GoodStanding

Nursing home report

Legacy Square

Henderson, NE · Medicare-certified · 40 beds

Needs attention
For-profit
2 of 5 overall

Legacy Square in Henderson, NE has a 2-star overall rating, with a very low 1-star health inspection score but strong 5-star staffing and quality ratings. It has reported nurse staffing slightly above the federal benchmark (4.20 vs. 4.1 hours per resident per day) and has $14,069 in fines in the last 24 months, along with a recent federal penalty.

Facility ratings

Health inspections

Staffing

4.1963 hrs/resident/day

Quality measures

Last inspection: January 15, 2026Penalties, last 24 months: $14,069recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1963.

Staffing detail

Registered nurses
0.87
Licensed practical nurses
0.75
Nurse aides
2.58
Weekend nursing
3.55

Hours per resident per day.

Total staff turnover: 28%
Registered nurse turnover: 0%

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

7.4%7.4%No change

Residents with a fall causing major injury

0%5.3%Worsening

Residents with pressure ulcers (bedsores)

6%0%Improving

Residents with a urinary tract infection

2.9%5.3%Worsening

Residents who lost too much weight

0%5.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

22.6%27.8%Worsening

Residents whose ability to walk got worse

6.3%20.1%Worsening

Long-stay residents on antianxiety or sleep medication

6.2%2.7%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

28.6%15.2%Improving

Residents with depressive symptoms

3.6%0%Improving

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

100%

Long-stay residents given the pneumonia vaccine

94.1%92.1%Worsening

Short-stay residents given the pneumonia vaccine

95%

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited January 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 882 — 42 CFR §483.80 — S/S: F

The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited October 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 868 — 42 CFR §483.75 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing met or exceeded the federal recommendation.

  2. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal payment denial was recorded.

  4. PENALTY

    A federal fine of $14,069 was recorded.

  5. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $14,069 in total fines · 1 payment denial.

  • Medicare/Medicaid payment denial

    Oct 23, 2025

    16 days
  • Federal fine

    Oct 23, 2025

    $14,069

Operator & ownership

Ownership
For profit - Corporation
Occupancy
35.5 residents on an average day (89% of 40 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 45 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.