LEGACIES NURSING AND REHABILITATION

355 FM 83 W
HEMPHILL, TX, 75948
4097875300
CCN: 676344
4
Overall
5
Health
2
Staffing
1
Quality
ChainCHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTEREST100%
COOPER, KIMBERLYCORPORATE DIRECTORNOT APPLICABLE
NEWTON, ELIZABETHCORPORATE DIRECTORNOT APPLICABLE
HEMPHILL SNF OPERATIONS LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
COORISTON, CRAIGOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRADBERRY, TIFFANIW-2 MANAGING EMPLOYEENOT APPLICABLE
Health Deficiencies (14)
2025-01-15 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-12-20 · Health
D
F919 · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
E
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2022-11-02 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F761 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.63
3.68
RN Hrs/Resident/Day
0.20
0.54
LPN Hrs/Resident/Day
0.79
0.81
CNA Hrs/Resident/Day
2.64
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01