LEGACY HEALTH AND REHAB
811 KEYLON STREET, MANCHESTER, TN 37355 · CCN 445383
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 72
- Avg residents/day
- 51.2
- Phone
- 9314505150
Inspection history vs Tennessee & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Tennessee avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-06-25 | 8 | 5.8 | 9.5 | +2.2 worse |
| 2 | 2024-04-10 | 11 | 4.6 | 9.8 | +6.4 worse |
| 3 | 2021-10-27 | 5 | 4.6 | 9.3 | +0.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 3 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.78 | — |
| RN staffing (reported) | 0.38 | — |
| Total nurse staffing (adjusted) | 4.08 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (24)
- DF0584Honor 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.2025-06-25 · Health · corrected 2025-08-01
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-06-25 · Health · corrected 2025-08-09
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-25 · Health · corrected 2025-08-01
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-06-25 · Health · corrected 2025-08-01
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-06-25 · Health · corrected 2025-08-01
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-06-25 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2025-06-25 · Health · corrected 2025-08-04
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-06-25 · Health · corrected 2025-08-01
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0584Honor 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.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- FF0732Post nurse staffing information every day.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- 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.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-04-10 · Health · corrected 2024-05-15
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-19 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2021-10-27 · Health · corrected 2021-12-10
Potential for more than minimal harm
- EF0759Ensure medication error rates are not 5 percent or greater.2021-10-27 · Health · corrected 2021-12-03
Potential for more than minimal harm
- FF0761Ensure 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.2021-10-27 · Health · corrected 2021-12-03
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2021-10-27 · Health · corrected 2021-12-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LEGACY HEALTH AND REHAB LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-09-18 |
| LEGACY HEALTH AND REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2020-09-18 |
| DODGE, ROSE | Individual | CORPORATE OFFICER | — | 2020-09-18 |
| HOPKINS, HOLLY | Individual | W-2 MANAGING EMPLOYEE | — | 2020-09-18 |
Other facilities in MANCHESTER
| Name | Overall | Beds |
|---|---|---|
| MANCHESTER CENTER FOR REHABILITATION AND HEALING L | ★★★★☆ | 120 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.