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
🏥 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
View recent deficiencies (5 shown)
- 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 24, 2025 · Resident Rights Deficiencies
- Tag 0644 Severity DCoordinate 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 DDevelop 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 DDevelop 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 DProvide 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
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