Total health inspections
6
Virginia average 4.2
Last Health inspection on Jul 2024
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
The Legacy at North Augusta, Inc.
Nursing Home · Virginia, VA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Legacy at North Augusta, Inc.
Nursing Home · Virginia, VA
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Legacy at North Augusta, Inc. accepts Medicare, Medicaid, and private pay.
The Legacy at North Augusta is a senior living community located in Staunton, Virginia. It offers independent living, assisted living, memory care, and respite care services. The community focuses on providing a vibrant lifestyle with a range of amenities and support for residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 77th out of 85 homes in Virginia. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 77th out of 85 homes in Virginia. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 57m per day
Rank #77 / 85Nurse hours — State benchmarkedThis home is ranked 77th out of 85 homes in Virginia. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 85 Virginia SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Virginia avg
-38%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 31m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
93.3%
Rank #25 / 311Occupancy rate — State benchmarkedThis home is ranked 25th out of 311 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 311. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
86 days
Occupancy rate
93.3%
Rank #25 / 311Occupancy rate — State benchmarkedThis home is ranked 25th out of 311 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 311. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
86 days
135-bed community Rank #64 / 371Bed count — State benchmarkedThis home is ranked 64th out of 371 homes in Virginia. Shows this facility's certified or reported bed count compared to other Virginia SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score: 93 / 100 Rank #8 / 449Walk Score — State benchmarkedThis home is ranked 8th out of 449 homes in Virginia. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Virginia SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
About this community
Facility TypeAssisted Living Facility
StatusActive
ExpirationNovember 22, 2025
The Legacy at North Augusta, Inc. is administrated by Mr. Craig Wagoner.
Rehabilitation Services
Respite Care
Short-Term Rehab
24-Hour Staffing
Amenities And Services Include Restaurant-Style Dining
Wellness Activities
Social Gatherings
And On-Site Rehabilitation Services
ActivitiesVibrant calendar of social activities available.
Specific ProgramsTherapy Services, Veterans Assistance
Food DescriptionRestaurant-style dining room with delicious meals.
Inspection History
In Virginia, the Department of Social Services (for assisted living facilities) and the Department of Health (for nursing homes) perform the inspections required to maintain state and federal licensing.
Since 2021 · 5 years of data
6 complaints
17 inspections
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Virginia state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Since 2021 vs. Virginia state average
Overall vs. VA average
3 Worse
Metrics worse than Virginia average:
• Total inspections (21% above)
• Inspections with violations (56% above)
• Inspection violation rate (28% above) 2 Better Metrics better than Virginia average:
• Total complaints (14% below)
• Complaints per year (14% below)
• Total inspections (21% above)
• Inspections with violations (56% above)
• Inspection violation rate (28% above) 2 Better Metrics better than Virginia average:
• Total complaints (14% below)
• Complaints per year (14% below)
Inspections
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 17 | 14 | This facility has 21% more total inspections than a typical Virginia nursing home (17 vs. VA avg 14).↑ 21% worse |
|
Inspections with violations
Inspections that uncovered at least one regulatory violation.
| 14 | 9 | This facility has 56% more inspections with violations than a typical Virginia nursing home (14 vs. VA avg 9).↑ 56% worse |
|
Inspection violation rate
Percentage of inspections that resulted in at least one violation.
| 82% | 64% | This facility has 18 percentage points higher inspection violation rate than a typical Virginia nursing home (82% vs. VA avg 64%).↑ 18% worse |
Complaints & Investigations
| This Facility | VA Average | vs. VA Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
| 6 | 7 | This facility has 14% fewer total complaints than a typical Virginia nursing home (6 vs. VA avg 7).↓ 14% better |
|
Complaints per year
Average complaints per year since 2021.
