Nursing homeActive
Legacy At Salina
623 S 3rd Street, Salina, KS 67401785825675745 certified beds · 38 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
45
● 1● 40● 4
Penalties · 3 yrs
$26,868
3 fines
Last survey
2026-06-29
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 2
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Kansas Department for Aging and Disability Services · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-18 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-09-10 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2025-03-04 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-07-16 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-01-08 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2022-05-26 | Standard | 1151 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Kansas Department for Aging and Disability Services publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 175127-20260629-F921
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-17Record 175127-20251118-F689
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-20Record 175127-20250910-F605
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 175127-20250910-F609
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-17Record 175127-20250910-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-20Record 175127-20250910-F690
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-20Record 175127-20250910-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-22Record 175127-20250910-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 175127-20250910-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-03Record 175127-20250910-F849
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-20Record 175127-20250910-F851
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-20Record 175127-20250910-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-03-20Record 175127-20250304-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-20Record 175127-20250304-F609
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-10Record 175127-20240716-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F554
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F561
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F582
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F584
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F695
F699Provide care or services that was trauma informed and/or culturally competent.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F699
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F880
F920Provide 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.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 175127-20240108-F920
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2022-07-14Record 175127-20220526-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F550
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-07-14Record 175127-20220526-F656
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F661
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F676
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-07-14Record 175127-20220526-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F695
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F698
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F757
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F758
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-06-15Record 175127-20220526-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2022-06-15Record 175127-20220526-F732
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-09-10 | Civil money penalty | $9,110 | CMS · Penalties |
| 2025-03-04 | Civil money penalty | $9,568 | CMS · Penalties |
| 2024-07-16 | Civil money penalty | $8,190 | CMS · Penalties |
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 4.9% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.3% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.9% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.1% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.3% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.2% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.8% | 23.2% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Nkero Investments Ltd LLP Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Campbell Street Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Irvin, Bradley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ks Portfolio Manager, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rodriguez, Lori Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Seeger, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adams, John Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Adams, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell Street Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fishfeld, Jordan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fishfeld, Jordan Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Irvin, Bradley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kero, Sameer Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kero, Sameer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Investor, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Investor, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ks Portfolio Master Holdco, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Master Holdco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ks Portfolio Master SNF Holdco, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Master SNF Holdco, LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ks Portfolio Sponsor, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Sponsor, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Mendelovitz, Isidore Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mendelovitz, Isidore Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Nkero Investments Ltd LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rodriguez, Lori Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Salina Windsor SNF Realco, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Salina Windsor SNF Realco, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Seeger, Gregory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tolia, Kirit Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tolia, Kirit Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tolia, Sanjay Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tolia, Sanjay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tolia, Vinay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tolia, Vinay Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Campbell Street Services — 22 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Kansas.
No county cost figures on file for Saline.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Kenwood View Healthcare And Rehabilitation Center Salina | 0.5 mi | 2024-12-30 | 050 |
| Smoky Hill Rehabilitation Center Salina | 1.0 mi | 2026-02-19 | 12310 |
| Salina Presbyterian Manor Salina | 2.2 mi | 2026-05-27 | 0245 |
| Holiday Resort Of Salina Salina | 2.6 mi | 2026-04-22 | 1281 |
| Pinnacle Park Nursing & Rehab Center Salina | 3.2 mi | 2026-06-10 | 090 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |