LEGACY AT HERINGTON
LEGACY AT HERINGTON is a 45-bed nursing home in HERINGTON, Kansas. CMS has certified it for Medicare and Medicaid since 2006-05-09. It averages 25.2 residents a day.
What harm was found in the violations cited at LEGACY AT HERINGTON?
CMS lists 44 health-inspection deficiencies for LEGACY AT HERINGTON since 2021-09-27, 19 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2024-10-31.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2024-10-31 | F0801, F0812, F0851 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2024-10-31 | F0550, F0623, F0657, F0677, F0697, F0756, F0757, F0758, F0761, F0804 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2024-10-31 | F0732 | Post nurse staffing information every day. | C |
| 2024-04-03 | F0550, F0563, F0564 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | D |
| 2023-09-20 | F0600, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-05-22 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-05-22 | F0801, F0812, F0835, F0867, F0868, F0881 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Implement a program that monitors antibiotic use. | F |
| 2023-05-22 | F0677, F0756, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide and implement an infection prevention and control program. | E |
| 2023-05-22 | F0550, F0623, F0686, F0688, F0690, F0692, F0695, F0757, F0779, F0883, F0887 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Keep signed and dated reports of x-rays and other diagnostic services in the residents record. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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. | D |
| 2021-09-27 | F0582, F0695, F0880 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
How is LEGACY AT HERINGTON staffed relative to the KS average?
| Measure | This facility | KS average |
|---|---|---|
| Total nurse staffing hours per resident per day | 4.00472 | 4.06686 |
| Total nursing staff turnover (%) | 97.6 | 48.1 |
| Average number of residents per day | 25.2 | 50.5 |
Who owns LEGACY AT HERINGTON, and what chain is it in?
LEGACY AT HERINGTON is registered with CMS as For profit - Individual, operates under the legal business name HERINGTON OPCO, LLC and belongs to the CAMPBELL STREET SERVICES chain.
| Role | Owner | Association date |
|---|---|---|
| DIRECT OWNERSHIP INTEREST | KS PORTFOLIO MASTER SNF HOLDCO, LLC | since 11/01/2015 |
| INDIRECT OWNERSHIP INTEREST | KS PORTFOLIO INVESTOR, LLC, KS PORTFOLIO MASTER HOLDCO, LLC, KS PORTFOLIO SPONSOR, LLC, NKERO INVESTMENTS LTD LLP, DOLE, ISAAC, FISHFELD, JORDAN, MENDELOVITZ, ISIDORE, TOLIA, KIRIT, TOLIA, SANJAY, TOLIA, VINAY | since 11/01/2015 |
| 5% OR GREATER MORTGAGE INTEREST | HERINGTON REALCO, LLC | since 11/01/2015 |
| OPERATIONAL/MANAGERIAL CONTROL | CAMPBELL STREET SERVICES LLC, KS PORTFOLIO MANAGER, LLC, AUSTIN, FELICIA, BRYANT, RODNEY, BUSH, STEPHANIE, DOLE, ISAAC, SEEGER, GREGORY | since 01/01/2018 |
| ADP OF THE SNF | CAMPBELL STREET SERVICES LLC, HERINGTON REALCO, LLC, KS PORTFOLIO INVESTOR, LLC, KS PORTFOLIO MANAGER, LLC, KS PORTFOLIO MASTER HOLDCO, LLC, KS PORTFOLIO MASTER SNF HOLDCO, LLC, KS PORTFOLIO SPONSOR, LLC, NKERO INVESTMENTS LTD LLP, AUSTIN, FELICIA, BRYANT, RODNEY, BUSH, STEPHANIE, DOLE, ISAAC, FISHFELD, JORDAN, MENDELOVITZ, ISIDORE, SEEGER, GREGORY, TOLIA, KIRIT, TOLIA, SANJAY, TOLIA, VINAY | since 01/01/2018 |