Legacy at Herington
Nursing Home · Herington, KS
CMS certification number175490
Contact & location
2 E Ash StreetHerington, KS 67449
Dickinson County
- Phone
- (785) 258-2283
- ZIP code
- 67449 – all care providers
Facility details
- Certified beds
- 45
- Residents per day
- 25.2 (56% occupied)
- Ownership
- For profit - Individual
- Legal name
- Herington Opco, LLC
- Chain
- Campbell Street Services (22 facilities, avg 2.1★)
- Medicare certified since
- May 9, 2006
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.00 (state 4.07 · U.S. 3.86)
- Registered nurses (RN)
- 0.61 (state 0.71 · U.S. 0.69)
- Licensed practical nurses
- 0.73 (state 0.65 · U.S. 0.86)
- Nurse aides
- 2.66 (state 2.70 · U.S. 2.32)
- Weekend total
- 3.56 (state 3.60 · U.S. 3.42)
- Nursing staff turnover
- 97.6 (state 48.1 · U.S. 45.8)%
- RN turnover
- 85.7 (state 42.0 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- October 31, 2024
- Health deficiencies (last cycle)
- 14.0 (state 9.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 41 health · 39 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2024-10-31 | 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. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-11-17 |
| 2024-10-31 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-11-17 |
| 2024-04-03 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-18 |
| 2024-04-03 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. F0563 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-18 |
| 2024-04-03 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. F0564 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-18 |
| 2023-09-20 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-09 |
| 2023-09-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-09 |
| 2023-05-22 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2023-07-05 |
| 2023-05-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2023-04-24 |
| 2023-05-22 | 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. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. F0779 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
| 2023-05-22 | 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. F0887 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-05 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Herington Realco, LLC (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Austin, Felicia (individual) | Administrator · NOT APPLICABLE | |
| Bryant, Rodney (individual) | Administrator · NOT APPLICABLE | |
| Bush, Stephanie (individual) | Administrator · NOT APPLICABLE | |
| Campbell Street Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Dole, Isaac (individual) | Administrator · NOT APPLICABLE | |
| Fishfeld, Jordan (individual) | Administrator · NOT APPLICABLE | |
| Herington Realco, LLC (organization) | Administrator · NOT APPLICABLE | |
| KS Portfolio Investor, LLC (organization) | Administrator · NOT APPLICABLE | |
| KS Portfolio Manager, LLC (organization) | Administrator · NOT APPLICABLE | |
| KS Portfolio Master Holdco, LLC (organization) | Administrator · NOT APPLICABLE | |
| KS Portfolio Master SNF Holdco, LLC (organization) | Administrator · NOT APPLICABLE | |
| KS Portfolio Sponsor, LLC (organization) | Administrator · NOT APPLICABLE | |
| Mendelovitz, Isidore (individual) | Administrator · NOT APPLICABLE | |
| Nkero Investments LTD LLP (organization) | Administrator · NOT APPLICABLE | |
| Seeger, Gregory (individual) | Administrator · NOT APPLICABLE | |
| Tolia, Kirit (individual) | Administrator · NOT APPLICABLE | |
| Tolia, Sanjay (individual) | Administrator · NOT APPLICABLE | |
| Tolia, Vinay (individual) | Administrator · NOT APPLICABLE | |
| KS Portfolio Master SNF Holdco, LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Dole, Isaac (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Fishfeld, Jordan (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| KS Portfolio Investor, LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| KS Portfolio Master Holdco, LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| KS Portfolio Sponsor, LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Mendelovitz, Isidore (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Nkero Investments LTD LLP (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Tolia, Kirit (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Tolia, Sanjay (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Tolia, Vinay (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Austin, Felicia (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Bryant, Rodney (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Bush, Stephanie (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Campbell Street Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Dole, Isaac (individual) | Operational/managerial Control · NOT APPLICABLE | |
| KS Portfolio Manager, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Seeger, Gregory (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Legacy at Herington?
Legacy at Herington has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.
How many beds does Legacy at Herington have?
It has 45 certified beds and cares for about 25 residents per day.
Has Legacy at Herington been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Legacy at Herington?
It is part of Campbell Street Services and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Legacy at Herington?
(785) 258-2283. The facility is located at 2 E Ash Street, Herington, KS 67449.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.