Nursing homeActive
Legacy At Herington
2 E Ash Street, Herington, KS 67449785258228345 certified beds · 25 residentsFor profit - IndividualMedicare and Medicaid
Surveys on file
5
since 2021
Deficiencies
44
● 1● 41● 2
Penalties · 3 yrs
—
none on file
Last survey
2024-10-31
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
Quality 4
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 |
|---|---|---|---|---|
| 2024-10-31 | Standard | 1130 | CMS-2567 (Care Compare) | — |
| 2024-04-03 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2023-09-20 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-05-22 | Standard | 0202 | CMS-2567 (Care Compare) | — |
| 2021-09-27 | Standard | 030 | 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.
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 2024-11-17Record 175490-20241031-F550
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-17Record 175490-20241031-F623
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-17Record 175490-20241031-F657
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 2024-11-17Record 175490-20241031-F677
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-17Record 175490-20241031-F697
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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-17Record 175490-20241031-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 2024-11-17Record 175490-20241031-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 2024-11-17Record 175490-20241031-F758
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 2024-11-17Record 175490-20241031-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 2024-11-17Record 175490-20241031-F801
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 2024-11-17Record 175490-20241031-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 2024-11-17Record 175490-20241031-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-11-17Record 175490-20241031-F851
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2024-11-17Record 175490-20241031-F732
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 2024-04-18Record 175490-20240403-F550
F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 175490-20240403-F563
F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-18Record 175490-20240403-F564
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-09Record 175490-20230920-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 2023-10-09Record 175490-20230920-F609
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-07-05Record 175490-20230522-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-04-24Record 175490-20230522-F689
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 2023-07-05Record 175490-20230522-F550
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F623
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F686
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F688
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 2023-07-05Record 175490-20230522-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F692
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 2023-07-05Record 175490-20230522-F695
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 2023-07-05Record 175490-20230522-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 2023-07-05Record 175490-20230522-F757
F779Keep signed and dated reports of x-rays and other diagnostic services in the residents record.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F779
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 2023-07-05Record 175490-20230522-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 2023-07-05Record 175490-20230522-F812
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F835
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F867
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F868
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 2023-07-05Record 175490-20230522-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F881
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F883
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-05Record 175490-20230522-F887
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 2021-10-08Record 175490-20210927-F582
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 2021-10-08Record 175490-20210927-F695
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-08Record 175490-20210927-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
Kansas
National
Kansas 0.71 · National 0.69
Total nurse hours per resident day4.00
Facility
Kansas
National
Kansas 4.07 · National 3.86
Weekend total nurse hours3.56
Facility
Kansas
National
Kansas 3.60 · National 3.42
Total nursing staff turnover98%
Facility
Kansas
National
Kansas 48% · National 46%
Registered nurse turnover86%
Facility
Kansas
National
Kansas 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Kansas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.8% | 4.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.7% | 4.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 23.9% | 18.1% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.8% | 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 | 16.3% | 17.9% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.9% | 4.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.2% | 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 |
|---|---|---|---|---|
| Austin, Felicia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bryant, Rodney Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bush, Stephanie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell Street Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ks Portfolio Manager, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Seeger, Gregory Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Austin, Felicia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bryant, Rodney Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bush, Stephanie 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 | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fishfeld, Jordan Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Fishfeld, Jordan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herington Realco, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Herington Realco, LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Ks Portfolio Investor, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ks Portfolio Investor, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Manager, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Master Holdco, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ks Portfolio Master Holdco, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ks Portfolio Master SNF Holdco, LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ks Portfolio Master SNF Holdco, LLC Organization | ADP OF THE SNF | 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 | — | — |
| Nkero Investments Ltd LLP Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Seeger, Gregory Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tolia, Kirit Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tolia, Kirit Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tolia, Sanjay Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tolia, Sanjay Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tolia, Vinay Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Tolia, Vinay Individual | ADP OF THE SNF | 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 Dickinson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Enterprise Estates Nuring Center Enterprise | 17.7 mi | 2025-11-17 | 0210 |
| Chapman Valley Manor Chapman | 21.1 mi | 2024-09-18 | 091 |
| St Luke Living Center Marion | 23.5 mi | 2025-10-08 | 2160 |
| Tallgrass Healthcare Campus Junction City | 23.8 mi | 2026-06-30 | 0141 |
| Memorial Hospital Ltcu (Village Manor) Abilene | 22.0 mi | 2024-09-11 | 0100 |
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 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |