Nursing homeActive
Legacy Square
1621 Front Street, Henderson, NE 68371402723530140 certified beds · 35 residentsFor profit - CorporationMedicaid
Surveys on file
4
since 2023
Deficiencies
11
● 0● 10● 1
Penalties · 3 yrs
$14,069
1 fine · 1 action
Last survey
2026-01-15
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 1
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Nebraska DHHS · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-15 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-10-23 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2024-09-04 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-09-06 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Nebraska DHHS 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.
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-01Record 28E173-20260115-F580
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 2026-03-01Record 28E173-20260115-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-01Record 28E173-20260115-F880
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-01Record 28E173-20260115-F882
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 2025-12-07Record 28E173-20251023-F689
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 2025-12-07Record 28E173-20251023-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-07Record 28E173-20251023-F610
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 2025-12-07Record 28E173-20251023-F868
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-19Record 28E173-20240904-F550
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-19Record 28E173-20240904-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-19Record 28E173-20240904-F760
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-10-23 | Civil money penalty | $14,069 | CMS · Penalties |
| 2025-10-23 | Denial of payment for new admissions Payment denial for 16 days, from 2025-11-21 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.83
Facility
Nebraska
National
Nebraska 0.67 · National 0.69
Total nurse hours per resident day4.09
Facility
Nebraska
National
Nebraska 3.98 · National 3.86
Weekend total nurse hours3.56
Facility
Nebraska
National
Nebraska 3.49 · National 3.42
Total nursing staff turnover24%
Facility
Nebraska
National
Nebraska 49% · National 46%
Registered nurse turnover0%
Facility
Nebraska
National
Nebraska 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Nebraska | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 4.0% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.6% | 4.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.6% | 20.7% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 7.2% | 2.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 24.8% | 19.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.5% | 5.1% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 4.4% | 19.3% | 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)No ownership records in the data we hold from CMS (Provider Enrollment).
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 Nebraska.
No county cost figures on file for York.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Sutton Community Home, Inc. Sutton | 11.8 mi | 2026-06-24 | 1120 |
| Memorial Community Care Aurora | 12.2 mi | 2026-02-02 | 190 |
| Westfield Quality Care of Aurora Aurora | 12.5 mi | 2026-03-04 | 0161 |
| York General Hearthstone York | 13.3 mi | 2026-03-09 | 030 |
| Fairview Manor Fairmont | 15.3 mi | 2026-01-15 | 030 |
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 |