The Legacy at North Augusta, Inc.
Nursing Home, Assisted Living, Independent Living, Memory Care & Respite Care · Staunton, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

The Legacy at North Augusta, Inc.

Nursing Home, Assisted Living, Independent Living, Memory Care & Respite Care · Staunton, VA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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The Legacy at North Augusta, Inc. accepts Medicare, Medicaid, and private pay.

Overview of The Legacy at North Augusta, INC.

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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 #81 / 89Nurse hours — State benchmarkedThis home is ranked 81st out of 89 homes in Virginia. Shows adjusted nurse hours per resident per day benchmarked to the Virginia average, with a ranking across 89 Virginia facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 14m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 1h 9m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 35m per day
Weekend Total Nursing Info 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 48m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 3m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 6m per day

Capacity and availability

Avg. Length of Stay
86 days
Bed community size
135-bed community Rank #61 / 371Bed count — State benchmarkedThis home is ranked 61st out of 371 homes in Virginia. Shows this facility's certified or reported bed count compared to other Virginia facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.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
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 facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.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

Occupancy

Occupancy rate
93%
Rank #26 / 314Occupancy rate — State benchmarkedThis home is ranked 26th out of 314 homes in Virginia. Shows this facility's occupancy rate versus the Virginia average, with its Statewide rank out of 314. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Virginia average: 85.7%
Occupied beds
126 / 135
Average occupied beds in Virginia homes 98 beds

License Details

Facility TypeAssisted Living Facility
StatusActive
ExpirationNovember 22, 2025 Expired

Ownership & Operating Entity

The Legacy at North Augusta, Inc. is administered by Mr. Craig Wagoner.

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Staffing & Medical

2 services
Licensed Nurses/CNAs
24-Hour Staffing

Amenities & Lifestyle

Amenities And Services Include Restaurant-Style Dining
Wellness Activities
Social Gatherings
And On-Site Rehabilitation Services
Activities
Specific ProgramsTherapy Services, Veterans Assistance

Dining & Nutrition

Food DescriptionRestaurant-style dining room with delicious meals.

Contact The Legacy at North Augusta, Inc.

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 Info This scorecard compares key inspection, deficiency, 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)

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityVA Averagevs. VA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1714 This facility has 21% more total inspections than a typical Virginia assisted living residence (17 vs. VA avg 14).↑ 21% worse
Inspections with violations Info Inspections that uncovered at least one regulatory violation. 149 This facility has 56% more inspections with violations than a typical Virginia assisted living residence (14 vs. VA avg 9).↑ 56% worse
Inspection violation rate Info 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 assisted living residence (82% vs. VA avg 64%).↑ 18% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityVA Averagevs. VA Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 67 This facility has 14% fewer total complaints than a typical Virginia assisted living residence (6 vs. VA avg 7).↓ 14% better
Complaints per year Info Average complaints per year since 2021. 1.21.4 This facility has 14% fewer complaints per year than a typical Virginia assisted living residence (1.2 vs. VA avg 1.4).↓ 14% better

Health Inspection History

Inspections since 2021
Total health inspections 6

State average N/A


Last Health inspection on Jul 2024

Total health citations
61 Rank #78 / 90Health citations — State benchmarkedThis home is ranked 78th out of 90 homes in Virginia. Shows this facility's total health deficiency citations benchmarked to the Virginia State average, with a ranking across all 90 VA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
10.17 Rank #56 / 90Citations per inspection — State benchmarkedThis home is ranked 56th out of 90 homes in Virginia. Shows average deficiency citations per CMS inspection for this facility versus the Virginia mean across 90 facilities with citation data. Lower is better.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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
In line with State average

State average: N/A


Serious health citations
4
In line with State average

State average: N/A

3 critical citations State average: N/A

4 serious citations State average: N/A

54 moderate citations State average: N/A

0 minor citations State average: N/A
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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 38
Average shift 8.3 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 29,086

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 23 LPN Staff are full-time employees. No contractors work on this role. 23
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.1 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 46 CNA Staff are full-time employees. No contractors work on this role. 46
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.6 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info 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 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4604613,01092100%8.6
Licensed Practical Nurse230238,68692100%10.1
Physical Therapy Assistant0338826975%6.6
RN Director of Nursing2027836368%8.8
Clinical Nurse Specialist4047365661%8.3
Registered Nurse8087146773%8.2
Dietitian1015746874%8.4
Mental Health Service Worker1015206571%8
Nurse Practitioner2024946368%7.8
Speech Language Pathologist0554766672%7
Respiratory Therapy Technician0664696975%6.1
Dental Services Staff1014666267%7.5
Administrator1014195762%7.4
Qualified Social Worker0443486470%5.3
Other Dietary Services Staff100102704549%4.6
Occupational Therapy Aide011801617%5
Physical Therapy Aide044752224%3.4
Occupational Therapy Assistant044434852%0.8
Medical Director011426672%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 Info 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 State average

State average: 10.1

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 22.0
11% worse than State average

State average: 19.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 19.5%
16% worse than State average

State average: 16.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 20.9%
6% worse than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.6%
13% worse than State average

State average: 22.6%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.2%
15% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.1%
51% worse than State average

State average: 5.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.3%
79% better than State average

State average: 1.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.5%
28% worse than State average

State average: 5.9%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 10.1%
32% better than State average

State average: 14.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 10.1%
21% better than State average

State average: 12.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.7%
8% better than State average

State average: 91.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than State average

State average: 94.0%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 94.4%
26% better than State average

State average: 74.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.3%
76% better than State average

State average: 1.2%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 94.0%
28% better than State average

State average: 73.6%

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.2M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$13.1M Rank #55 / 89Revenue — State benchmarkedThis home is ranked 55th out of 89 homes in Virginia. Shows this facility's annual revenue compared to the Virginia average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.2M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$100.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #80 / 89Payroll — State benchmarkedThis home is ranked 80th out of 89 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.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.6M 42.4% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #81 / 89Payroll % — State benchmarkedThis home is ranked 81st out of 89 homes in Virginia. Shows payroll as a percentage of revenue versus the Virginia average. Well-run Virginia facilities typically land around 51–60% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Virginia that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$6.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$11.9M

Who this home usually serves

TYPE OF STAY

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.

New residents most often arrive under private pay (41% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
441 total

Coverage residents most often arrive under.

Medicare 36%
Private pay 41%
Medicaid 24%
Discharges
465 total

Coverage residents most often leave under.

Medicare 36%
Private pay 41%
Medicaid 23%

Places of interest near The Legacy at North Augusta, Inc.

Address 0.0 miles from city center Info Estimated distance in miles from Staunton's city center to The Legacy at North Augusta, Inc.'s address, calculated via Google Maps.

Calculate Travel Distance to The Legacy at North Augusta, Inc.

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Address

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.

What is the occupancy rate at The Legacy at North Augusta, Inc.?

The Legacy at North Augusta, Inc.'s occupancy is 93%.

Does The Legacy at North Augusta, Inc. operate as a for-profit or non-profit?

The Legacy at North Augusta, Inc. is registered as a for-profit in VA.

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?

The Legacy at North Augusta, Inc. has had 17 recently reported deficiencies.

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