Legacies Nursing And Rehabilitation is an average performer in CMS ratings, earning a C grade with a score of 68/100. Located in Hemphill, Texas, the facility meets baseline standards across most quality metrics.
Staffing at Legacies Nursing And Rehabilitation is near the national average, with 3.63 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 14 deficiencies at Legacies Nursing And Rehabilitation. 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 | 3.63 | 3.8 | Average |
| Registered Nurses (RN) | 0.20 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.64 | 2.4 | Average |
| Weekend Total Nursing | 3.22 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Jan 14, 2025 · Quality of Life and Care Deficiencies
- Tag 0690 Severity EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to preventDec 19, 2023 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Dec 19, 2023 · Infection Control Deficiencies
- Tag 0644 Severity ECoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Dec 19, 2023 · Resident Assessment and Care Planning Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Dec 19, 2023 · 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 | 4.0% | 4.5% | Better |
| Falls with major injury | 4.5% | 3.0% | Worse |
| On antipsychotic medication | 13.1% | 14.5% | Average |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 36.2% | 14.0% | Worse |
| Excessive weight loss | 10.6% | 7.5% | Worse |
| New/worsened incontinence | 27.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of C is based on a score of 68 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 5★ → 25 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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