Federal inspection record · CMS data as of October 1, 2026
Legacy At Salina
623 S 3rd Street, Salina, KS · (785) 825-6757
- Certified beds
- 45
- Residents per day
- 38
- Ownership
- For-Profit
- Chain
- Campbell Street Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1981
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Kansas.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Kansas homes
Legacy At Salina carries 104 inspection points. That is fewer than 24% of Kansas's 293 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Kansas: 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★ 0–27 pts
- 4★ 27–49 pts
- 3★ 49–71 pts
- 2★ 71–114.38 pts
- 1★ over 114.38 pts
Bars show every rated home in Kansas 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
45 health citations on record since 2022. 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.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Quality of Life and Care13E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care or services that was trauma informed and/or culturally competent.
- E
Provide activities to meet all resident's needs.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Nutrition and Dietary5F
- F
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service5E
- D
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.
- E
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.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Resident Rights5E
- E
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.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control3E
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Administration2D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Assessment and Care Planning2E
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2025-09-10
12 health deficiencies · 16 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-01-08
15 health deficiencies · 10 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-05-26
18 health deficiencies · 13 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 59 min of nursing staff time a day, 1 h 13 min of it from a registered nurse.
This home
3 h 59 min
Kansas average
4 h 8 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$26,868 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-10 | Fine | $9,110 |
| 2025-03-04 | Fine | $9,568 |
| 2024-07-16 | Fine | $8,190 |
6
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 days0.1 pts better | 1.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.3 pts worse | 3.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 99.3% | 92.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts better | 97.5% | 94.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts better | 3.4% | 4.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.6 pts better | 0.0% | 6.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts better | 4.5% | 4.8% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication5.2 pts better | 18.2% | 23.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 9.8% | 17.7% | 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 worsened4.6 pts better | 9.9% | 14.5% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better | 15.7% | 17.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts worse | 4.2% | 2.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts worse | 24.1% | 21.6% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 3.3% | 4.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.7 pts better | 96.8% | 77.1% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts worse | 15.0% | 11.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.9 pts better | 15.4% | 22.3% | 23.4% |
·
Who owns and runs it
39 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 |
|---|---|---|---|
| Nkero Investments Ltd Llp | 5% Or Greater Indirect Ownership Interest · Organization | 10% | 3 facilities |
| Adams, John | Indirect Ownership Interest · Individual | 0% | 4 facilities |
| Adams, John | Adp Of The SNF · Individual | 0% | 4 facilities |
| Campbell Street Services LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Campbell Street Services LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Dole, Isaac | Indirect Ownership Interest · Individual | 0% | 27 facilities |
| Dole, Isaac | Corporate Officer · Individual | 0% | 27 facilities |
| Dole, Isaac | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Dole, Isaac | Adp Of The SNF · Individual | 0% | 27 facilities |
| Fishfeld, Jordan | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Fishfeld, Jordan | Adp Of The SNF · Individual | 0% | 3 facilities |
| Irvin, Bradley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Irvin, Bradley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kero, Sameer | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Kero, Sameer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ks Portfolio Investor, LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Ks Portfolio Investor, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Ks Portfolio Manager, LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Ks Portfolio Master Holdco, LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Ks Portfolio Master Holdco, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Ks Portfolio Master SNF Holdco, LLC | Direct Ownership Interest · Organization | 0% | 3 facilities |
| Ks Portfolio Master SNF Holdco, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Ks Portfolio Sponsor, LLC | Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Ks Portfolio Sponsor, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Mendelovitz, Isidore | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Mendelovitz, Isidore | Adp Of The SNF · Individual | 0% | 3 facilities |
| Nkero Investments Ltd Llp | Adp Of The SNF · Organization | 0% | 3 facilities |
| Rodriguez, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rodriguez, Lori | Adp Of The SNF · Individual | 0% | 1 facilities |
| Salina Windsor SNF Realco, LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Salina Windsor SNF Realco, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Seeger, Gregory | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Seeger, Gregory | Adp Of The SNF · Individual | 0% | 2 facilities |
| Tolia, Kirit | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Tolia, Kirit | Adp Of The SNF · Individual | 0% | 3 facilities |
| Tolia, Sanjay | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Tolia, Sanjay | Adp Of The SNF · Individual | 0% | 3 facilities |
| Tolia, Vinay | Indirect Ownership Interest · Individual | 0% | 3 facilities |
| Tolia, Vinay | Adp Of The SNF · Individual | 0% | 3 facilities |
·
Fire safety
39 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke16F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- 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
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have properly installed hallway dispensers for alcohol-based hand rub.
Egress7F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
Have properly located and lighted "Exit" signs.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Miscellaneous6F
- F
Have simulated fire drills held at unexpected times.
- F
Have restrictions on the use of highly flammable decorations.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems4F
- F
Have power receptacles that are properly grounded.
- E
Ensure proper usage of power strips and extension cords.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
Construction2F
- F
Use approved construction type or materials.
- F
Use approved construction type or materials.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- D
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness2F
- F
Address subsistence needs for staff and patients.
- F
Develop and maintain an Emergency Preparedness Program (EP).
·
Other homes nearby
-
Kenwood View Healthcare And Rehabilitation Center
Salina, KS · Recover-Care Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 16 min
- Fines
- $0
-
Smoky Hill Rehabilitation Center
Salina, KS · Hmg Healthcare · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 44 min
- Fines
- $140,605
-
Salina Presbyterian Manor
Salina, KS · Presbyterian Manors Of Mid-America
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 36 min
- Fines
- $51,438