LEGACY HOSPICE & PALLIATIVE CARE
Provider Information
- Address
- 128 GLENWOOD STREET
CEDAR BLUFF, VA 24609 - Ownership Type
- For-Profit
- Medicare Certified Since
- January 20, 2005
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of August 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 11 |
| Licensed Practical Nurses (LPN) | 2 |
| Physicians | 1 |
| Volunteers | 4 |
26
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what LEGACY HOSPICE & PALLIATIVE CARE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how LEGACY HOSPICE & PALLIATIVE CARE compares to hospices nationwide.
21.2 minutes
of nurse care per routine home care day, on average
That is the 96th percentile among hospices nationally. The national median is about 12 minutes.
41
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day21.2 min
Ranks better than about 96% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends8.2%
Ranks better than about 53% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life97%
Ranks better than about 79% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits37%
Ranks better than about 70% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care14.5%
Ranks better than about 10% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months21.7%
Ranks better than about 85% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care14.5%
Ranks better than about 18% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice4.3%
Ranks better than about 14% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$10,695 · 13th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 57.8% of patients or more. Most hospices score above 90 percent.
- Pain screening98.3%
- Pain assessment98.2%
- Breathing difficulty screening97.4%
- Breathing difficulty treatment98.3%
- Treatment preferences discussed100%
- Beliefs and values discussed99.1%
- Bowel care for patients on opioids98.3%
- Visits in the last days of life57.8%
- All care steps completed91.7%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer29%
- Dementia9%
- Heart and circulatory disease21%
- Lung and respiratory disease23%
- Other conditions17%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
Legacy Hospice & Palliative Care
Legacy Hospice & Palliative Care serves families in Richlands, Virginia. This provider offers hospice and palliative services to those in Tazewell County. They have been certified by Medicare since early 2005. Choosing a hospice is a major decision for your family. This provider operates as a for-profit hospice organization. They focus on meeting the needs of patients in their local community.
About Legacy Hospice & Palliative Care
This provider operates as a freestanding hospice in Richlands. Being Medicare certified since 2005 shows a long history of serving the public. Medicare certification means they follow federal rules for patient care and safety. These rules ensure that hospices provide high quality services to every person they admit. You should know that for-profit hospices must still meet these strict government standards. They receive regular reviews to keep their standing. This helps families feel sure about the care their loved ones receive. The team includes eleven registered nurses and two licensed practical nurses. They also have one physician and four volunteers on their staff. This mix of staff members helps them deliver care across the county. It matters because having enough nurses is a key part of good hospice care. Always check if the staff size fits your specific needs.
Top Quality Marks
What Is Hospice Care Like in Richlands?
Hospice care in Richlands focuses on comfort for patients and their families. It is not just about medical care. It is about emotional and social support too. At this location, the team includes twenty-six employees who work together to manage pain and symptoms. Having eleven registered nurses on the team allows for more direct attention to patient needs. These nurses work with the physician to update care plans as things change. You can expect the team to visit your home regularly. They are there to answer your questions and provide relief. Volunteers are also part of the care team. They offer extra support that helps the nurses focus on medical tasks. Good care makes a hard time a little bit easier for everyone involved. That is the goal of hospice in this area.
What to Ask When Choosing a Hospice Provider
You should talk to a few providers before you make a final choice. Here are four questions to help you compare your options. First, ask how many nurses will be assigned to your specific care team. Second, ask how the hospice handles pain management after regular business hours. Third, ask what kind of support they offer to family caregivers who need a break. