Nursing home
Legacies Nursing and Rehabilitation
355 Fm 83 W, Hemphill, TX 75948 · Map
Government - Hospital district · Part of Chambers County Public Hospital District No. 1 (6 facilities) · 90 certified beds
Legacies Nursing and Rehabilitation is a Medicare-certified nursing home in Hemphill, Texas. CMS rates it 4 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.63 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jan 15, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Legacies Nursing and Rehabilitation compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.63 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.20 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.64 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | 51.7% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 1.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the March 18, 2026 inspection was corrected by March 20, 2026
What inspectors found at Legacies Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Mar 18, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 15, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Dec 20, 2023 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Dec 20, 2023 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Dec 20, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 355 Fm 83 W
Hemphill, TX 75948 - CMS certification #
- 676344
- Ownership
- Government - Hospital district
- Certified beds
- 90
- Avg residents/day
- 84.9
- Provider type
- Medicare and Medicaid
- First certified
- 2013-10-18
- Chain
- Chambers County Public Hospital District No. 1 (6 facilities)
- Setting
- Rural
Part of Chambers County Public Hospital District No. 1
Chambers County Public Hospital District No. 1 operates 6 nursing facilities across the United States. View all Chambers County Public Hospital District No. 1 facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Legacies Nursing and Rehabilitation using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Sabine County Hospital, Hemphill. 2.1 miles away, straight line.
- Nearest Medicare nursing home
- Hemphill Care Center, Hemphill. 1.7 miles away, straight line.
- Nearest home health agency office
- Advantage Plus Homecare, Jasper. 30.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers Pharmacy. 20.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75948 as rural (rural area).
- Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 75948.
- Nearest geriatric medicine practice
- Cs Pacs 3 Southwest, LLC, Dayton. 109.1 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective August 4, 2026), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Hemphill, TX, risk to homes is greater than 50% of communities in Texas and 76% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively moderate, inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Legacies Nursing and Rehabilitation a good nursing home?
CMS gives Legacies Nursing and Rehabilitation an overall rating of 4 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Legacies Nursing and Rehabilitation staffed?
Legacies Nursing and Rehabilitation reports 3.63 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Legacies Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does Legacies Nursing and Rehabilitation have?
Legacies Nursing and Rehabilitation is certified for 90 beds.