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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.