Legacy Square
1621 Front Street, Henderson, NE 68371 · York County · (402) 723-5301
40 certified beds, about 35 residents a day · For profit - Corporation · Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 28E173 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 15, 2026, inspectors cited 4 health deficiencies (the Nebraska average is 7.4, the national average 9.2).
Of 11 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $14,069 in the last three years; the largest was $14,069, and the latest is dated October 23, 2025.
Nurses and nurse aides worked 4.09 hours per resident per day, against 3.98 across Nebraska and 3.86 nationally. Registered nurses accounted for 0.83 of those hours.
23.5% of nursing staff left within the year CMS measured (Nebraska average 48.7%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
January 15, 2026Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.11EBased on observations, record reviews and interviews, the facility failed to ensure hand hygiene was completed and hair was restrained during meal service. This failure had the potential to affect all 32 residents receiving meals from the kitchen. The facility census was 33 at the time of survey.
- F Provide and implement an infection prevention and control program.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B)Based on observations, interviews, and record reviews, the facility failed to prevent cross-contamination of COVID-19 (an infectious disease that is highly contagious) between 10 residents (Resident 2, 3, 8, 12,14, 15, 18, 22, 24, and Resident 30) out of 22 sampled residents. The facility census was 33 at the time of the survey.
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteLicensure Reference Number 175 NAC Chapter 1-005.06(H)Based on interviews and record reviews, the facility failed to designate a dedicated staff member as the infection preventionist who is responsible for the facility's infection prevention and control program that works at least part-time. This had the potential to affect 33 residents that resided in the facility at the time of the survey. The facility census was 33.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(F)(i)(5)Based on record review and interview, the facility failed to notify the physician of a resident fall with the potential for requiring physician intervention. This affected 1 (Resident 17) out of 2 residents sampled for falls. The facility census was 33 at the time of survey.
October 23, 2025Complaint inspection · 4 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(I)Based on record review and interview, the facility failed to prevent an elopement which had the potential to cause harm on one resident (Resident 1) out of three residents sampled. This had the potential to affect six residents identified at risk for elopement. The facility census was 37.
- F Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteLicensure Reference Number 175 NAC 12-006.07ABased on interviews and record review, the facility administrator failed to ensure the Quality Assessment and Assurance (QAA) committee included all of the required members. This had the potential to affect all of the residents in the facility. The facility census was 37 at the time of the survey.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H)Based on interviews and record review, the facility failed to report an incident related to elopement to Adult Protective Services (APS) and to the Department of Health and Human Services (DHHS) within the required timeframe for 1 (Resident 1) of 3 sampled residents. The facility census was 37.
- D Respond appropriately to all alleged violations.
Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H)Based on interviews and record reviews, the facility failed to thoroughly investigate an incident related to elopement for 1 (Resident 1) of 3 residents sampled. This had the potential to affect 6 residents identified as at risk for elopement. The facility census was 37 at the time of the survey.
September 4, 2024Standard inspection, Complaint inspection · 3 citations
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteLicensure Reference Number 175NAC 12-006.05(S) Based on observation, record review, and interview the facility failed to ensure that the rights of facility residents were maintained for 14 residents (14, 2, 27, 30, 22, 19, 15, 1, 18, 9, 134, 26, 8, and 3). The facility census was 32.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteLicense Reference Number 175 NAC 12-006.10(D) Based on record review, observations, and interviews the facility failed to ensure that the medication error rate was less than 5% for 3 (Resident 3, 14, and 24) of 9 sampled residents. There were 6 errors during the administration of 31 medications which resulted in an error rate of 19.35%. The facility census was 32.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteLicense Reference number 175 NAC 12-006.10 Based on record review, observations and interviews, the facility failed to ensure that residents were free of significant medication errors while administering insulins for 3 (Residents 3 and Resident 14) of 9 sampleted residents. Facility Census was 32.
September 6, 2023Standard inspection · 0 citations
Fire safety inspections
7 fire safety citations on file: 2 on January 15, 2026, 5 on September 6, 2023.
Every fire safety citation7 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Have simulated fire drills held at unexpected times.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 23, 2025 | Fine | $14,069 |
| October 23, 2025 | Payment Denial | 16 days from November 21, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Nebraska | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.09 | 3.98 | 3.86 |
| Registered nurses | 0.83 | 0.67 | 0.69 |
| All nursing staff on weekends | 3.56 | 3.48 | 3.42 |
| Nurse aides | 2.51 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 23.5% | 48.7% | 45.8% |
| Registered nurse turnover | 0.0% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.97 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.30 on weekdays and 3.56 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.99 in April to June 2025 to 4.09 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.09 | 0.83 | 4.30 | 3.56 | 0.0% | 0 of 90 | 35 |
| Oct to Dec 2025 | 4.20 | 0.87 | 4.45 | 3.55 | 0.0% | 0 of 92 | 36 |
| Jul to Sep 2025 | 3.95 | 0.82 | 4.22 | 3.28 | 0.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.99 | 0.93 | 4.27 | 3.29 | 0.0% | 0 of 91 | 35 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Nebraska, Jan to Mar 2026 | 4.01 | 0.66 | 4.21 | 3.53 | 7.1% | 1.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Nebraska
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Nebraska, all employers | |||
| CNAs (nursing assistants) | $19.23 | $18.29 to $22.31 | 16,450 |
| LPNs and LVNs | $30.13 | $28.41 to $34.55 | 4,580 |
| Registered nurses | $40.74 | $38.09 to $47.90 | 24,720 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Nebraska | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.8 | 19.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 7.3 | 2.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 4.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.7 | 18.2 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 20.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Legacy Square's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: This nursing home is not required to submit data for the Skilled Nursing Facility Quality Reporting Program.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on January 15, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on January 15, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on October 23, 2025: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 4, 2024: "Ensure medication error rates are not 5 percent or greater."
Other nursing homes nearby
- Sutton Community Home, Inc. Sutton, 11.8 mi · 3 of 5 stars · 13 citations
- Memorial Community Care Aurora, 12.2 mi · 5 of 5 stars · 10 citations
- Westfield Quality Care of Aurora Aurora, 12.5 mi · 1 of 5 stars · 22 citations
- York General Hearthstone York, 13.3 mi · 5 of 5 stars · 3 citations
- Fairview Manor Fairmont, 15.3 mi · 5 of 5 stars · 3 citations
- Harvard Rest Haven Harvard, 18.5 mi · 4 of 5 stars · 13 citations
- Heritage Crossings Geneva, 20.6 mi · 5 of 5 stars · 3 citations
- Adept Nursing & Rehab of Central City Central City, 24.5 mi · 2 of 5 stars · 19 citations
Nebraska contacts for a concern about a nursing home
These are the official offices in Nebraska. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Nebraska Department of Health and Human Services, Licensure Unit, Long Term Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Nebraska Long-Term Care Ombudsman Program, (800) 942-7830. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
Common questions
- What is Legacy Square's Medicare star rating?
- CMS rates Legacy Square 2 out of 5 stars overall, with 1 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Legacy Square get at its last inspection?
- 4 health deficiencies at the standard inspection on January 15, 2026. The Nebraska average is 7.4.
- Has Legacy Square been fined?
- Yes. CMS lists 1 fine totaling $14,069 in the last three years.
- Does Legacy Square accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Legacy Square?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.