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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 165 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 65% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Families considering Legacy Rehabilitation and Living will find a facility highly praised for its exceptional physical and occupational therapy teams and recent building renovations. However, there are serious, recurring allegations regarding medical neglect, medication errors, and issues with patient safety that require careful investigation.
Quality Themes
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Concerns
Rating Trends
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Distribution · 181 analyzed
The owner provides personalized responses that frequently mirror the specific details mentioned in the reviewer's text. While they use some templated phrasing for positive reviews, they demonstrate empathy and professional standards when addressing negative feedback.
Personalized based on this facility's data
Key Review Excerpts
“The therapists are highly skilled and dedicated, working tirelessly to help residents regain their independence and improve their quality of life.”
“They messed with medicines that could have easily killed my mother. Someone had to be there daily to make sure nothing was happening.”
“The facility itself is beautiful, clean, and thoughtfully designed to create a welcoming and supportive environment for people on their recovery journey.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
4
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility has concerning patterns, particularly with families filing reports that triggered inspections for medication management, resident rights, respiratory care, and care planning issues. The most recurring problems involve resident rights violations, medication management, and respiratory care, with respiratory care deficiencies appearing across multiple surveys from 2023 to 2026, suggesting persistent issues. While most deficiencies show correction dates, the pattern of complaint-driven inspections and recurring care problems warrants careful consideration during any visit.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Federal Penalties
Fine
May 5, 2026
$13,070
Stratford Hospital District
for profit
TRADEWIND HEALTHCARE INC
STEPHEN RITCHEY
The Ensign Group
346 facilities nationwide
Chain avg rating: 2.9/5 · Rank 16 of 84
Owners
Stratford Hospital District
Owner · Organization
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
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Google Reviews
165 reviews from families & visitors
Official Website
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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