Kansas › Dickinson County › Herington
Legacy At Herington
2 E Ash Street, Herington, KS 67449
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 45 beds, Legacy At Herington serves Herington in Dickinson County, Kansas and has taken Medicare and Medicaid residents since 2006.
CMS gives it 1 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 1, staffing 3 and quality measures 4.
Inspectors recorded 44 health deficiencies across the three most recent survey cycles (14, 22, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 97.8 per 100 beds, more than the state median of 44.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.0 hours per resident per day (0.6 RN), close to the Kansas median of 3.9; nursing staff turnover is 97.6%.
Compared with county, state and nation
| Measure | This facility | Dickinson Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 44 | 32 | 24 | 28.7 |
| Citations per 100 beds | 97.8 | 80.0 | 44.4 | 26.8 |
| Total nurse hours per resident day | 4.0 | 4.3 | 3.9 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.6 | 0.7 |
| Nursing staff turnover | 97.6% | 61.5% | 47.4% | 45.8% |
| Fines listed | $0 | $0 | $7,960 | — |
County and state figures are medians across facilities (4 in the county, 296 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: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Oct 2024, 22 May 2023.
Severity mix: J ×2 D ×29 E ×3 F ×9 C ×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 |
|---|---|---|---|---|---|
| 31 Oct 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0758 | Implement 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. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0761 | Ensure 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. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 17 Nov 2024 |
| 31 Oct 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 17 Nov 2024 |
| 3 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 18 Apr 2024 |
| 3 Apr 2024 | F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint investigation | 18 Apr 2024 |
| 3 Apr 2024 | F0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | D | Complaint investigation | 18 Apr 2024 |
| 20 Sep 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 9 Oct 2023 |
| 20 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 9 Oct 2023 |
| 22 May 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 24 Apr 2023 |
| 22 May 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0688 | Provide 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. | D | Standard survey | 5 Jul 2023 |
| 22 May 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. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 5 Jul 2023 |
| 22 May 2023 | F0887 | Educate 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. | D | Standard survey | 5 Jul 2023 |
| 27 Sep 2021 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 8 Oct 2021 |
| 27 Sep 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 8 Oct 2021 |
| 27 Sep 2021 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Oct 2021 |
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 Kansas average. Turnover: nursing staff 97.6%, RNs 85.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.3% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.8% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.0% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.8% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.9% | 15.4% | 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, individual. Chain: Campbell Street Services (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ks Portfolio Master SNF Holdco, LLC | Direct ownership interest | NOT APPLICABLE | 11/01/2015 |
| Ks Portfolio Investor, LLC | Indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| Ks Portfolio Master Holdco, LLC | Indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| Ks Portfolio Sponsor, LLC | Indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| Nkero Investments Ltd LLP | Indirect ownership interest | NOT APPLICABLE | 11/01/2015 |
| Herington Realco, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 11/01/2015 |
| Campbell Street Services LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2022 |
| Ks Portfolio Manager, LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2015 |
| Campbell Street Services LLC | Adp of the snf | NOT APPLICABLE | 03/13/2025 |
| Herington Realco, LLC | Adp of the snf | NOT APPLICABLE | 11/01/2015 |
| Ks Portfolio Investor, LLC | Adp of the snf | NOT APPLICABLE | 11/01/2015 |
| Ks Portfolio Manager, LLC | Adp of the snf | NOT APPLICABLE | 03/12/2025 |
| Ks Portfolio Master Holdco, LLC | Adp of the snf | NOT APPLICABLE | 11/01/2015 |
| Ks Portfolio Master SNF Holdco, LLC | Adp of the snf | NOT APPLICABLE | 11/01/2015 |
| Ks Portfolio Sponsor, LLC | Adp of the snf | NOT APPLICABLE | 11/01/2015 |
| Nkero Investments Ltd LLP | Adp of the snf | NOT APPLICABLE | 11/01/2015 |
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 Dickinson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Chapman Valley Manor | Chapman | 30 | 4 | 4 | 3 | 21 | 70.0 | — | 18 Sep 2024 |
| Memorial Hospital Ltcu (Village Manor) | Abilene | 75 | 4 | 4 | 4 | 16 | 21.3 | — | 11 Sep 2024 |
| Enterprise Estates Nuring Center | Enterprise | 40 | 2 | 2 | 3 | 32 | 80.0 | — | 17 Nov 2025 |
All 4 facilities in Dickinson County
Questions and answers
How many deficiencies has Legacy At Herington been cited for?
44 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Legacy At Herington been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Legacy At Herington compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Legacy At Herington?
It is part of the Campbell Street Services chain. Ownership type is for-profit, individual. Organisations in the CMS ownership record include Ks Portfolio Master SNF Holdco, LLC, Ks Portfolio Investor, LLC and Ks Portfolio Master Holdco, LLC. Individual owners and managers are not listed on this site.
When was Legacy At Herington last inspected?
The most recent survey or investigation in the CMS record is dated 31 Oct 2024; the most recent standard health survey was 31 Oct 2024.
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.