Texas › Sabine County › Hemphill
Legacies Nursing and Rehabilitation
355 Fm 83 W, Hemphill, TX 75948
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 90 beds, Legacies Nursing and Rehabilitation serves Hemphill in Sabine County, Texas and has taken Medicare and Medicaid residents since 2013.
CMS gives it 5 of 5 stars overall, above the Texas median of 3; the health inspection rating is 5, staffing 2 and quality measures 2.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (3, 1, 8 by cycle, most recent first), none at the actual-harm level. That is 13.3 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.6 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 47.7%.
Compared with county, state and nation
| Measure | This facility | Sabine Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 26 | 25 | 28.7 |
| Citations per 100 beds | 13.3 | 29.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 47.7% | 47.7% | 52.1% | 45.8% |
| Fines listed | $0 | $29,226 | $16,801 | — |
County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 18 Mar 2026, 15 Jan 2025.
Severity mix: D ×8 E ×3 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Mar 2026 |
| 18 Mar 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 20 Mar 2026 |
| 18 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Mar 2026 |
| 15 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 5 Feb 2025 |
| 20 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Complaint investigation | 16 Jan 2024 |
| 20 Dec 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 16 Jan 2024 |
| 20 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 16 Jan 2024 |
| 20 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Jan 2024 |
| 20 Dec 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 16 Jan 2024 |
| 20 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 16 Jan 2024 |
| 20 Dec 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 16 Jan 2024 |
| 20 Dec 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 16 Jan 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 47.7%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 36.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.7% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 37.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.7% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Chambers County Public Hospital District No. 1. Chain: Chambers County Public Hospital District No. 1 (7 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Hemphill SNF Operations LLC | Operational/managerial control | NOT APPLICABLE | 12/01/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Sabine County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hemphill Care Center | Hemphill | 89 | 2 | 3 | 1 | 26 | 29.2 | $29K | 24 Sep 2025 |
All 2 facilities in Sabine County
Questions and answers
How many deficiencies has Legacies Nursing and Rehabilitation been cited for?
12 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Legacies Nursing and Rehabilitation been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Legacies Nursing and Rehabilitation compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Legacies Nursing and Rehabilitation?
It is part of the Chambers County Public Hospital District No. 1 chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Hemphill SNF Operations LLC. Individual owners and managers are not listed on this site.
When was Legacies Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 18 Mar 2026; the most recent standard health survey was 18 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.