Federal inspection record · CMS data as of October 1, 2026
Legacies Nursing And Rehabilitation
355 Fm 83 W, Hemphill, TX · (409) 787-5300
- Certified beds
- 90
- Residents per day
- 86
- Ownership
- For-Profit
- Chain
- Chambers County Public Hospital District No. 1
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 18, 2013
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Legacies Nursing And Rehabilitation carries 23 inspection points. That is fewer than 91% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
12 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights3D
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Infection Control2E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care2E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Resident Assessment and Care Planning1E
- E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Pharmacy Service1D
- D
Ensure that residents are free from significant medication errors.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-03-18
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-01-15
1 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2023-12-20
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 26 min of nursing staff time a day, 15 min of it from a registered nurse.
This home
3 h 26 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 2.0 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2 pts worse | 4.0 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2 pts worse | 5.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.3 pts better | 0.0% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight8.9 pts worse | 11.8% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts worse | 21.4% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.2 pts worse | 11.0% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened24.1 pts worse | 37.0% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased20.1 pts worse | 35.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.5 pts worse | 2.8% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 0.0% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.9 pts worse | 20.4% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts worse | 4.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.9 pts better | 98.6% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse | 12.3% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.3 pts better | 96.7% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts better | 23.6% | 25.5% | 23.4% |
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Who owns and runs it
5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bradberry, Tiffani | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Cooper, Kimberly | Corporate Director · Individual | 0% | 13 facilities |
| Cooriston, Craig | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hemphill SNF Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Newton, Elizabeth | Corporate Director · Individual | 0% | 19 facilities |
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Fire safety
9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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- J
- Nursing / resident / day
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-
Avir At San Augustine
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-
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