Legacy Health and Rehab
811 Keylon Street · Manchester, TN · 37355 · 9314505150
72 certified beds For profit - Limited Liability company
- 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.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.06 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D June 25, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 1, 2025 · Resident Rights
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Potential for harm · D June 25, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 25, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 25, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 1, 2025 · Quality of Life and Care
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Potential for harm · D June 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 4, 2025 · Nutrition and Dietary
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Potential for harm · D June 25, 2025
Dispose of garbage and refuse properly.
Corrected August 4, 2025 · Nutrition and Dietary
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Potential for harm · D June 25, 2025
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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Potential for harm · D April 10, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 15, 2024 · Resident Rights
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Potential for harm · D April 10, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 15, 2024 · Resident Rights
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Potential for harm · D April 10, 2024
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 15, 2024 · Resident Rights
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Potential for harm · D April 10, 2024
Ensure each resident receives an accurate assessment.
Corrected May 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 10, 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 May 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · F April 10, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected May 15, 2024 · Nursing and Physician Services
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Potential for harm · F April 10, 2024
Post nurse staffing information every day.
Corrected May 15, 2024 · Nursing and Physician Services
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Potential for harm · D April 10, 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 May 15, 2024 · Pharmacy Service
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Potential for harm · F April 10, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2024 · Nutrition and Dietary
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Potential for harm · D April 10, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 15, 2024 · Resident Rights
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Potential for harm · D September 19, 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 25, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 27, 2021
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected December 10, 2021 · Resident Rights
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Potential for harm · E October 27, 2021
Ensure medication error rates are not 5 percent or greater.
Corrected December 3, 2021 · Pharmacy Service
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Potential for harm · F October 27, 2021
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 December 3, 2021 · Pharmacy Service
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Potential for harm · D October 27, 2021
Provide and implement an infection prevention and control program.
Corrected December 3, 2021 · Infection Control
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445383 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.