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LEGACY MANOR NURSING AND REHABILITATION CENTER

1935 NORTH THEOBOLD EXTENSION
GREENVILLE, MS 38704 · 6623344501 · Washington County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds60
OwnershipFor profit - Limited Liability company
State rank#52

By the numbers

13
Health citations (3 cycles)
3
Immediate-jeopardy (J/K/L)
0
Actual-harm (G/H/I)
$27,024
Federal fines (CMPs)
The trend: Citations are trending down — 2 in the most recent cycle versus 5 two cycles ago.

Recent Health Citations

May 7, 2026 · Health survey · F-tag 0851
F — No actual harm
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
May 7, 2026 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jan 14, 2025 · Health survey · F-tag 0600
J — Immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Details
Correction status: Corrected Dec 27, 2024 — Past Non-Compliance
Inspection cycle: 2
Survey origin: Complaint investigation
Sep 9, 2024 · Health survey · F-tag 0678
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Details
Correction status: Corrected Sep 6, 2024 — Past Non-Compliance
Inspection cycle: 2
Survey origin: Complaint investigation
Sep 9, 2024 · Health survey · F-tag 0656
J — Immediate jeopardy
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Details
Correction status: Corrected Sep 6, 2024 — Past Non-Compliance
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 13, 2024 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 13, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jun 13, 2024 · Health survey · F-tag 0584
D — No actual harm
Resident Rights Deficiencies
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.
Feb 9, 2023 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Feb 9, 2023 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 9, 2023 · Health survey · F-tag 0686
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Feb 9, 2023 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 9, 2023 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Showing the 13 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Mississippi →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.