Legacy Hospice, LLC
A hospice in Kennett, Missouri 63857
203 1st Street, Ste A, Kennett, Missouri 63857. (573) 888-4946.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 3 deficiencies cited in the last three years
- 5of 5 family caregiver rating
- 9of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
3 deficiencies cited in the last three years
The middle of the 6 hospices serving ZIP code 63857 had 4.
The last inspection on record was on May 19, 2026: a complaint inspection by the state.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
3 deficiencies in 1 month of the last 36. Last cited Feb 2024. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Feb 29, 2024: initial inspection by the Accreditation Commission for Health Care3 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6))
The inspectors’ words, 207 words
“Upon patient record review, 5 of 19 (Patient #6, 8, 9, 11, 13) did not have evidence in the patient record that a review was completed of all prescription and non-prescription medications, including herbal remedies that could affect drug therapy. This review includes, but is not limited to: • Effectiveness of drug therapy • Drug side effects • Actual or potential drug interactions • Duplicate drug therapy Patient 6: The medication list indicates Miralax, but does not reflect the orders for reconstitution. (corrected onsite) Patient 8: The medication list indicates nitrostat 0.4mg 1 tab SL as directed, but does not reflect the orders for PRN use. (corrected onsite) Patient 9: The medication list indicates Nystatin topical cream 1 application bid PRN skin irritation, but does not provide a location for use of this topical medication. (corrected onsite) Patient 11: The medication list indicates Nystatin powder 1 application bid for rash, but does not provide a location for use of this topical medication. (corrected onsite) Patient 13: The medication list indicates atropine 1% ophthalmic gtts 2 gtts q 2 hours in the eyes PRN excess secretions. This medication list entry does not reflect the correct physician order of the sublingual route for administration of this medication. (corrected onsite)”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 289 words
“Upon patient record review, 4 of 19 (Patient #3, 6, 7, 11) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including medications and treatments. Patient 3: The patient has treatment orders for wound care that state cleanse area, pat dry, apply barrier cream topically bid & PRN. This is an incomplete treatment order as it does not indicate the location of the wound, who is to perform the wound care, and does not provide a specifier for the PRN indication. (corrected onsite) Patient 6: The patient has treatment orders for the catheter which are complete regarding size, frequency, and the like. However, the order indicates the catheter is to be changed monthly & PRN, which does not provide a specifier for the PRN indication. (corrected onsite) Patient 7: The patient has treatment orders for wound care that state only barrier cream tid & PRN. This is an incomplete treatment order as it does not indicate the location of the wound, who is to perform the wound care, and does not provide a specifier for the PRN indication. The patient has an additional wound care order that states cleanse wound, apply barrier cream & padded dressing. This is also an incomplete treatment order as it does not indicate the location of the wound, the frequency of the wound care, and who is to perform the wound care. (corrected onsite) Patient 11: The patient has treatment orders for the catheter which are complete regarding size, frequency, and the like. However, the order indicates the catheter is to be changed monthly & PRN, which does not provide a specifier for the PRN indication. (corrected onsite)”
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Content of plan of care (42 CFR 418.56(c)(5))
“Upon patient record review, 1 of 19 (Patient #1) did not have evidence the plan of care must include all services necessary for the palliation and management of the terminal illness and related conditions, including equipment and supply needs. Patient 1: The patient requires the use of a wheelchair for management of the terminal illness; however, this DME does not appear on the plan of care. (corrected onsite)”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 19, 2026 | Complaint inspection by the state | No deficiencies cited |
| Feb 29, 2024 | Initial inspection by the Accreditation Commission for Health Care | 3 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 17, 2004.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 14.4 nurse care minutes per routine home care day, 8.5% of skilled nursing minutes at weekends and a visit near death for 94.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 46% at home, 8% in assisted living, 42% in a nursing facility, 4% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.4 min |
| Skilled nursing minutes at weekends | 8.5% |
| Visits near death | 94.6% of patients who died |
Who owns it?
- Legacy Operating Company LLC owns 100% directly since Nov 1, 2019.
- 9 owners or officers are people: James G Corbin (managing employee (on the payroll)); James G Corbin (runs it (operational or managerial control)); Carol Ziegler (corporate officer); Carol Ziegler (managing employee (on the payroll)); Carol Ziegler (runs it (operational or managerial control)); Cara Costephens (managing employee (on the payroll)); Andrew P Lofaso (managing employee (on the payroll)); Andrew P Lofaso (runs it (operational or managerial control)); Omar Mohammad Khan (managing employee (under contract)).
- A private-equity firm is among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Bcdi Legacy Holdings, LP | Owns 5% or more through other companies | 100% | Nov 10, 2025 |
| LH Holding Company LLC | Owns 5% or more through other companies | 100% | Nov 1, 2019 |
| Bcdi Legacy Midco, LLC | Owns 5% or more through other companies | 100% | Nov 10, 2025 |
| Bcdi Legacy Topco, LLC | Owns 5% or more through other companies | 100% | Nov 10, 2025 |
| Legacy Operating Company LLC | Owns 5% or more directly | 100% | Nov 1, 2019 |
| Bcdi Legacy Investor, LP | Owns 5% or more through other companies | 96.71% | Nov 10, 2025 |
| BAIN Capital Double Impact Fund III, L.P. | Owns 5% or more through other companies | 76.82% | Nov 10, 2025 |
| Bcip Double Impact II, LP | Owns 5% or more through other companies | 6.27% | Nov 10, 2025 |
What do families say?
- Family caregivers rate it 5 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 86% rated it 9 or 10 out of 10, and 90% would definitely recommend it.
- CMS’s Hospice Care Index: 9 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 100% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 74.4% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | 5 of 5 |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 9 of 10 |
How does it compare nearby?
- Of the 6 hospices CMS’s data show serving patients in ZIP code 63857, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 3.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| VNA Hospice | 4 |
| Legacy Hospice, LLC This hospice | 3 |
| St Bernards Regional Med Ctr H | 5 |
| Elite Hospice | 13 |
| Elara Caring | 4 |
| Crown Hospice | 4 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.