Nebraska › York County › Henderson
Legacy Square
1621 Front Street, Henderson, NE 68371
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.
Legacy Square, in Henderson, Nebraska, is certified for 40 beds under for-profit, corporation ownership.
CMS gives it 2 of 5 stars overall, below the Nebraska median of 3; the health inspection rating is 1, staffing 5 and quality measures 4.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (8, 3, 0 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 27.5 per 100 beds, about the same as the state median of 23.7.
CMS lists 2 penalties in the period covered: fines totalling $14K and 1 payment denial.
Reported nurse staffing is 4.1 hours per resident per day (0.8 RN), close to the Nebraska median of 3.9; nursing staff turnover is 23.5%.
Compared with county, state and nation
| Measure | This facility | York Co. median | Nebraska median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 11 | 15 | 28.7 |
| Citations per 100 beds | 27.5 | 27.5 | 23.7 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.1 | 3.9 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.6 | 0.7 |
| Nursing staff turnover | 23.5% | 43.8% | 47.1% | 45.8% |
| Fines listed | $14,069 | $14,069 | $0 | — |
County and state figures are medians across facilities (2 in the county, 180 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: Nebraska average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Jan 2026, 4 Sep 2024.
Severity mix: J ×1 D ×5 E ×1 F ×4
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 |
|---|---|---|---|---|---|
| 15 Jan 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 | 1 Mar 2026 |
| 15 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 1 Mar 2026 |
| 15 Jan 2026 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 1 Mar 2026 |
| 15 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 1 Mar 2026 |
| 23 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 7 Dec 2025 |
| 23 Oct 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint investigation | 7 Dec 2025 |
| 23 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 7 Dec 2025 |
| 23 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Dec 2025 |
| 4 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 19 Oct 2024 |
| 4 Sep 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 19 Oct 2024 |
| 4 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 19 Oct 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 23 Oct 2025 | Payment denial | — | 16 days |
| 23 Oct 2025 | Fine | $14,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Nebraska average. Turnover: nursing staff 23.5%, RNs 0.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Nebraska median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.8% | 18.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 7.2% | 2.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 4.2% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.7% | 17.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.6% | 19.2% | 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, corporation. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
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 York County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| York General Hearthstone | York | 127 | 5 | 5 | 4 | 3 | 2.4 | — | 9 Mar 2026 |
All 2 facilities in York County
Questions and answers
How many deficiencies has Legacy Square been cited for?
11 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Nebraska median is 15 per facility.
Has Legacy Square been fined?
Yes. CMS lists fines totalling $14K in the period covered, plus 1 payment denial.
How does staffing at Legacy Square compare?
Reported total nurse staffing is 4.1 hours per resident per day against a Nebraska median of 3.9 and a national average of 3.9.
Who operates Legacy Square?
Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.
When was Legacy Square last inspected?
The most recent survey or investigation in the CMS record is dated 15 Jan 2026; the most recent standard health survey was 15 Jan 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.