Legacy at Herington
2 E Ash Street, Herington, KS 67449
Open in mapsSee this home on CMS Care Compare
Follow this homeLegacy at Herington is a nursing home in Herington, Kansas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating1 / 5
- Last standard health inspectionOctober 31, 2024 (2 years ago)
- Health citations since September 27, 202142 (Kansas average 28)
- Fines in the past three yearsNone listed by CMS
- CMS flagsNone listed by CMS
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 3 / 5 to 1 / 5.
CMS update of July 29, 2026
Star rating
The CMS staffing star rating changed from 4 / 5 to 3 / 5.
Star rating
The CMS quality measures star rating changed from 3 / 5 to 4 / 5.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 4 / 5 to 3 / 5.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 / 5 to 1 / 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 2 / 5 to 1 / 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS staffing star rating changed from 3 / 5 to 4 / 5.
Ownership
CMS lists this home under a new chain.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 1 / 5 to 2 / 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 1 / 5 to 2 / 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 3 / 5 to 4 / 5.
Health citation
CMS removed citation F0623 from the health inspection on October 31, 2024.
Health citation
CMS removed citation F0758 from the health inspection on October 31, 2024.
CMS update of April 30, 2025
Star rating
The CMS quality measures star rating changed from 4 / 5 to 3 / 5.
Fire safety inspection on March 28, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on April 10, 2025.
CMS has cited this home for K0511 4 times since 2021.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on April 10, 2025.
CMS has cited this home for K0920 4 times since 2021.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 / 5 to 3 / 5.
CMS abuse icon
CMS removed its abuse icon from this home.
Health inspection on October 31, 2024
14 citationsCMS lists this as a standard inspection.
Show the 14 citations
Citation F0801. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on November 17, 2024.
CMS has cited this home for F0801 2 times since 2023.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 17, 2024.
CMS has cited this home for F0812 2 times since 2023.
Citation F0851. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on November 17, 2024.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on November 17, 2024.
CMS has cited this home for F0550 3 times since 2023.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on November 17, 2024.
CMS has cited this home for F0623 2 times since 2023.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on November 17, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on November 17, 2024.
CMS has cited this home for F0677 2 times since 2023.
Citation F0697. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe, appropriate pain management for a resident who requires such services.
CMS lists it as corrected on November 17, 2024.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on November 17, 2024.
CMS has cited this home for F0756 2 times since 2023.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on November 17, 2024.
CMS has cited this home for F0757 2 times since 2023.
Citation F0758. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 17, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on November 17, 2024.
Citation F0804. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on November 17, 2024.
Citation F0732. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
Post nurse staffing information every day.
CMS lists it as corrected on November 17, 2024.
Fire safety inspection on October 31, 2024
20 citationsCMS lists this as a standard inspection.
Show the 20 citations
Citation E0037. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Establish staff and initial training requirements.
CMS lists it as corrected on December 16, 2024.
Citation K0161. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0161 2 times since 2023.
Citation K0211. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0211 2 times since 2021.
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0222 3 times since 2021.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0291 3 times since 2021.
Citation K0293. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0293 2 times since 2021.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0321 3 times since 2021.
Citation K0331. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Construct fire resistant interior walls.
CMS lists it as corrected on December 16, 2024.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0345 3 times since 2021.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0353 3 times since 2021.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 16, 2024.
CMS has cited this home for K0363 3 times since 2021.
Citation K0372. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0372 2 times since 2021.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 19, 2024.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0712 3 times since 2021.
Citation K0741. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on December 16, 2024.
CMS has cited this home for K0741 2 times since 2023.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on December 16, 2024.
CMS has cited this home for K0761 2 times since 2023.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on December 16, 2024.
CMS has cited this home for K0914 2 times since 2023.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on December 19, 2024.
Citation K0100. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on December 19, 2024.
CMS has cited this home for K0100 2 times since 2023.
Citation K0753. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have restrictions on the use of highly flammable decorations.
CMS lists it as corrected on December 16, 2024.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 3 / 5 to 2 / 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 / 5 to 3 / 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 3 / 5 to 2 / 5.
Star rating
The CMS quality measures star rating changed from 3 / 5 to 4 / 5.
Health inspection on April 3, 2024
3 citationsCMS lists this as a complaint inspection.
Show the 3 citations
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on April 18, 2024.
Citation F0563. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
CMS lists it as corrected on April 18, 2024.
Citation F0564. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
CMS lists it as corrected on April 18, 2024.
Health inspection on May 22, 2023
22 citationsCMS lists this as a standard inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
25 of 296 Kansas homes (8%) got a citation at the immediate jeopardy level in 2023.
Show the 22 citations
Citation F0600. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS lists it as corrected on July 5, 2023.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 24, 2023.
Citation F0801. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on July 5, 2023.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 5, 2023.
Citation F0835. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on July 5, 2023.
Citation F0867. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on July 5, 2023.
Citation F0868. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS lists it as corrected on July 5, 2023.
Citation F0881. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Implement a program that monitors antibiotic use.
CMS lists it as corrected on July 5, 2023.
Citation F0677. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 5, 2023.
Citation F0756. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on July 5, 2023.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on July 5, 2023.
CMS has cited this home for F0880 2 times since 2021.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 5, 2023.
Citation F0623. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS lists it as corrected on July 5, 2023.
Citation F0686. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on July 5, 2023.
Citation F0688. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 5, 2023.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on July 5, 2023.
Citation F0692. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough food/fluids to maintain a resident's health.
