LEGACY AT SALINA

SALINA, KS · 45 beds · For profit - Limited Liability company

0 Trust Score
Grade: F CRITICAL Risk → Stable

Red Flags

  • This facility has a substantiated finding of abuse
  • 4 citation(s) where residents suffered actual harm

Green Flags

No positive signals identified yet.

Quick Facts

★★☆☆☆
CMS Overall
★★☆☆☆
Health Inspection
13
1.3x state avg
Deficiencies
$17,758
Fines (3-yr)
★★★☆☆
Staffing

Violation Timeline

November 17, 2025

1 deficiency
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

September 9, 2025

10 deficiencyies
F0605 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

F0689 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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

F0690 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F0761 Potential Harm Scope/Severity: D

Pharmacy Service Deficiencies

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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

F0801 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

F0812 Potential Harm Scope/Severity: F

Nutrition and Dietary Deficiencies

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

F0849 Potential Harm Scope/Severity: D

Administration Deficiencies

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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

F0851 Potential Harm Scope/Severity: D

Administration Deficiencies

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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F0880 Potential Harm Scope/Severity: E

Infection Control Deficiencies

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Provide and implement an infection prevention and control program.

March 3, 2025

2 deficiencyies
F0600 Actual Harm Scope/Severity: G

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F0609 Potential Harm Scope/Severity: D

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

July 15, 2024

1 deficiency
F0689 Actual Harm Scope/Severity: G

Quality of Life and Care Deficiencies

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

January 7, 2024

6 deficiencyies
F0554 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Allow residents to self-administer drugs if determined clinically appropriate.

F0561 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

F0582 Potential Harm Scope/Severity: D

Resident Rights Deficiencies

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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F0584 Potential Harm Scope/Severity: E

Resident Rights Deficiencies

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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.

F0677 Potential Harm Scope/Severity: D

Quality of Life and Care Deficiencies

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Provide care and assistance to perform activities of daily living for any resident who is unable.

F0689 Potential Harm Scope/Severity: E

Quality of Life and Care Deficiencies

Show details

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

See full violation history →

Staffing

0.72
RN hrs/res/day
0.75
LPN hrs/res/day
2.65
CNA hrs/res/day
3.45
Weekend hrs/res/day
N/A
Total nurse turnover
N/A
RN turnover

A nurse checks on each resident roughly every 5.8 hours on average.

Fines & Penalties

  • Fine Mar 3, 2025
    $9,568
  • Fine Jul 15, 2024
    $8,190
Total $17,758

Ownership

For profit - Limited Liability company Chain: CAMPBELL STREET SERVICES
  • KS PORTFOLIO MASTER SNF HOLDCO, LLC

    5% OR GREATER DIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    100% Organization
  • KS PORTFOLIO INVESTOR, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Organization
  • KS PORTFOLIO MASTER HOLDCO, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Organization
  • KS PORTFOLIO SPONSOR, LLC

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Organization
  • NKERO INVESTMENTS LTD LLP

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 03/01/2020

    NO PERCENTAGE PROVIDED Organization
  • ADAMS, JOHN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Individual
  • FISHFELD, JORDAN

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Individual
  • KERO, SAMEER

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Individual
  • MENDELOVITZ, ISIDORE

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Individual
  • TOLIA, KIRIT

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Individual
  • TOLIA, SANJAY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Individual
  • TOLIA, VINAY

    5% OR GREATER INDIRECT OWNERSHIP INTEREST

    Since since 11/01/2015

    NO PERCENTAGE PROVIDED Individual
  • CAMPBELL STREET SERVICES LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2022

    Organization
  • KS PORTFOLIO MANAGER, LLC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2015

    Organization
  • DOLE, ISAAC

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 11/01/2015

    Individual
  • IRVIN, BRADLEY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 01/01/2019

    Individual
  • RODRIGUEZ, LORI

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2022

    Individual
  • SEEGER, GREGORY

    OPERATIONAL/MANAGERIAL CONTROL

    Since since 03/01/2022

    Individual
  • DOLE, ISAAC

    CORPORATE OFFICER

    Since since 11/01/2015

    Individual
  • SALINA WINDSOR SNF REALCO, LLC

    5% OR GREATER MORTGAGE INTEREST

    Since since 11/01/2015

    Organization

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