Legacies Nursing and Rehabilitation

Name: Legacies Nursing and Rehabilitation
Address: 355 FM 83 W, Hemphill, TX, 75948, US
Telephone: 4097875300

355 Fm 83 W, Hemphill, TX 75948 · Sabine County · 90 certified beds · avg 87 residents/day · certified since Oct 18, 2013

Part of chain: CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO. 1 (7 facilities, chain avg rating 3.0★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.87

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (12)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 18, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 18, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 20, 2023	E · Potential for harm, repeated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · from a complaint
Dec 20, 2023	E · Potential for harm, repeated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Dec 20, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 20, 2023	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint
Dec 20, 2023	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (1 → 3).

Year	Citations	Worst severity that year
2023	8	E
2025	1	D
2026	3	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.87	3.46	3.95	top 18% in Texas; top 45% in the U.S.
Registered Nurse hours	0.21	0.44	0.69	bottom 8% in Texas; bottom 3% in the U.S.
Weekend total nurse staffing	3.40	3.04	3.50	top 20% in Texas; top 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.34	0.48	bottom 25% in Texas; bottom 14% in the U.S.
Total nursing staff turnover (%)	47.7	55.3	45.8	top 40% in Texas; bottom 43% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.55, RN 0.19, weekend 3.12. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 1/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bradberry, Tiffani	Individual	W-2 Managing Employee	NOT APPLICABLE	12/01/2021
Cooper, Kimberly	Individual	Corporate Director	NOT APPLICABLE	01/29/2024
Cooriston, Craig	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Hemphill SNF Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Newton, Elizabeth	Individual	Corporate Director	NOT APPLICABLE	02/22/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Hemphill Care Center	1.7 mi	Hemphill, TX	★★☆☆☆	3/5
Avir at San Augustine	19.8 mi	San Augustine, TX	★★★☆☆	4/5

Compare this facility with the 2 closest →

All facilities in Hemphill →

Facility data as of CMS processing date 2026-08-01. CCN 676344.

The Care File

Visit checklist — Legacies Nursing and Rehabilitation

355 Fm 83 W, Hemphill, TX 75948 · 4097875300

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 676344 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)