CMS lists it as corrected on July 5, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on July 5, 2023.
CMS has cited this home for F0695 2 times since 2021.
Citation F0757. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on July 5, 2023.
Citation F0779. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
CMS lists it as corrected on July 5, 2023.
Citation F0883. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS lists it as corrected on July 5, 2023.
Citation F0887. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 5, 2023.
Fire safety inspection on May 22, 2023
17 citationsCMS lists this as a standard inspection.
Show the 17 citations
Citation E0039. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on July 17, 2023.
Citation K0100. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on July 17, 2023.
Citation K0161. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Use approved construction type or materials.
CMS lists it as corrected on July 17, 2023.
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on July 17, 2023.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on July 17, 2023.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on July 17, 2023.
Citation K0324. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on July 17, 2023.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on July 17, 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on July 17, 2023.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on July 17, 2023.
CMS has cited this home for K0355 2 times since 2021.
Citation K0363. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on July 17, 2023.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on July 17, 2023.
Citation K0761. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
CMS lists it as corrected on July 17, 2023.
Citation K0914. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
CMS lists it as corrected on July 17, 2023.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on July 17, 2023.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on July 17, 2023.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on July 17, 2023.
Health inspection on September 27, 2021
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on October 8, 2021.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on October 8, 2021.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on October 8, 2021.
Fire safety inspection on September 27, 2021
15 citationsCMS lists this as a standard inspection.
Show the 15 citations
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on December 20, 2021.
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on December 20, 2021.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 20, 2021.
Citation K0293. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly located and lighted "Exit" signs.
CMS lists it as corrected on December 20, 2021.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on December 20, 2021.
Citation K0355. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on December 20, 2021.
Citation K0712. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on December 20, 2021.
Citation K0920. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on December 20, 2021.
Citation K0921. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on December 20, 2021.
Citation K0211. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on December 20, 2021.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 20, 2021.
Citation K0353. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 20, 2021.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 20, 2021.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on December 20, 2021.
Citation K0511. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 20, 2021.
CMS star ratings
- 1 / 5CMS overall star rating
- 1 / 5CMS health inspection star rating
- 1 / 5CMS staffing star rating
- 4 / 5CMS quality measures star rating
Ratings over time
Compared with Kansas and the US
Legacy at Herington's overall rating is 1 / 5. It is 68% lower than the Kansas average (3.1 / 5) and 67% lower than the US average (3.1 / 5).
- This home
- Kansas average
- US average
Overall
Health inspections
Staffing
Quality measures
Show the numbers behind this chart
| Rating | This home | Kansas average | US average |
|---|---|---|---|
| Overall | 1 / 5 | 3.1 / 5 | 3.1 / 5 |
| Health inspections | 1 / 5 | 2.9 / 5 | 2.8 / 5 |
| Staffing | 1 / 5 | 3.5 / 5 | 3 / 5 |
| Quality measures | 4 / 5 | 3.3 / 5 | 3.7 / 5 |
Facts from CMS
- Phone
- (785) 258-2283
- Last standard health inspection
- October 31, 2024 (2 years ago)
- Certified beds
- 45
- Residents per day, on average
- 30.2
- Ownership type
- For profit - Individual
- Legal business name
- Herington Opco, LLC
- Chain
- Campbell Street Services
- Takes part in
- Medicare and Medicaid
More health citations than the Kansas average (42 vs 28).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- KS PORTFOLIO MASTER SNF HOLDCO, LLCDirect ownership interest · not applicable · since 11/01/2015
- KS PORTFOLIO INVESTOR, LLCIndirect ownership interest · not applicable · since 11/01/2015
- KS PORTFOLIO MASTER HOLDCO, LLCIndirect ownership interest · not applicable · since 11/01/2015
- KS PORTFOLIO SPONSOR, LLCIndirect ownership interest · not applicable · since 11/01/2015
- NKERO INVESTMENTS LTD LLPIndirect ownership interest · not applicable · since 11/01/2015
Show 13 more
- DOLE, ISAACIndirect ownership interest · not applicable · since 11/01/2015
- FISHFELD, JORDANIndirect ownership interest · not applicable · since 11/01/2015
- MENDELOVITZ, ISIDOREIndirect ownership interest · not applicable · since 11/01/2015
- TOLIA, KIRITIndirect ownership interest · not applicable · since 11/01/2015
- TOLIA, SANJAYIndirect ownership interest · not applicable · since 11/01/2015
- TOLIA, VINAYIndirect ownership interest · not applicable · since 11/01/2015
- CAMPBELL STREET SERVICES LLCOperational/managerial control · not applicable · since 03/01/2022
- KS PORTFOLIO MANAGER, LLCOperational/managerial control · not applicable · since 11/01/2015
- AUSTIN, FELICIAOperational/managerial control · not applicable · since 01/25/2023
- BRYANT, RODNEYOperational/managerial control · not applicable · since 01/01/2018
- BUSH, STEPHANIEOperational/managerial control · not applicable · since 02/05/2024
- DOLE, ISAACOperational/managerial control · not applicable · since 11/01/2015
- SEEGER, GREGORYOperational/managerial control · not applicable · since 03/01/2022
Questions
When was Legacy at Herington last inspected?
CMS lists October 31, 2024 as the date of its most recent standard health inspection.
How many citations (violations) does Legacy at Herington have?
CMS lists 42 health citations since September 27, 2021. CMS also calls these deficiencies.
Has Legacy at Herington been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Legacy at Herington?
Its CMS overall star rating is 1 / 5.
Is Legacy at Herington a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.