Legacies Nursing And Rehabilitation
355 FM 83 W, Hemphill, TX, 75948
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Chambers County Public Hospital District No. 1
- Certified beds
- 90 · avg 85 residents/day
- Total nursing staff turnover
- 51.7% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308476
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 11 Medicare-only · 79 Medicaid/Medicare
- Current license effective
- December 1, 2024
- Current license expires
- December 1, 2027
- Initial license date
- October 18, 2013
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Chambers County Public Hospital District No 1 (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Hemphill Snf Operations Llc
- Administrator
- Tiffani Bradberry
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Chambers County Public Hospital District No. 1 chain — 6 facilities. Chain-wide average overall rating 2.5 / 5.
Disclosed owners (6 on record)
- Elizabeth Ann Newton
Corporate Director · since 2024
- Kimberly Cooper
Corporate Director · since 2024
- Chambers County Public Hospital District No. 1
5% or Greater Direct Ownership Interest · 100% · since 2021
- Craig Cooriston
Operational/managerial Control · 100% · since 2021
- Hemphill Snf Operations Llc
Operational/managerial Control · 100% · since 2021
- Tiffani Bradberry
W-2 Managing Employee · since 2021
Recent change of ownership
December 2021 (4 years ago) · acquired from Hillside Nursing And Rehabilitation
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 14)
- D0689·Jan 15, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0813·Dec 20, 2023Complaint
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0644·Dec 20, 2023Complaint
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D0550·Dec 20, 2023Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0919·Dec 20, 2023
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D0760·Dec 20, 2023
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0690·Dec 20, 2023
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0554·Dec 20, 2023
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jan 15, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Legacies Nursing And Rehabilitation is a 90-bed nursing home in Hemphill, Texas, licensed through December 2027 and operating at roughly 94% of capacity. CMS rates it 4 stars overall, with a 5-star health inspection record — but a 2-star staffing rating and 1-star quality-measure rating. The facility is government-owned through a hospital district and managed by Hemphill SNF Operations LLC.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 218 minutes of nursing care per day — roughly 23 minutes less than at a 4-star-staffing facility in Texas, which sets its threshold at 241 minutes. Of those 218 minutes, only 12 are from a registered nurse; Texas 4-star facilities average 37 RN minutes per resident per day. About 32% of Texas nursing homes share this staffing rating.
The quality-measure rating is 1 star — the lowest tier CMS assigns, covering both long-stay and short-stay residents. These measures track outcomes like pressure wounds, falls with injury, and the use of antipsychotic medications, reported by the facility itself to CMS. A 1-star rating on both resident groups places this facility in the bottom tier in Texas on those tracked outcomes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 3.22 per resident per day here — lower than the weekday figure; ask how many nurses and aides are on duty overnight and on weekends.
RN presence during the day
Reported RN hours work out to about 12 minutes per resident per day; ask how many hours a registered nurse is physically on the floor each day.
Quality-measure outcomes and improvement plans
CMS rates quality measures 1 star for both long-stay and short-stay residents; ask which specific measures are lowest and what steps are underway to address them.
Bed availability and waitlist
The facility is running at roughly 94% of its 90 licensed beds; ask whether there is a current waitlist and how long the typical wait has been.
Management company's role day to day
The facility is owned by a hospital district but managed by Hemphill SNF Operations LLC; ask which entity sets staffing budgets and care policies.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.