The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
LEGACY HEALTH AND REHAB
MANCHESTER, TN · Medicare-certified · 72 beds
In good standing
For-profit
Data as of July 1, 2026
2 of 5 overall
Legacy Health and Rehab in Manchester, TN has an overall rating of 2 out of 5 stars, with 2-star health inspection and quality ratings and 3-star staffing. Reported nurse staffing is 3.51 hours per resident per day, below the federal benchmark of 4.1, and it had no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.5057 hrs/resident/day
Quality measures
Last inspection: June 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5057.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 1.43
- Nurse aides
- 1.65
- Weekend nursing
- 3.06
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 40%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.7%37%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
3.6%2.1%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
6.1%5.7%No change
Residents whose ability to walk got worse
—17.4%—
Long-stay residents on antianxiety or sleep medication
47.6%51.3%Worsening
Short-stay residents newly given an antipsychotic
—2.4%—
Residents with a long-term catheter
1.9%1.9%No change
Residents with new or worsening incontinence
16.5%2.7%Improving
Residents with depressive symptoms
14.3%15.8%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.1%—
Long-stay residents given the pneumonia vaccine
97.9%100%Improving
Short-stay residents given the seasonal flu vaccine
—75.9%—
Short-stay residents given the pneumonia vaccine
58.1%54.5%Worsening
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited October 2021 — widespread issue, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
The nursing home failed to keep medication mistakes below the allowed level. Cited October 2021 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 50.9 residents on an average day (71% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.