| 1.2 | 1.4 | This facility has 14% fewer complaints per year than a typical Virginia nursing home (1.2 vs. VA avg 1.4).↓ 14% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsHealth Inspection History
Inspections
Total health citations
61
Rank #74 / 86Health citations — State benchmarkedThis home is ranked 74th out of 86 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 86 VA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average 38.4
Citations per inspection
10.17
Rank #53 / 86Citations per inspection — State benchmarkedThis home is ranked 53rd out of 86 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 86 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Virginia average 8.93
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 61 citations resulted from standard inspections; 38 of 61 resulted from complaint investigations; and 2 of 61 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 5 years)
Critical health citations
3
650% worse than Virginia averageVirginia average: 0.4
Serious health citations
4
300% worse than Virginia averageVirginia average: 1
Citations history (last 5 years)
Pharmacy moderate citation
Jul 24, 2024
Corrected
Abuse/Neglect serious citation
Apr 17, 2024
Corrected
Abuse/Neglect moderate citation
Apr 17, 2024
Corrected
Abuse/Neglect moderate citation
Apr 17, 2024
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
127
Employees
99
Contractors
28
Staff to resident ratio
1.34:1
20% worse than Virginia average
Avg staff/day
38
Average shift
8.3 hours
0% compared with Virginia average
Total staff hours (quarter)
29,086
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
23
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
8.3%
2,415 contractor hours this quarter
Respiratory Therapy Technician: 6
Speech Language Pathologist: 5
Occupational Therapy Assistant: 4
Qualified Social Worker: 4
Physical Therapy Aide: 4
Physical Therapy Assistant: 3
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 46 | 0 | 46 | 13,010 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 23 | 0 | 23 | 8,686 | 92 | 100% | 10.1 |
| Physical Therapy Assistant | 0 | 3 | 3 | 882 | 69 | 75% | 6.6 |
| RN Director of Nursing | 2 | 0 | 2 | 783 | 63 | 68% | 8.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 736 | 56 | 61% | 8.3 |
| Registered Nurse | 8 | 0 | 8 | 714 | 67 | 73% | 8.2 |
| Dietitian | 1 | 0 | 1 | 574 | 68 | 74% | 8.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 494 | 63 | 68% | 7.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 476 | 66 | 72% | 7 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 469 | 69 | 75% | 6.1 |
| Dental Services Staff | 1 | 0 | 1 | 466 | 62 | 67% | 7.5 |
| Administrator | 1 | 0 | 1 | 419 | 57 | 62% | 7.4 |
| Qualified Social Worker | 0 | 4 | 4 | 348 | 64 | 70% | 5.3 |
| Other Dietary Services Staff | 10 | 0 | 10 | 270 | 45 | 49% | 4.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 80 | 16 | 17% | 5 |
| Physical Therapy Aide | 0 | 4 | 4 | 75 | 22 | 24% | 3.4 |
| Occupational Therapy Assistant | 0 | 4 | 4 | 43 | 48 | 52% | 0.8 |
| Medical Director | 0 | 1 | 1 | 42 | 66 | 72% | 0.6 |
46 Certified Nursing Assistant
% of Days
100%
23 Licensed Practical Nurse
% of Days
100%
3 Physical Therapy Assistant
% of Days
75%
2 RN Director of Nursing
% of Days
68%
4 Clinical Nurse Specialist
% of Days
61%
8 Registered Nurse
% of Days
73%
1 Dietitian
% of Days
74%
1 Mental Health Service Worker
% of Days
71%
2 Nurse Practitioner
% of Days
68%
5 Speech Language Pathologist
% of Days
72%
6 Respiratory Therapy Technician
% of Days
75%
1 Dental Services Staff
% of Days
67%
1 Administrator
% of Days
62%
4 Qualified Social Worker
% of Days
70%
10 Other Dietary Services Staff
% of Days
49%
1 Occupational Therapy Aide
% of Days
17%
4 Physical Therapy Aide
% of Days
24%
4 Occupational Therapy Assistant
% of Days
52%
1 Medical Director
% of Days
72%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.0
19% worse than Virginia averageVirginia average: 10.1
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.0
11% worse than Virginia averageVirginia average: 19.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
19.5%
Percent of long-stay residents whose need for help with daily activities has increased
19.5%
16% worse than Virginia averageVirginia average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.9%
Percent of long-stay residents whose ability to move independently worsened
20.9%
6% worse than Virginia averageVirginia average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
13% worse than Virginia averageVirginia average: 22.6%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
Percent of long-stay residents experiencing one or more falls with major injury
4.2%
15% worse than Virginia averageVirginia average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.1%
Percent of long-stay high risk residents with pressure ulcers
8.1%
51% worse than Virginia averageVirginia average: 5.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.3%
Percent of long-stay residents with a urinary tract infection
0.3%
79% better than Virginia averageVirginia average: 1.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.5%
Percent of long-stay residents who lose too much weight
7.5%
28% worse than Virginia averageVirginia average: 5.9%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
10.1%
Percent of long-stay residents who have depressive symptoms
10.1%
32% better than Virginia averageVirginia average: 14.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
10.1%
Percent of long-stay residents who received an antipsychotic medication
10.1%
21% better than Virginia averageVirginia average: 12.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
8% better than Virginia averageVirginia average: 91.3%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Virginia averageVirginia average: 94.0%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
26% better than Virginia averageVirginia average: 74.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
Percent of short-stay residents who newly received an antipsychotic medication
0.3%
76% better than Virginia averageVirginia average: 1.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
94.0%
28% better than Virginia averageVirginia average: 73.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
41% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
24% of new residents, often for long-term daily care.
