Starfile / Kansas

LEGACY AT HERINGTON

2 E ASH STREET, HERINGTON, KS 67449 · CCN 175490

Inspection history vs Kansas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$29,273

Number of fines

1

Number of penalties

2

Payment denials

1

Chain

Chain

CAMPBELL STREET SERVICES

Facilities in chain

16

Chain avg overall

2.10 / 5

Inspection citations (45)2 immediate jeopardy

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

2. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

3. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

4. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

5. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

6. CF0732Post nurse staffing information every day.2024-10-31 · Health · corrected 2024-11-17

   Potential for minimal harm

7. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

8. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

9. DF0758Implement 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.2024-10-31 · Health · corrected 2024-11-17

   Potential for more than minimal harm

10. DF0761Ensure 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.2024-10-31 · Health · corrected 2024-11-17

    Potential for more than minimal harm

11. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-10-31 · Health · corrected 2024-11-17

    Potential for more than minimal harm

12. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-10-31 · Health · corrected 2024-11-17

    Potential for more than minimal harm

13. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-31 · Health · corrected 2024-11-17

    Potential for more than minimal harm

14. FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2024-10-31 · Health · corrected 2024-11-17

    Potential for more than minimal harm

15. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-03 · Health · corrected 2024-04-18

    Potential for more than minimal harm

16. DF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2024-04-03 · Health · corrected 2024-04-18

    Potential for more than minimal harm

17. DF0564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.2024-04-03 · Health · corrected 2024-04-18

    Potential for more than minimal harm

18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-20 · Health · corrected 2023-10-09

    Potential for more than minimal harm

19. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-20 · Health · corrected 2023-10-09

    Potential for more than minimal harm

20. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

21. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-05-22 · Health · corrected 2023-07-05

    Immediate jeopardy

22. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

23. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

24. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

25. DF0688Provide 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.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

26. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-05-22 · Health · corrected 2023-04-24

    Immediate jeopardy

27. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

28. DF0692Provide enough food/fluids to maintain a resident's health.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

29. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

30. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

31. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

32. DF0779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

33. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

34. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

35. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

36. FF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

37. FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

38. EF0880Provide and implement an infection prevention and control program.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

39. FF0881Implement a program that monitors antibiotic use.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

40. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

41. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2023-05-22 · Health · corrected 2023-07-05

    Potential for more than minimal harm

42. DF0583Keep residents' personal and medical records private and confidential.2023-03-01 · Health · corrected 2023-03-31

    Potential for more than minimal harm

43. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2021-09-27 · Health · corrected 2021-10-08

    Potential for more than minimal harm

44. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-09-27 · Health · corrected 2021-10-08

    Potential for more than minimal harm

45. DF0880Provide and implement an infection prevention and control program.2021-09-27 · Health · corrected 2021-10-08

    Potential for more than minimal harm

Ownership

Other facilities in HERINGTON

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.