C

LEGACIES NURSING AND REHABILITATION

355 FM 83 W, HEMPHILL, TX 75948
Score: 68 / 100

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

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 25 / 25 pts
5 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 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

14
Total Deficiencies
Jan 14, 2025
Most Recent Inspection
🟠 14 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity D
    Ensure 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 E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent
    Dec 19, 2023 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Dec 19, 2023 · Infection Control Deficiencies
  • Tag 0644 Severity E
    Coordinate 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 D
    Allow 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

Ownership
Government - Hospital district
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jan 14, 2025
Deficiencies (Cycle 1)
1