For profit - Limited Liability company · 90 certified beds · CMS number 676344
Legacies Nursing and Rehabilitation, Hemphill, TX
CMS records 12 health deficiencies at Legacies Nursing and Rehabilitation in Hemphill, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Mar 18, 2026. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 12deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 5CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legacies Nursing and Rehabilitation as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Legacies Nursing and Rehabilitation may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Mar 18, 2026. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.
Mar 18, 2026 · Standard inspection
3 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 20, 2026
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Mar 20, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 20, 2026
Previous cycle: 1 deficiency (standard inspection Jan 15, 2025)
Standard inspection Jan 15, 2025. CMS counts 1 health deficiency and 2 fire safety deficiencies in this cycle.
Jan 15, 2025 · Standard inspection
1 deficiency, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 5, 2025
Earlier cycle: 8 deficiencies (standard inspection Dec 20, 2023)
Standard inspection Dec 20, 2023. CMS counts 8 health deficiencies and 5 fire safety deficiencies in this cycle.
Dec 20, 2023 · Standard + complaint inspection
8 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 16, 2024
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 16, 2024
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 16, 2024
F554 · Taking one's own medications
Requirement cited (CMS): Allow residents to self-administer drugs if determined clinically appropriate.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 16, 2024
Tags cited in more than one inspection
1 tag cited on more than one inspection date at Legacies Nursing and Rehabilitation; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F880 Infection prevention and control program | 2 | Mar 18, 2026; Dec 20, 2023 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.55 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.19 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.12 h
- Nursing staff turnover
- 47.7% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 5 of 5
- Health inspection rating
- 5 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 2 of 5
CMS figures for Legacies Nursing and Rehabilitation, copied as published; Texas medians are ours.
Facility details
- Address
- 355 Fm 83 W, Hemphill, TX 75948
- Phone
- (409) 787-5300
- County
- Sabine
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Chambers County Public Hospital District No. 1
- Certified beds
- 90
- Average residents per day
- 86.6
- In Medicare/Medicaid since
- Oct 18, 2013
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff track and report infections among residents? (F880, cited 2 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 1 time)
- How does the care team decide whether a resident can keep and take their own medications? (F554, cited 1 time)
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 1 time)
Other nursing homes in Hemphill and the same chain
- Hemphill Care Center
Hemphill · 26 deficiencies - Woodway Nursing & Rehab
Houston · 55 deficiencies - Regency Village
Webster · 29 deficiencies - Will-O-Bell
Bartlett · 29 deficiencies - Country Village Care
Angleton · 23 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.