Legacy Manor Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 1935 North Theobold Extension, Greenville, MS 38704
- CCN
- 255292
- Ownership type
- For-profit, limited liability company
- Certified beds
- 60
- Chain
- Chain name not shown
- Residents per day
- 48
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Legacy Manor Nursing and Rehabilitation Center an overall rating of 4 of 5 stars. The last standard survey was on 7 May 2026. The latest survey cycle has 2 health citations. The median for nursing homes in Mississippi is 6. CMS lists 2 fines with a total of $27,024 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Mississippi (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Washington County median | Mississippi median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 4 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 2.0 | 2.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 202 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Mississippi median |
|---|---|---|---|
| Cycle 1 (latest) | 7 May 2026 | 2 | 6 |
| Cycle 2 | 13 Jun 2024 | 6 | 5 |
| Cycle 3 | No date | 5 | 4 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | E0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 May 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 | 8 Jun 2026 |
| 7 May 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 8 Jun 2026 |
Survey cycle 2: 6 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 14 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 27 Dec 2024 |
| 9 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 6 Sep 2024 |
| 9 Sep 2024 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 6 Sep 2024 |
| 13 Jun 2024 | F0584 | Honor 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. | D | Standard survey | 12 Jul 2024 |
| 13 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Jul 2024 |
| 13 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Jul 2024 |
Survey cycle 3: 5 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 9 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Mar 2023 |
| 9 Feb 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 10 Mar 2023 |
| 9 Feb 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 10 Mar 2023 |
| 9 Feb 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Mar 2023 |
| 9 Feb 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Mar 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 14 Jan 2025 | Fine | $16,985 | |
| 9 Sep 2024 | Fine | $10,039 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Mississippi median | Mississippi average (CMS) |
|---|---|---|---|
| All nurse staff | 3.85 | 4.00 | 4.18 |
| Registered nurses (RN) | 0.45 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 1.26 | 1.11 | |
| Nurse aides | 2.14 | 2.43 | |
| All nurse staff, weekends | 3.35 | 3.40 | 3.51 |
- Nurse staff turnover in a year
- 31.7%
- Nurse staff turnover, Mississippi median
- 44.4%
- RN turnover in a year
- 42.9%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Mississippi median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 3.7% | 19.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.1% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 2.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 0.0% | 18.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 6.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 20.4% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- American Legacy Properties, LLC
- Chain
- Chain name not shown
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Account Management Services Inc | Operational/managerial control | 1 Jan 2010 | |
| Administrative Systems Inc | Operational/managerial control | 1 Jan 2010 | |
| Provider Professional Services Inc | Operational/managerial control | 1 Jan 2010 | |
| Regional Care LLC | Operational/managerial control | 1 Feb 2018 | |
| Regional Services, Inc | Operational/managerial control | 1 Jan 2023 | |
| Tristar Rehab Inc | Operational/managerial control | 1 Jan 2024 | |
| Account Management Services Inc | Adp of the snf | 1 Jan 2010 | |
| Administrative Systems Inc | Adp of the snf | 1 Jan 2010 | |
| Legends Properties LLC | Adp of the snf | 1 Jan 2025 | |
| Nutrition Systems Consulting Inc | Adp of the snf | 31 Jan 2008 | |
| Pharmaceutical Consulting Services of America LLC | Adp of the snf | 28 Mar 2018 | |
| Provider Professional Services Inc | Adp of the snf | 1 Jan 2010 | |
| Regional Services, Inc | Adp of the snf | 1 Jan 2023 | |
| Tristar Rehab Inc | Adp of the snf | 1 Jan 2024 |
The site shows organisations only. It does not show the names of persons. CMS lists this home in a chain that has the name of a person, so the site shows no chain name and no chain page.
Other homes in Washington County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| River Heights Healthcare Center | Greenville | 2 of 5 | 9 | $8,800 | 7 May 2026 | |
| Ms Care Center of Greenville | Greenville | 4 of 5 | 2 | $0 | 5 Feb 2025 | |
| Arbor Walk Healthcare Center | Greenville | 2 of 5 | 10 | $8,165 | 16 Apr 2025 | |
| Washington Care Center | Greenville | 3 of 5 | 5 | $4,017 | 30 Apr 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Mississippi State Department of Health: complaintsThe complaint page of the State Survey Agency for Mississippi, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Legacy Manor Nursing and Rehabilitation Center (CCN 255292). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/legacy-manor-nursing-and-rehabilitation-center-greenville-ms-255292/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Legacy Manor Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 7 May 2026. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 13 Jun 2024.
- Who operates Legacy Manor Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in a chain that has the name of a person. This site does not show that name. The CMS ownership file names 6 organisations for operational or managerial control. This site does not show the names of persons.
- Is Legacy Manor Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Mississippi as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.