nursing home in Herington, KS
Legacy at Herington
2 E Ash Street, Herington, KS 67449 · (785) 258-2283
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★3
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legacy at Herington at a glance
Legacy at Herington is a 45-bed for-profit nursing home in Herington, Kansas (Dickinson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Kansas average of 3.1.
Residents receive about 4 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 4.1 hours.
Its most recent standard health inspection (October 31, 2024) found 14 health citations. The Kansas average is 9.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 97.6% per year (state average 48.1%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 45
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Campbell Street Services
- Medicare-certified since
- May 9, 2006
- Resident/family council
- Resident
- County
- Dickinson County
- CMS Certification Number
- 175490
Ratings
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.2 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.1 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.00 hrs | 4.07 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.71 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.66 hrs | 2.70 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.56 hrs | 3.60 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 97.6% | 48.1% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 85.7% | 42% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 135.8 | 83.4 | 80.6 | Worse |
Penalties
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $20,430 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 45 | 61 | 107 | |
| Average residents per day | 25 | 51 | 86 | |
| Occupancy | 56% | 82.4% | 80.9% |
Long-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 4.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 2.8% | 4.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 23.9% | 18.1% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.8% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.8% | 1.6% | 0.8% | Average |
| Long-stay residents needing more help with daily activities (lower is better) | 16.3% | 17.9% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 21% | 16.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.9% | 4.9% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1% | 6.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.2% | 23.2% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 19% | 22.6% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 94.5% | 92.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Kansas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 76.1% | 82% | Better |
Inspection citations
State inspectors cited this home for 44 health deficiencies and 54 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 28, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 28, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected April 10, 2025 |
| October 31, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 31, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 31, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 31, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 31, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 31, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | F Potential harm, widespread | Corrected December 16, 2024 |
| October 31, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | E Potential harm, pattern | Corrected December 19, 2024 |
| October 31, 2024 Fire safety | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Tag K0753 | D Potential harm, isolated | Corrected December 16, 2024 |
| October 31, 2024 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected November 17, 2024 |
| October 31, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 17, 2024 |
| October 31, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected November 17, 2024 |
| October 31, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected November 17, 2024 |
| October 31, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 17, 2024 |
| April 3, 2024 Complaint | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. Resident Rights Deficiencies · Tag F0564 | D Potential harm, isolated | Corrected April 18, 2024 |
| April 3, 2024 Complaint | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Resident Rights Deficiencies · Tag F0563 | D Potential harm, isolated | Corrected April 18, 2024 |
| April 3, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 18, 2024 |
| September 20, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 9, 2023 |
| September 20, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected October 9, 2023 |
| May 22, 2023 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected July 17, 2023 |
| May 22, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | D Potential harm, isolated | Corrected July 17, 2023 |
| May 22, 2023 Standard | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 24, 2023 |
| May 22, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | F Potential harm, widespread | Corrected July 5, 2023 |
| May 22, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected July 5, 2023 |
| May 22, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 5, 2023 |
| May 22, 2023 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected July 5, 2023 |
| May 22, 2023 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected July 5, 2023 |
| May 22, 2023 Standard | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Tag F0881 | F Potential harm, widespread | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 5, 2023 |
| May 22, 2023 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | E Potential harm, pattern | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. Administration Deficiencies · Tag F0779 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected July 5, 2023 |
| May 22, 2023 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected July 5, 2023 |
| September 27, 2021 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected December 20, 2021 |
| September 27, 2021 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected December 20, 2021 |
| September 27, 2021 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected October 8, 2021 |
| September 27, 2021 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected October 8, 2021 |
| September 27, 2021 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 8, 2021 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HERINGTON REALCO, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 11/01/2015 |
| AUSTIN, FELICIA Individual | adp of the snf | NOT APPLICABLE | 01/25/2023 |
| BRYANT, RODNEY Individual | adp of the snf | NOT APPLICABLE | 01/01/2018 |
| BUSH, STEPHANIE Individual | adp of the snf | NOT APPLICABLE | 02/05/2024 |
| CAMPBELL STREET SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 03/13/2025 |
| DOLE, ISAAC Individual | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| FISHFELD, JORDAN Individual | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| HERINGTON REALCO, LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO INVESTOR, LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO MANAGER, LLC Organization | adp of the snf | NOT APPLICABLE | 03/12/2025 |
| KS PORTFOLIO MASTER HOLDCO, LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO MASTER SNF HOLDCO, LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO SPONSOR, LLC Organization | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| MENDELOVITZ, ISIDORE Individual | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| NKERO INVESTMENTS LTD LLP Organization | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| SEEGER, GREGORY Individual | adp of the snf | NOT APPLICABLE | 03/01/2022 |
| TOLIA, KIRIT Individual | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| TOLIA, SANJAY Individual | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| TOLIA, VINAY Individual | adp of the snf | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO MASTER SNF HOLDCO, LLC Organization | direct ownership interest | NOT APPLICABLE | 11/01/2015 |
| DOLE, ISAAC Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| FISHFELD, JORDAN Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO INVESTOR, LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO MASTER HOLDCO, LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO SPONSOR, LLC Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| MENDELOVITZ, ISIDORE Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| NKERO INVESTMENTS LTD LLP Organization | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| TOLIA, KIRIT Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| TOLIA, SANJAY Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| TOLIA, VINAY Individual | indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| AUSTIN, FELICIA Individual | operational/managerial control | NOT APPLICABLE | 01/25/2023 |
| BRYANT, RODNEY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2018 |
| BUSH, STEPHANIE Individual | operational/managerial control | NOT APPLICABLE | 02/05/2024 |
| CAMPBELL STREET SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2022 |
| DOLE, ISAAC Individual | operational/managerial control | NOT APPLICABLE | 11/01/2015 |
| KS PORTFOLIO MANAGER, LLC Organization | operational/managerial control | NOT APPLICABLE | 11/01/2015 |
| SEEGER, GREGORY Individual | operational/managerial control | NOT APPLICABLE | 03/01/2022 |
Other nursing homes near Legacy at Herington
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★★★★★2Below average- ★★★★★4Above average
Memorial Hospital Ltcu (Village Manor)
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Diversicare of Council Grove
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★★★★★2Below average
Frequently asked questions
What is Legacy at Herington's rating?
Legacy at Herington has 1 out of 5 stars on the CMS overall star rating. The average for Kansas nursing homes is 3.1 stars.
How many inspection citations did Legacy at Herington receive?
Its most recent standard health inspection found 14 citations, compared with a Kansas average of 9.5. Every citation is listed on this page with its severity.
Does Legacy at Herington accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legacy at Herington?
It is for profit - individual and part of Campbell Street Services. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legacy at Herington and how do I contact it?
Legacy at Herington is at 2 E Ash Street, Herington, KS 67449. Phone: (785) 258-2283.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.