Legacy at Herington

2 E Ash Street · Herington, KS · 67449 · 7852582283

45 certified beds For profit - Individual Chain: Campbell Street Services

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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.

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Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 78
Staffing 20% 73
Federal penalties 15% 100
Trend 10% 85
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.003.48 min · 4.1 strong
RN hours / resident-day0.710.55–0.75
Weekend hours / resident-day3.52≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)none

Inspection citations (44 in the current record)

  • Potential for harm · D October 31, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected November 17, 2024 · Resident Rights

  • Potential for harm · D October 31, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected November 17, 2024 · Resident Rights

  • Potential for harm · D October 31, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 17, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 31, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected November 17, 2024 · Quality of Life and Care

  • Potential for harm · D October 31, 2024

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected November 17, 2024 · Quality of Life and Care

  • Potential for harm · D October 31, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 17, 2024 · Pharmacy Service

  • Potential for harm · D October 31, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected November 17, 2024 · Pharmacy Service

  • Potential for harm · D October 31, 2024

    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.

    Corrected November 17, 2024 · Pharmacy Service

  • Potential for harm · D October 31, 2024

    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.

    Corrected November 17, 2024 · Pharmacy Service

  • Potential for harm · F October 31, 2024

    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.

    Corrected November 17, 2024 · Nutrition and Dietary

  • Potential for harm · D October 31, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected November 17, 2024 · Nutrition and Dietary

  • Potential for harm · F October 31, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected November 17, 2024 · Nutrition and Dietary

  • Potential for harm · F October 31, 2024

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected November 17, 2024 · Administration

  • No harm found · C October 31, 2024

    Post nurse staffing information every day.

    Corrected November 17, 2024 · Nursing and Physician Services

  • Potential for harm · D April 3, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 18, 2024 · Resident Rights

  • Potential for harm · D April 3, 2024 · found via complaint

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    Corrected April 18, 2024 · Resident Rights

  • Potential for harm · D April 3, 2024 · found via complaint

    Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

    Corrected April 18, 2024 · Resident Rights

  • Potential for harm · D September 20, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 9, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 20, 2023 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected October 9, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J May 22, 2023

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected July 5, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J May 22, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 24, 2023 · Quality of Life and Care

  • Potential for harm · D May 22, 2023

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected July 5, 2023 · Resident Rights

  • Potential for harm · D May 22, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 5, 2023 · Resident Rights

  • Potential for harm · E May 22, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 5, 2023 · Quality of Life and Care

  • Potential for harm · D May 22, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 5, 2023 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175490 · certified since May 9, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.