Legend Healthcare is an average-sized nursing home located in Tonganoxie, Kansas. With an overall rating of F, we consider this to be a lower end nursing home. If you are not satisfied with this facility's pedestrian overall grade, you may have to look in other cities as this is the only nursing home in Tonganoxie. Despite all this, one of the few highlights of this nursing home's report card is its impressive inspection reports. You can continue reading to learn more about inspections and other category scores

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 90 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Corporation

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
July
July 1, 2019July 2, 2019July 3, 2019July 4, 2019July 5, 2019July 6, 2019July 7, 2019July 8, 2019July 9, 2019July 10, 2019July 11, 2019July 12, 2019July 13, 2019July 14, 2019July 15, 2019July 16, 2019July 17, 2019July 18, 2019July 19, 2019July 20, 2019July 21, 2019July 22, 2019July 23, 2019July 24, 2019July 25, 2019July 26, 2019July 27, 2019July 28, 2019July 29, 2019July 30, 2019July 31, 2019
August
August 1, 2019August 2, 2019August 3, 2019August 4, 2019August 5, 2019August 6, 2019August 7, 2019August 8, 2019August 9, 2019August 10, 2019August 11, 2019August 12, 2019August 13, 2019August 14, 2019August 15, 2019August 16, 2019August 17, 2019August 18, 2019August 19, 2019August 20, 2019August 21, 2019August 22, 2019August 23, 2019August 24, 2019August 25, 2019August 26, 2019August 27, 2019August 28, 2019August 29, 2019August 30, 2019August 31, 2019
September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

B
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMar 19: FApr 19: CMay 19: B-Jun 19: B-Jul 19: B-Aug 19: B-Sep 19: B+Jan 20: BMar 20: BApr 20: BMay 20: BJun 20: BJul 20: BAug 20: B
Historical

While we gave this facility a terrible overall grade, we gave it a B for our inspections category. This was due to the nursing home receiving a decent inspection report this year. Inspection scores weigh several factors, including deficiencies and federal fines. You can learn more about each of these factors by reviewing copies of nursing homes' inspection reports. While this nursing home had a few minor dings on its government inspection report, it had no severe deficiencies. Severe deficiencies are found in categories G, H, I, J, K and L. This tells you that the inspectors did not consider any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A few minor deficiencies aren't necessarily the end of the world.

Long-term Care Quality

C
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMar 19: FApr 19: FMay 19: FJun 19: CJul 19: BAug 19: BSep 19: BJan 20: CMar 20: CApr 20: DMay 20: DJun 20: CJul 20: CAug 20: C
Historical

Remarkably, we awarded this facility a grade of C for its long-term care rating, which isn't a bad grade. In calculating these long-term care ratings, we assess the nursing home's personal care services. Once we assessed the amount of care provided by nurses aids and other staff, we then looked at the facility's vaccination data. We were optimistic to find that this facility vaccinated 95.61404 percent of its patients against pneumonia. Finally, we looked at the facility's number of hospitalizations. Here we found that this nursing home had 2.55 hospitalizations per 1,000 long-term resident days. Unfortunately, this figure was less favorable than its other scores in this category.

Short-term Care Quality

D
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMar 19: DApr 19: DMay 19: DJun 19: DJul 19: B-Aug 19: B-Sep 19: B-Jan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: D
Historical

This nursing home's second lowest category is short-term care, where it earned just a D in that area. This is a well below average score. In calculating our short-term care scores, we size up the nursing home's levels of highly skilled nursing, which includes registered nurses, physical therapists speech therapists and other highly skilled individuals. This grade is often a useful measure of a facility's rehabilitation. In this place's case, we found that it offers far less registered nurse hours per resident than the average nursing home. Given its grade in this category, this did not surprise us. Lastly, we assessed the percentage of patients who were able to return to the community from this nursing home. This definitely was not a strength for this facility. We found that just 34.2 percent of this facility's residents returned home. At most facilities, around half of their patients are able to return home so this is well below average.

Nurse Quality

F
Oct 18: FNov 18: FDec 18: FJan 19: FFeb 19: FMar 19: FApr 19: FMay 19: FJun 19: FJul 19: B-Aug 19: B-Sep 19: B-Jan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

The final area we rated is nursing. This nursing home was given a bottom of the barrel grade of F in this area. When determining our nursing ratings, we analyze both staffing levels and the skill levels of the nurses. This place provided only 2.7 hours of nursing care per resident daily. This is an alarmingly low total. On top of being below average in nursing hours per resident, this facility also had poor scores in the quality-based measures we looked at in computing our nursing grades. We looked at the percentage of patients sustaining major falls and pressure ulcers. This facility was at roughly 150 percent of the national average in both of these statistics. This is likely a bad sign when you consider that many falls and bed sores are preventable with better nursing care. These statistics helped pull down this nursing home's nursing rating quite a bit.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
F
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Legend Healthcare Quality Metrics

Minimizes Pressure Ulcers

This indicates the percentage of residents that suffered from a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of patients staying in one position for too long. Better nursing care reduces the number of pressure ulcers sustained by residents in a nursing home.

