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C
Below Standard

LEGACY MANOR NURSING AND REHABILITATION CENTER

1935 NORTH THEOBOLD EXTENSION · GREENVILLE, MS 38704

6623344501 · For profit - Limited Liability company

60 beds49.3 residents53 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LEGACY MANOR NURSING AND REHABILITATION CENTER receives an overall staffing grade of C (Below Standard). With 3.5414 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4996 HPRD, below the recommended 0.75. It is 0.35 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.63% compared to weekdays. The facility has low agency staff usage (7.77% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4996 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.5414hrs/resident/day▼ 0.35
CMS benchmark: 3.48
RN HPRD
0.4996hrs/resident/day▼ 0.18
Recommended: 0.75
Weekend Drop-off
13.63%
3.6832 weekday → 3.1812 weekend
Agency Staff
7.77%
15.7% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9637hrs/resident/day
Direct care aides
LPN HPRD
1.0781hrs/resident/day
Licensed practical nurses
Consistency
0.3992std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Washington County Average-0.09 HPRD
3.63
03.54 HPRD
vs. Mississippi State Average-0.67 HPRD
4.21
03.54 HPRD
vs. National Average-0.35 HPRD
3.90
03.54 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LEGACY MANOR NURSING AND REHABILITATION CENTER ★
GREENVILLE · This facility
—
C
3.54140.4996★★★★☆
RIVER HEIGHTS HEALTHCARE CENTER
GREENVILLE
0.9 mi
B
3.8380.782★☆☆☆☆
MS CARE CENTER OF GREENVILLE
GREENVILLE
0.9 mi
D
3.28990.3036★★★☆☆
ARBOR WALK HEALTHCARE CENTER
GREENVILLE
1.2 mi
B
3.49950.6743★★☆☆☆
WASHINGTON CARE CENTER
GREENVILLE
1.9 mi
D
4.00140.3723★★★☆☆
INDIANOLA REHABILITATION AND HEALTHCARE CENTER
INDIANOLA
22.1 mi
B
3.7090.6677★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
18
Total Deficiencies
$27,024
Fines Assessed
Jan 14, 2025Health
1 deficiency cited· Includes actual harm
▼
Sep 9, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jun 13, 2024Health
3 deficiencies cited
▼
Jun 29, 2023Health
1 deficiency cited
▼
Feb 9, 2023Health
5 deficiencies cited
▼
Aug 15, 2019Health
6 deficiencies cited
▼

Penalty History

Jan 14, 2025Fine
$16,985
Sep 9, 2024Fine
$10,039
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.