Nursing Home
Legacy Square
Clinical Quality Measures
-
Long-stay residents with a urinary tract infection
7.2%
national median 0.9%
worse than the national median
-
Long-stay residents experiencing falls with major injury
3.6%
national median 2.8%
worse than the national median
-
Long-stay residents whose ability to walk independently worsened
16.7%
national median 12.5%
worse than the national median
-
Long-stay residents with pressure ulcers
0.0%
national median 4.2%
better than the national median
-
Long-stay residents who received an antipsychotic medication
10.6%
national median 13.4%
better than the national median
Source: CMS MDS quality measures (four-quarter average).
Nurse Staffing
- Nurse staffing per resident per day
- 4.1 hours
- Registered nurse (RN) time per resident per day
- 0.8 hours
- Weekend nurse staffing per resident per day
- 3.6 hours
- Nursing staff turnover in the past year
- 23.5%
NE average: 4.0 hours · National: 3.9 hours
All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.
NE average: 0.7 hours · National: 0.7 hours
RN hours only — the most highly trained nursing staff.
NE average: 3.5 hours · National: 3.4 hours
Total nurse staffing on Saturdays and Sundays, when staffing typically dips.
NE average: 48.7% · National: 45.8%
Share of this facility’s nursing staff who stopped working there over 12 months.
Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.
Penalties & Enforcement
1 fine totaling $14,069 and 1 Medicare payment denial in the recent inspection window (most recent: October 23, 2025).
Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.
Ownership
- Ownership type
- For profit - Corporation
CMS has not published detailed ownership records for this facility.
Inspections & Fire Safety — 8 health (NE avg 7.2) · 2 fire (NE avg 5.3) · ⚠ 1 serious Details
11 deficiencies cited across recent inspection cycles, including ⚠ 1 serious (actual harm or immediate jeopardy). Most recent survey: January 15, 2026.
Most recent inspection cycle: 8 health deficiencies · NE average: 7.2 · National: 9.3
7 fire-safety deficiencies cited — most often gas, vacuum, and electrical systems (3) and miscellaneous (2).
Most recent fire-safety inspection (2026-01-15): 2 deficiencies · NE average: 5.3 · National: 4.5
Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.
Is this your organization?
Claim this listing free to add your logo, correct details, and publish a statement.
How Legacy Square compares nearby
Compared with the 7 other nursing homes within 25 miles — 8 facilities in all, CMS data only.
Among the 8 nursing homes within 25 miles, Legacy Square's overall star rating is 2★; the median among the 7 peers reporting it is 5★.
| Measure | This facility | Nearby median |
|---|---|---|
| Overall star rating reported by 7 of 7 nearby peers | 2★ | 5★ |
| Health inspections reported by 7 of 7 nearby peers | 1★ | 4★ |
| Staffing reported by 7 of 7 nearby peers | 5★ | 4★ |
| Quality measures reported by 7 of 7 nearby peers | 4★ | 3★ |
The comparison group
- York General Hearthstone
- Sutton Community Home, Inc.
- Westfield Quality Care of Aurora
- Memorial Community Care
- Fairview Manor
- Harvard Rest Haven
- Heritage Crossings
Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work