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D
Poor

LEGACY HEALTH AND REHAB

811 KEYLON STREET · MANCHESTER, TN 37355

9314505150 · For profit - Limited Liability company

72 beds51.2 residents83 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LEGACY HEALTH AND REHAB receives an overall staffing grade of D (Poor). With 3.778 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3849 HPRD, below the recommended 0.75. It is 0.12 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.85% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.3849 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.778hrs/resident/day▼ 0.12
CMS benchmark: 3.48
RN HPRD
0.3849hrs/resident/day▼ 0.30
Recommended: 0.75
Weekend Drop-off
19.85%
4.0026 weekday → 3.2081 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.814hrs/resident/day
Direct care aides
LPN HPRD
1.5791hrs/resident/day
Licensed practical nurses
Consistency
0.4367std 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. Coffee County Average-0.12 HPRD
3.90
03.78 HPRD
vs. Tennessee State Average-0.09 HPRD
3.87
03.78 HPRD
vs. National Average-0.12 HPRD
3.90
03.78 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 HEALTH AND REHAB ★
MANCHESTER · This facility
—
D
3.7780.3849★★☆☆☆
MANCHESTER CENTER FOR REHABILITATION AND HEALING L
MANCHESTER
2.1 mi
B
4.14990.5987★★★★☆
LIFE CARE CENTER OF TULLAHOMA
TULLAHOMA
10.1 mi
D
3.73220.2768★★★★★
LYNCHBURG NURSING CENTER
LYNCHBURG
19.5 mi
C
3.71110.4184★★★★★
THE WATERS OF WINCHESTER, LLC
WINCHESTER
19.7 mi
D
3.79010.3342★★★★☆
ELK RIVER HEALTH & NURSING CENTER OF WINCHESTER
WINCHESTER
20.1 mi
C
3.93810.5429★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
24
Total Deficiencies
$0
Fines Assessed
Jun 25, 2025Health
8 deficiencies cited
▼
Apr 10, 2024Health
11 deficiencies cited
▼
Sep 19, 2023Health
1 deficiency cited
▼
Oct 27, 2021Health
4 deficiencies cited
▼
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.