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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeKansasLegacy at Herington

Legacy at Herington

2 E Ash Street, Herington, KS 674497852582283
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
4/5
Quality
3/5
Beds
45
certified
1 fine(s) totaling $29,273

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 45 certified beds with an average of 27.7 residents per day (62% occupancy)

• Last health inspection found 14 deficiencies (inspected Oct 31, 2024)

• Has been fined a total of $29,273 across 1 fine(s)

• Total nursing staff: 4.13 hours per resident per day

• Staff turnover rate: 62.8% (high)

• Part of the Campbell Street Services chain (17 facilities)

Legacy at Herington is a 1-star Medicare and Medicaid certified nursing home in Herington, Kansas with 45 certified beds. It has been operating since 2006. The facility scored below average compared to Kansas facilities.

Beds
45
Avg Residents/Day
27.7
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 9, 2006
Sprinklers
Yes
Council
Resident
County
Dickinson
Last Inspection
Oct 31, 2024
Deficiencies (Cycle 1)
14
Weighted Score
136.8
Infection Citations
0

Deficiency Citations (45)

F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0758Potential for Harm

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.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0801Potential for Harm

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.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0851Potential for Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Oct 31, 2024Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0563Potential for Harm

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0564Potential for Harm

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: May 22, 2023Corrected: NoCycle: 2
F0779Potential for Harm

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

Survey: May 22, 2023Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: May 22, 2023Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: May 22, 2023Corrected: NoCycle: 2
F0623Potential for Harm

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Survey: May 22, 2023Corrected: NoCycle: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 22, 2023Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: May 22, 2023Corrected: NoCycle: 2
F0688Potential for Harm

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Survey: May 22, 2023Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 22, 2023Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: May 22, 2023Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: May 22, 2023Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: May 22, 2023Corrected: NoCycle: 2
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: May 22, 2023Corrected: NoCycle: 2

+ 15 more deficiencies

Total Fines
$29,273
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineMay 22, 2023
$29,273
Payment DenialMay 22, 2023
14 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.83 hrs
National avg: 2.35 hrs
LPN0.53 hrs
National avg: 0.86 hrs
RN0.77 hrs
National avg: 0.68 hrs
Total Nursing4.13 hrs
National avg: 3.89 hrs
Weekend Total3.50 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
62.8%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Individual
Recent Change
No

Owners & Managers (9)

NameRoleTypeOwnership %Since
KS PORTFOLIO MASTER SNF HOLDCO, LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Nov 1, 2015
KS PORTFOLIO INVESTOR, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2015
KS PORTFOLIO MASTER HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2015
KS PORTFOLIO SPONSOR, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ANov 1, 2015
ARBOR SPRINGS, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2019
CAMPBELL STREET SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMar 1, 2022
DOLE, ISAACCORPORATE DIRECTORIndividualN/ANov 1, 2015
DOLE, ISAACCORPORATE OFFICERIndividualN/ANov 1, 2015
BUSH, STEPHANIEW-2 MANAGING EMPLOYEEIndividualN/AFeb 7, 2024

Frequently Asked Questions

What is the CMS rating for Legacy at Herington?▾
Legacy at Herington has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated below average.
Has Legacy at Herington had any health inspection violations?▾
Legacy at Herington had 14 deficiency citations in its most recent health inspection (Oct 31, 2024). The facility has been fined a total of $29,273 across 1 fine(s).
What are the staffing levels at Legacy at Herington?▾
Legacy at Herington provides 4.13 total nursing staff hours per resident per day, including 0.77 RN hours, 0.53 LPN hours, and 2.83 nurse aide hours. The total staff turnover rate is 62.8%.
How many beds does Legacy at Herington have?▾
Legacy at Herington has 45 certified beds with an average of 27.7 residents per day, resulting in approximately 62% occupancy. The facility is For profit - Individual owned and is part of the Campbell Street Services chain.

Part of Campbell Street Services

This chain operates 17 facilities. View all →