Typical stay
8 - 9 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
95
Medicare
6
6.3% of residents
Medicaid
61
64.2% of residents
Private pay or other
28
29.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for The Legacy at North Augusta, Inc. based on CMS SNF Cost Reports.
Occupancy Rate
93.3%
↑ 12.2pp vs 2022
Net Income
$1.3M
↑ ~$1.2M vs 2022
Total Payroll
$5.6M
↑ ~$303.1K vs 2022
Profit Margin
7.6%
↑ 6.9pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$17.4M
Profit
$1.3M
Privately-owned community
Operated by a business corporation.
Home revenue
$17.4M Rank #53 / 85Revenue — State benchmarkedThis home is ranked 53rd out of 85 homes in Virginia. Shows this facility's annual revenue compared to the Virginia SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$1.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 85Payroll — State benchmarkedThis home is ranked 76th out of 85 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #76 / 85Payroll — State benchmarkedThis home is ranked 76th out of 85 homes in Virginia. Shows total annual staff payroll benchmarked to the Virginia average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$10.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$16.1M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near The Legacy at North Augusta, Inc.
0.0 miles from city center
Estimated distance in miles from Staunton's city center to The Legacy at North Augusta, Inc.'s address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Virginia
The Legacy at North Augusta, Inc. is located in STAUNTON, Virginia.
Here are the financial assistance programs available to residents in Virginia.
Compare Nursing Home around Virginia
The information below is reported by the Virginia Department of Social Services and Department of Health.
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| The Legacy at North Augusta, Inc. |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Staunton | 135 | 93.3% | +9% | 2.95 | -35% | -21% | $0 | 61 | 10.2 | 7 | 95 | - | 93 | Misty Hinchey | $17.4M | $5.6M | 32.1% | 495344 |
Frequently Asked Questions about The Legacy at North Augusta, Inc.
Is The Legacy at North Augusta, Inc. in a walkable area?
The Legacy at North Augusta, Inc. has a walk score of 93. Walker's paradise. Daily errands do not require a car, with many shops and services nearby.
When does The Legacy at North Augusta, Inc.'s license expire?
According to VA state health department records, The Legacy at North Augusta, Inc.'s license expires on November 22, 2025.
Who is the administrator of The Legacy at North Augusta, Inc.?
Mr. Craig Wagoner is the administrator of The Legacy at North Augusta, Inc..
How many beds does The Legacy at North Augusta, Inc. have?
The Legacy at North Augusta, Inc. has 135 beds.
Has The Legacy at North Augusta, Inc. had any recent deficiencies or citations?
The Legacy at North Augusta, Inc. has had 17 recently reported deficiencies.
Are there photos of The Legacy at North Augusta, Inc.?
Yes — there are 12 photos of The Legacy at North Augusta, Inc. in the photo gallery on this page.
What is the address of The Legacy at North Augusta, Inc.?
The Legacy at North Augusta, Inc. is located at 1410 A N. Augusta Street.
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