Nursing HomeInspections

Legacies Nursing and Rehabilitation

Nursing home in Hemphill, TX

Medicare & Medicaid certified5★ overall (CMS)

Call (409) 787-5300Send a messageMap ↗

Public-record details

Address
355 Fm 83 W, Hemphill, TX 75948
Phone
(409) 787-5300
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
676344
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
2 of 5
Quality measures rating
2 of 5
Certified beds
90
Average residents per day
87
Ownership
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)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 18, 2013
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676344. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 18, 2026. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 20, 2023 to Mar 18, 2026): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Mar 18, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 18, 2026Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Mar 18, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Jan 15, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Dec 20, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 20, 2023Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights		D
Potential for more than minimal harm, isolated
Dec 20, 2023Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Dec 20, 2023Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 20, 2023Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		D
Potential for more than minimal harm, isolated
Dec 20, 2023Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Dec 20, 2023Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Dec 20, 2023Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.55 hours
Registered nurse (RN) time per resident per day
0.19 hours
Nurse aide time per resident per day
2.58 hours
Total nurse staffing on weekends
3.12 hours
Nursing staff turnover (yearly)
48%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Hemphill

Hemphill Care Center2000 Worth St · Hemphill, TX 75948 · (409) 787-3342 · For-profit26 health citations in 3 inspection cycles · last standard inspection Sep 24, 2025 · $29,226 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 2 in Hemphill →