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Nursing homeFAID #14699

Legacies Nursing and Rehabilitation

355 FM 83 W, HEMPHILL, TX, 75948

(409) 787-5300

90 licensed beds

CMS rates Legacies Nursing and Rehabilitation 5 out of 5 overall. Federal inspectors issued 21 citations across 7 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections2/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

355 Fm 83 W

Hemphill, TX 75948

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

676344

Care type

Nursing home

County

Sabine

Facility name

Legacies Nursing and Rehabilitation

Street address

355 FM 83 W

City / state / ZIP

Hemphill, TX 75948

Phone

(409) 787-5300

About this facility — Legacies Nursing and Rehabilitation

Legacies Nursing and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Hemphill, Texas. It is licensed for 90 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Hemphill and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Legacies Nursing and Rehabilitation 21 times across 7 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Chambers County Public Hospital District No. 1

Ownership type

For profit - Limited Liability company

Registered owners & officers

Bradberry, Tiffani

Managing employee — since 2021

Cooper, Kimberly

Director — since 2024

Cooriston, Craig

Operational control — since 2021

Hemphill Snf Operations Llc

Operational control — since 2021

Newton, Elizabeth

Director — since 2024

Regulatory standing

Licensed / certified since

2013-10-18

CMS overall rating

5 of 5 stars

Health deficiencies

3 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-03-18

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$288 per day (≈ $8,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

55% Medicaid · 15% Medicare · 30% private/other

Occupancy

96% (fiscal year 2023)

Vs. state median

4% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-03-18Health inspection3 citations

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2026-03-20

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-20

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-20

2025-01-15Health inspection1 citation

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-05

4 earlier / fire-safety inspections (17 citations)

2023-12-20Health inspectionComplaint-triggered8 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-01-16

F-0554

D · No harm found

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-01-16

F-0644

E · No harm foundFrom a complaint

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-01-16

F-0690

E · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-01-16

F-0760

D · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-01-16

F-0813

D · No harm foundFood safetyFrom a complaint

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-01-16

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-01-16

F-0919

D · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-01-16

2026-03-18Fire-safety inspection2 citations

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2026-03-20

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-03-20

2025-01-15Fire-safety inspection2 citations

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-14

K-0374

E · No harm found

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-02-14

2023-12-20Fire-safety inspection5 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-03-01

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2024-03-01

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-01

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-01

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2024-03-01

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676344.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 17% of nursing homes in the state

State median: 33

Federal fines, 3 years

No federal fines on record

State median: $15,642

Nurse staffing, hours per resident per day

3.4

Higher than 65% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

47%

Higher than 40% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 6 and worse on 9. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	35.9%	15.8%	13.5%	Worse than state
Lose too much weight	11.8%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	2.8%	0.3%	0.7%	Worse than state
With a urinary tract infection	0.0%	0.8%	1.5%	Better than state
Have depressive symptoms	0.0%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	5.2%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	37.0%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	21.4%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	97.0%	95.3%	Near state average
With pressure ulcers	4.1%	3.7%	4.5%	Near state average
With new or worsened bowel or bladder incontinence	20.4%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	11.0%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.97	2.05	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	4.03	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	98.6%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	1.3%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	96.7%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	23.6%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	12.3%	12.2%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0880 2 inspections. Provide and implement an infection prevention and control program.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Sabine County Hospital, about 2.1 miles.
Chi St Lukes Health Memorial San Augustine, about 20 miles.
Sabine Medical Center, about 26 miles.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Hemphill Care Center, Hemphill, about 1.7 miles. CMS rating 2 of 5.
Avir At San Augustine, San Augustine, about 20 miles. CMS rating 3 of 5.
Stonecreek Nursing & Rehabilitation, San Augustine, about 21 miles. CMS rating 4 of 5.
Colonial Pines Healthcare Center, San Augustine, about 22 miles. CMS rating 4 of 5.
Many Healthcare and Rehabilitation Center, Many, about 26 miles. CMS rating 2 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 21 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered