Senior Care Records.

Legacy Square

1621 Front Street, Henderson, NE, 68371

Nursing home40 licensed beds0 citations on record
LocationOpen in Maps
Has this facility been cited?

Yes. Federal inspectors cited 8 deficiencies against Legacy Square in Henderson, Nebraska at its most recent standard inspection on 2026-01-15, 4 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $14,069. Medicare rates it 2 out of 5 overall.

2 / 5Medicare overall rating
40certified beds
8deficiencies at the last inspection
1immediate-jeopardy findings on record
0actual-harm findings on record
1federal fines, $14,069
What the inspectors found

Every deficiency on record, by how serious CMS judged it

CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.

Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.1
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.10
Potential for minimal harmThe least serious band.0
Most recent

The last 11 findings, newest first

Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies · F0812 · 2026-01-15 · standard survey · No actual harm, potential for more than minimal harm

F

Provide and implement an infection prevention and control program.

Infection Control Deficiencies · F0880 · 2026-01-15 · standard survey · No actual harm, potential for more than minimal harm

F

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Infection Control Deficiencies · F0882 · 2026-01-15 · standard survey · No actual harm, potential for more than minimal harm

F

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies · F0580 · 2026-01-15 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies · F0689 · 2025-10-23 · from a complaint · Immediate jeopardy to resident health or safety

J

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Administration Deficiencies · F0868 · 2025-10-23 · from a complaint · No actual harm, potential for more than minimal harm

F

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-10-23 · from a complaint · No actual harm, potential for more than minimal harm

D

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-10-23 · from a complaint · No actual harm, potential for more than minimal harm

D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies · F0550 · 2024-09-04 · from a complaint · No actual harm, potential for more than minimal harm

E

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies · F0759 · 2024-09-04 · standard survey · No actual harm, potential for more than minimal harm

D

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies · F0760 · 2024-09-04 · standard survey · No actual harm, potential for more than minimal harm

D
Medicare’s own rating

How CMS scores this home

These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.

OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are5 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS4.08677
Nursing staff turnoverShare of nursing staff who left in a year23.5%
Penalties

What Medicare has fined this home

FinesCivil money penalties imposed by CMS1
Total fined$14,069
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Contact

Ask Legacy Square a question

This page has not been claimed, so messages sent here would reach nobody. Call them instead — we take no commission either way, so we have no reason to steer you anywhere.

What is needed

Legacy Square has not claimed this page, so there is nobody here to deliver a message to. We will not take your details and sit on them. Call them on 4027235301 — the number is from their licence record.

Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 28E173.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction