nursing home in Henderson, NE
Legacy Square
1621 Front Street, Henderson, NE 68371 · (402) 723-5301
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★5
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legacy Square at a glance
Legacy Square is a 40-bed for-profit nursing home in Henderson, Nebraska (York County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Nebraska average of 2.8.
Residents receive about 4.1 hours of nursing care per day (0.8 of them from registered nurses), close to the state average of 4 hours.
Its most recent standard health inspection (January 15, 2026) found 8 health citations. The Nebraska average is 7.4.
Federal regulators fined it 1 time in the past three years, totaling $14,069.
Nursing staff turnover is 23.5% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 40
- Certified for
- Medicaid
- Medicare-certified since
- June 1, 1981
- Resident/family council
- Both
- County
- York County
- CMS Certification Number
- 28E173
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.9 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.09 hrs | 3.98 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.83 hrs | 0.67 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.51 hrs | 2.64 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.56 hrs | 3.48 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 23.5% | 48.7% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 0% | 44.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 8 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 117.3 | 57.3 | 80.6 | Worse |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 0 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,069 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 40 | 76 | 107 | |
| Average residents per day | 35 | 55 | 86 | |
| Occupancy | 87.2% | 73% | 80.9% |
Long-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.6% | 4.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 10.6% | 20.7% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 7.2% | 2.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 24.8% | 19% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 16.7% | 18.2% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.5% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 4.4% | 19.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.4% | 25.9% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.7% | 93% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.2% | 80.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 11 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 15, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 1, 2026 |
| January 15, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 1, 2026 |
| January 15, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 1, 2026 |
| January 15, 2026 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 March 1, 2026 |
| January 15, 2026 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected March 1, 2026 |
| January 15, 2026 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected March 1, 2026 |
| October 23, 2025 Complaint | 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 December 7, 2025 |
| October 23, 2025 Complaint | 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 December 7, 2025 |
| October 23, 2025 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 December 7, 2025 |
| October 23, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 7, 2025 |
| September 4, 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 | E Potential harm, pattern | Corrected October 19, 2024 |
| September 4, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected October 19, 2024 |
| September 4, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected October 19, 2024 |
| September 6, 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 October 20, 2023 |
| September 6, 2023 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected October 20, 2023 |
| September 6, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 20, 2023 |
| September 6, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected October 20, 2023 |
| September 6, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected October 20, 2023 |
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 2 federal penalties in the past three years, including $14,069 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 23, 2025 | Payment Denial | 16 days from November 21, 2025 |
| October 23, 2025 | Fine | $14,069 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Legacy Square
Sutton Community Home, INC.
1106 North Saunders Avenue, Sutton, NE 68979 · 11.8 mi
Non-profit · 31 beds
★★★★★3AverageMemorial Community Care
1423 Seventh Street, Aurora, NE 68818 · 12.2 mi
Non-profit · 48 beds
- CMS high performer
★★★★★5Much above average- ★★★★★1Much below average
York General Hearthstone
2600 North Lincoln Avenue, York, NE 68467 · 13.3 mi
Non-profit · 127 beds
- CMS high performer
★★★★★5Much above average- ★★★★★5Much above average
- ★★★★★4Above average
Frequently asked questions
What is Legacy Square's rating?
Legacy Square has 2 out of 5 stars on the CMS overall star rating. The average for Nebraska nursing homes is 2.8 stars.
How many inspection citations did Legacy Square receive?
Its most recent standard health inspection found 8 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Legacy Square accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legacy Square?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legacy Square and how do I contact it?
Legacy Square is at 1621 Front Street, Henderson, NE 68371. Phone: (402) 723-5301.
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.