Legacy Manor Nursing and Rehabilitation Center
Greenville, Mississippi · CCN 255292
18 surveys since 2011, 11 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 88
- Surveys
- 18
- Harm or worse
- 11
- Immediate jeopardyall corrected before survey
- 3
Findings at the most serious level CMS records. All were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- For profit - Limited Liability company
- Chain
- THE BEEBE FAMILY
- County
- Washington · rural
- Medicare-certified since
- 2002
CMS ratings
- Overall
- 4
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 5
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=14, floor 20).
Last survey on record
May 7, 2026
186 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.85 | 4.11 |
| Registered-nurse hours per resident day | 0.45 | — |
| Annual nurse turnover | 31.7% | 44.4% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $27,024 across 2 penalties
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J323.1% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D861.5% | E— | F215.4% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6563×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6772×
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F5841×
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F6001×
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- F6781×
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
In the surveyor’s words
From the most serious findings on record at Legacy Manor Nursing and Rehabilitation Center, in the surveyor’s own words.
- Immediate jeopardy, isolatedF656Sep 9, 2024
Based on interview, record review, and facility policy review the facility failed to implement care plan interventions related to Cardiopulmonary Resuscitation (CPR) for a resident who was found to have no respirations and no pulse for one (1) of three (3) sampled residents. Resident #1. The facility's failure to implement the care plan for Resident #1 resulted in the resident not receiving CPR and emergency services when he was found without pulse, respirations or blood pressure. Resident #1 was a Full Code status. The resident subsequently expired in the facility. […]
- Immediate jeopardy, isolatedF678Sep 9, 2024
Based on interviews, record review, and facility policy review, the facility failed to initiate Cardiopulmonary Resuscitation (CPR) and provide emergency services to a resident who was found to have no respirations and no pulse for one (1) of three (3) sampled residents. Resident #1. Resident #1, who had a Full Code status, was found to have no respirations and no pulse. The nurse did not initiate CPR or activate emergency services for Resident #1. The resident expired in the facility. The situation was determined to be an Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) that began on [DATE] when Resident #1 was found by facility staff to be unresponsive and without respirations, a pulse or blood pressure. […]
- Actual harm, isolatedF600Jan 14, 2025
REVISED 3/13/25: After quality assurance review with the Centers for Medicare and Medicaid Services (CMS) Regional Office (RO) on 3/13/25, it was determined that an Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) should have been identified and cited as Past Non-Compliance (PNC) during the Complaint Investigation conducted on 12/24/24. The IJ and SQC existed at: 42 CFR483.12(a)(1), Freedom from Abuse, Neglect, and Exploitation - F600 Scope/Severity J This situation placed Resident #1 and other residents at risk for the likelihood of serious injury, harm, impairment or death. The State Agency (SA) notified the Administrator of the IJ and SQC on 3/13/25 at 4:50 PM and provided the IJ Template. […]
- No harm, potential for more than minimal, widespreadF812May 7, 2026
Based on observation, staff interview, record review, and facility policy review, the facility failed to ensure accurate food temperatures related to improper calibration of the food thermometer and failed to store food in accordance with professional standards for food service safety related to food items not dated, labeled and improperly stored for two (2) of two (2) kitchen observations. Findings include:A review of the facility's policy, Calibration of Thermometers, dated 05/18, revealed, Procedure: 1. All thermometers are to be calibrated: a. Before each meal.2. […]
- No harm, potential for more than minimal, widespreadF851May 7, 2026
Based on staff interview and record review, the facility failed to ensure the accuracy of Payroll Based Journal (PBJ) data submitted to the Centers for Medicare and Medicaid Services (CMS) when nurses with administrative nursing duties hours were not recorded in the correct job title for three (3) of three (3) months reviewed in the fiscal year (FY) first quarter of 2026.Findings include:A record review of the PBJ Staffing Data Report for FY Quarter 1 2026 (October 1 through December 31) revealed the facility triggered for excessively low weekend staffing during the quarter. A record review of the 1703D Job Title Report for FY Quarter 1 2026, revealed Job Title 6 - Registered Nurse with Administrative Duties had recorded Contract Hours on 10/7/26, 11/5/26, 11/6/26, 12/15/26, and 12/16/26. […]
Read 28 findings in full →The most serious and the most recent: 28 of 88 on record.
Every survey on record
FindingsAt actual harm or above
- May 7, 2026Standard2 findings
- Jan 14, 2025Complaint1 finding · 1 harm
- Sep 9, 2024Complaint2 findings · 2 harm
- Jun 13, 2024Standard3 findings
- Jun 29, 2023Complaint1 finding
- Feb 9, 2023Standard and complaint5 findings
- Aug 15, 2019Standard6 findings
- Sep 20, 2018Standard10 findings
Show the 10 earlier surveys
- May 23, 2017Standard2 findings
- Dec 6, 2016Complaint3 findings
- Jul 2, 2016Standard19 findings · 1 harm
- Dec 10, 2015Complaint1 finding
- Aug 7, 2015Standard5 findings
- Sep 30, 2014Standard2 findings
- Aug 22, 2013—7 findings
- May 23, 2013—4 findings · 4 harm
- Sep 27, 2012—8 findings · 3 harm
- Aug 5, 2011—7 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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