Provider
D
11.51%
State
B+
6.22%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This metric gauges the percentage of long-term stay residents that suffered falls resulting in serious injury. Falls can arise for a variety of reasons, but high rates of major falls could be an indicator of lower quality nursing care.

Provider
D
6.14%
State
B-
4.8%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This indicates the percentage of patients who sustained a urinary tract infection. UTI's are considered by many in the nursing home industry to be an indicator of nursing care at a nursing home. UTI's are routinely the result of worse hygiene protocols. However, this datapoint may also be misleading for some nursing homes due to inconsistent reporting standards for urinary tract infections.

Provider
B
2.3%
State
B-
3.78%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This is the percent of patients who were prescribed antipsychotic drugs. While antipsychotic drugs may be helpful for many residents, it is important to make sure these medications are being used appropriately. In some situations, excessive reliance on these medications may mean a facility is using these medications to control patient behavior.

Provider
D
23.12%
State
B
15.84%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percentage of patients given antianxiety drugs. Antianxiety medications are prescribed to residents suffering from anxiety and depression.

Provider
B-
20.94%
State
B
21.37%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This is the percentage of patients who are demonstrating depressive symptoms.

Provider
B+
1%
State
B-
5.44%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This indicates the percent of residents who were given the pneumonia and flu vaccines. Higher vaccination rates should be demanded by residents.

Provider
C
95.31%
State
B
91.06%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This tells you the percent of residents that needed increased assistance with activities of daily living over time. High levels of needing for assistance with activities of daily living could be a sign of the decline of a patient's well-being.

Provider
F
26.23%
State
B
15.8%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

Measures the percent of long-term care patients that were able to retain mobility.

Provider
A+
38.05%
State
B
18.04%
National
B
17.11%

Percentage of Residents
Higher is Better

Hospitalizations

This metric tracks the number of hospitalizations per thousand days of patient care.

Provider
D
2.26
State
B-
1.94
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This datapoint measures the number of rehospitalizations per thousand days of short-term care.

Provider
F
38.05
State
B
18.04
National
B
17.11

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This is the number of emergency room visits per thousand days of short-term patient care. There is generally a correlation between reduced emergency room visits and the overall quality of care.

Provider
B-
11.51
State
B
10.73
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This indicates the percentage of short-term stay residents that saw functional improvements, such as enhanced ability to perform activities of daily living.

Provider
B-
65.28%
State
B+
72.2%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Lawrence Memorial Hospital 12.5 mi
325 Maine Street Lawrence Kansas 66044
(785) 505-6100
Acute Care Hospitals
Government - Local
Saint John Hospital 15.67 mi
3500 South 4th Street Leavenworth Kansas 66048
(913) 680-6000
Acute Care Hospitals
Voluntary non-profit - Other
Providence Medical Center 15.84 mi
8929 Parallel Parkway Kansas City Kansas 66112
(913) 596-4000
Acute Care Hospitals
Voluntary non-profit - Church
Saint Luke's Cushing Hospital 16.59 mi
711 Marshall Street Leavenworth Kansas 66048
(913) 684-1100
Acute Care Hospitals
Voluntary non-profit - Private
F W Huston Medical Center 18.41 mi
408 Delaware Street Winchester Kansas 66097
(913) 774-4340
Critical Access Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Lawrence Dialysis 12.52 mi
CMS Rating: 4 stars
Dialysis Stations: 15
330 Arkansas St. #100 Lawrence Kansas 66044
(785) 843-2000
Wyandotte West Dialysis 13.25 mi
CMS Rating: 4 stars
Dialysis Stations: 17
11014 Haskell Ave Kansas City Kansas 66109
(913) 721-9780
Davita Free State Dialysis 14 mi
Dialysis Stations: 12
Free State Dialysis Lawrence Kansas 66046
(785) 312-9377
Lawrence Home Training 15.51 mi
Dialysis Stations: 1
3510 Clinton Pkwy Suite 110 Lawrence Kansas 66047
(785) 841-0490
Leavenworth Dialysis 17.08 mi
CMS Rating: 2 stars
Dialysis Stations: 12
501 Oak St Leavenworth Kansas 66048
(913) 651-1431
Rai - Parallel Parkway - Kansas City Dialysis 18.98 mi
CMS Rating: 4 stars
Dialysis Stations: 17
6401 Parallel Parkway Kansas City Kansas 66102
(913) 299-1044