Legacy Health and Rehab
811 KEYLON STREET, Manchester, TN 37355
Manchester, Tennessee · CMS verdict
CMS rates Legacy Health and Rehab at 2 of 5 stars overall - below-average on the federal scale, and below the Tennessee average of 3.0.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Legacy Health and Rehab in Manchester, Tennessee holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 30 of 100 (grade F). The 72-bed facility operates where a semi-private nursing-home room in Tennessee runs a median of $9,429 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 30 is built
Each segment is a dimension's weighted points toward the score, summing to 30.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Legacy Health and Rehab's overall quality rating at 2 out of 5 stars, a composite of three sub-ratings: health inspection (2/5), staffing (2/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Manchester, Tennessee, this facility operates 72 certified beds with an average daily census of roughly 51 residents - an occupancy rate of about 71%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 71% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Tennessee, Legacy Health and Rehab is one of 113 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 2.7 stars, ahead of roughly 25% of same-ownership peers in the state. This ownership-segment comparison controls for business-model differences, so what's left mostly reflects how this facility runs relative to similar operators, not the type of operator it is.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (24 total). CMS has levied no enforcement penalties over the equivalent window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Legacy Health and Rehab compares to Tennessee
CMS five-star sub-ratings (0–5) for this facility against the Tennessee facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Tennessee state average. Higher is better on all four CMS measures.
Where Legacy Health and Rehab ranks in Tennessee
Among the 298 CMS-rated nursing homes in Tennessee, Legacy Health and Rehab’s 2-star overall rating is higher than 20% of them. The bars show how all Tennessee homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
60 Tennessee homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 72 |
| Residents | 51 |
| Ownership | For profit - Limited Liability company |
| County | Coffee |
| Penalties | 0 |
| Deficiencies | 24 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Legacy Health and Rehab? ▾
2 out of 5 stars is Legacy Health and Rehab's current CMS overall rating, built from a health inspection rating of 2/5, a staffing rating of 2/5, and a quality measures rating of 2/5.
How much does a nursing home cost per month in Tennessee? ▾
The median cost for a semi-private nursing home room in Tennessee is $9,429 per month ($113,150 annually). A private room averages $10,038 per month. Costs are from the CareScout 2025 survey.
What services does Legacy Health and Rehab offer? ▾
With 72 beds with approximately 51 current residents, Legacy Health and Rehab is a skilled nursing facility. It operates under for profit - limited liability company ownership, and CMS's inspection record shows 24 deficiencies and 0 penalties.
Does Legacy Health and Rehab have any deficiencies or penalties? ▾
Legacy Health and Rehab has multiple deficiencies (24 total) and 0 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Tennessee? ▾
In Tennessee, alternatives include assisted living ($5,845/mo), home health aides ($5,911/mo), and adult day care ($1,733/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Tennessee elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 445383.
Read our methodology - how this data is sourced, computed, and verified.