life and Care 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 4.4% 4.5% Average
Falls with major injury 0.0% 3.0% Better
On antipsychotic medication 29.7% 14.5% Worse
Urinary tract infections 0.5% 2.5% Better
ADL decline (daily activities) 14.1% 14.0% Average
Excessive weight loss 8.9% 7.5% Worse
New/worsened incontinence 14.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 40 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
72
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 24, 2025
Deficiencies (Cycle 1)
8