Nursing homes › Kansas › Legacy at Herington
2 E Ash Street, Herington, KS 67449 · 7852582283 · 45 certified beds
Per CMS filings, this facility is affiliated with Campbell Street Services, a group operating 20 facilities in 3 states. Group record: average rating 2.2/5, 1 abuse citation icons, 1 facilities on the Special Focus list, $446,263 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 4.00 (Kansas median: 3.94). RN hours: 0.61. Weekend total: 3.56. Nursing staff turnover: 98%.
All-time on record: 44 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | 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. | F | Health | 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. | F | Health | 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. | F | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-11-17 |
| 2024-10-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2024-11-17 |
| 2024-10-31 | Provide safe, appropriate pain management for a resident who requires such services. | D | Health | 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. | D | Health | corrected 2024-11-17 |
| 2024-10-31 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2024-11-17 |
| 2024-10-31 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Health | corrected 2024-11-17 |
| 2024-10-31 | Post nurse staffing information every day. | C | Health | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2023-10-09 |
| 2023-09-20 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | J | Health | 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. | J | Health | 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. | F | Health | 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. | F | Health | corrected 2023-07-05 |
| 2023-05-22 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Health | 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. | F | Health | corrected 2023-07-05 |
| 2023-05-22 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2023-07-05 |
| 2023-05-22 | Implement a program that monitors antibiotic use. | F | Health | corrected 2023-07-05 |
| 2023-05-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Health | 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. | E | Health | corrected 2023-07-05 |
| 2023-05-22 | Provide and implement an infection prevention and control program. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2023-07-05 |
| 2023-05-22 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-07-05 |
| 2023-05-22 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2023-07-05 |
| 2023-05-22 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-07-05 |
| 2023-05-22 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2023-07-05 |
| 2023-05-22 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | D | Health | corrected 2023-07-05 |
| 2023-05-22 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Health | corrected 2023-07-05 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| KS PORTFOLIO MASTER SNF HOLDCO, LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| KS PORTFOLIO INVESTOR, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| KS PORTFOLIO MASTER HOLDCO, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| KS PORTFOLIO SPONSOR, LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| NKERO INVESTMENTS LTD LLP | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 11/01/2015 |
| DOLE, ISAAC | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| FISHFELD, JORDAN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| MENDELOVITZ, ISIDORE | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| TOLIA, KIRIT | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| TOLIA, SANJAY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| TOLIA, VINAY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 11/01/2015 |
| CAMPBELL STREET SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 03/01/2022 |
| KS PORTFOLIO MANAGER, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 11/01/2015 |
| AUSTIN, FELICIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/25/2023 |
| BRYANT, RODNEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2018 |
| BUSH, STEPHANIE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/05/2024 |
| DOLE, ISAAC | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/01/2015 |
| SEEGER, GREGORY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175490. Corrections: data@carerecords.org.