Legacies Nursing and Rehabilitation
355 Fm 83 W · Hemphill, TX · 75948 · 4097875300
90 certified beds For profit - Limited Liability company Chain: Chambers County Public Hospital District No. 1
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.19 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 5 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.19 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (12 in the current record)
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Potential for harm · D March 18, 2026
Keep residents' personal and medical records private and confidential.
Corrected March 20, 2026 · Resident Rights
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Potential for harm · F March 18, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 20, 2026 · Nutrition and Dietary
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Potential for harm · D March 18, 2026
Provide and implement an infection prevention and control program.
Corrected March 20, 2026 · Infection Control
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Potential for harm · D January 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 5, 2025 · Quality of Life and Care
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Potential for harm · D December 20, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 16, 2024 · Resident Rights
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Potential for harm · E December 20, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected January 16, 2024 · Quality of Life and Care
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Potential for harm · D December 20, 2023
Ensure that residents are free from significant medication errors.
Corrected January 16, 2024 · Pharmacy Service
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Potential for harm · E December 20, 2023
Provide and implement an infection prevention and control program.
Corrected January 16, 2024 · Infection Control
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Potential for harm · D December 20, 2023
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected January 16, 2024 · Environmental
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Potential for harm · D December 20, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 16, 2024 · Resident Rights
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Potential for harm · E December 20, 2023 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 16, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 20, 2023 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected January 16, 2024 · Nutrition and Dietary
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676344 · certified since October 18, 2013. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.