Kansas ›Herington

Legacy at Herington

2 E Ash Street, Herington, KS 67449 · Dickinson County · 45 certified beds · avg 25 residents/day · certified since May 9, 2006

Part of chain: CAMPBELL STREET SERVICES (22 facilities, chain avg rating 2.1★)

1/5
Health inspection rating (on-site)
2
Serious findings on record
$0
Fines, last 3 years
4.18
Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · May 22, 2023 · F-0600

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Jul 5, 2023 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, one-off · May 22, 2023 · F-0689

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Apr 24, 2023 (Past Non-Compliance)

All citations in the current public record (44)

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

DateSeverityWhat the facility was cited for
Oct 31, 2024F · Potential for harm, facility-wideThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Oct 31, 2024F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 31, 2024F · Potential for harm, facility-wideThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records.
Oct 31, 2024D · Potential for harm, one-offThe 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.
Oct 31, 2024D · Potential for harm, one-offThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Oct 31, 2024D · Potential for harm, one-offThe facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 31, 2024D · Potential for harm, one-offThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Oct 31, 2024D · Potential for harm, one-offThe facility did not provide safe and appropriate pain management for a resident who needed it.
Oct 31, 2024D · Potential for harm, one-offThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Oct 31, 2024D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Oct 31, 2024D · Potential for harm, one-offThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Oct 31, 2024D · Potential for harm, one-offThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 31, 2024D · Potential for harm, one-offThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Oct 31, 2024C · Minimal risk, facility-wideThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Apr 3, 2024D · Potential for harm, one-offThe 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
Apr 3, 2024D · Potential for harm, one-offThe facility did not honor residents' right to receive the visitors they choose, at the times they choose. · from a complaint
Apr 3, 2024D · Potential for harm, one-offThe facility did not inform residents of their visitation rights or did not treat all visitors equally. Residents have the right to receive the visitors they choose. · from a complaint
Sep 20, 2023D · Potential for harm, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Sep 20, 2023D · Potential for harm, one-offThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
May 22, 2023▲ J · Immediate jeopardy, one-offThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
May 22, 2023▲ J · Immediate jeopardy, one-offThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 22, 2023F · Potential for harm, facility-wideThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
May 22, 2023F · Potential for harm, facility-wideThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 22, 2023F · Potential for harm, facility-wideThe facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
May 22, 2023F · Potential for harm, facility-wideThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
May 22, 2023F · Potential for harm, facility-wideThe facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
May 22, 2023F · Potential for harm, facility-wideThe facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
May 22, 2023E · Potential for harm, repeatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
May 22, 2023E · Potential for harm, repeatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 22, 2023E · Potential for harm, repeatedThe 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.
May 22, 2023D · Potential for harm, one-offThe 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.
May 22, 2023D · Potential for harm, one-offThe facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
May 22, 2023D · Potential for harm, one-offThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 22, 2023D · Potential for harm, one-offThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 22, 2023D · Potential for harm, one-offThe 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.
May 22, 2023D · Potential for harm, one-offThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 22, 2023D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
May 22, 2023D · Potential for harm, one-offThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
May 22, 2023D · Potential for harm, one-offThe facility did not keep signed and dated reports of x-rays and other diagnostic tests in residents' records.
May 22, 2023D · Potential for harm, one-offThe facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 22, 2023D · Potential for harm, one-offThe facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Sep 27, 2021D · Potential for harm, one-offThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Sep 27, 2021D · Potential for harm, one-offThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Sep 27, 2021D · Potential for harm, one-offThe 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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (22 → 14).

YearCitationsSerious (G–L)Worst severity that year
202130D
2023242J ▲
2024170F

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)

MeasureThis facilityKansas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.184.583.95bottom 39% in Kansas; top 33% in the U.S.
Registered Nurse hours0.640.810.69bottom 38% in Kansas; top 44% in the U.S.
Weekend total nurse staffing3.724.053.50bottom 41% in Kansas; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)0.480.490.48top 44% in Kansas; top 35% in the U.S.
Total nursing staff turnover (%)97.648.145.8bottom 1% in Kansas; bottom 1% in the U.S.
RN turnover (%)85.742.042.9bottom 7% in Kansas; bottom 3% in the U.S.

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 4.00, RN 0.61, weekend 3.56. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Individual

Owner / managerTypeRoleStakeSince
Dole, IsaacIndividualIndirect Ownership InterestNOT APPLICABLE11/01/2015
Fishfeld, JordanIndividualIndirect Ownership InterestNOT APPLICABLE11/01/2015
KS Portfolio Investor, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE11/01/2015
KS Portfolio Master Holdco, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE11/01/2015
KS Portfolio Master SNF Holdco, LLCOrganizationDirect Ownership InterestNOT APPLICABLE11/01/2015
KS Portfolio Sponsor, LLCOrganizationIndirect Ownership InterestNOT APPLICABLE11/01/2015
Mendelovitz, IsidoreIndividualIndirect Ownership InterestNOT APPLICABLE11/01/2015
Nkero Investments LTD LLPOrganizationIndirect Ownership InterestNOT APPLICABLE11/01/2015
Tolia, KiritIndividualIndirect Ownership InterestNOT APPLICABLE11/01/2015
Tolia, SanjayIndividualIndirect Ownership InterestNOT APPLICABLE11/01/2015
Tolia, VinayIndividualIndirect Ownership InterestNOT APPLICABLE11/01/2015
Austin, FeliciaIndividualOperational/Managerial ControlNOT APPLICABLE01/25/2023
Austin, FeliciaIndividualADP of the SNFNOT APPLICABLE01/25/2023
Bryant, RodneyIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2018
Bryant, RodneyIndividualADP of the SNFNOT APPLICABLE01/01/2018
Bush, StephanieIndividualOperational/Managerial ControlNOT APPLICABLE02/05/2024
Bush, StephanieIndividualADP of the SNFNOT APPLICABLE02/05/2024
Campbell Street Services LLCOrganizationOperational/Managerial ControlNOT APPLICABLE03/01/2022
Campbell Street Services LLCOrganizationADP of the SNFNOT APPLICABLE03/13/2025
Dole, IsaacIndividualOperational/Managerial ControlNOT APPLICABLE11/01/2015

Questions to ask on your visit

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

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Enterprise Estates Nuring Center17.7 miEnterprise, KS★★☆☆☆2/5

Compare this facility with the 1 closest →

All facilities in Herington →

Facility data as of CMS processing date 2026-08-01. CCN 175490.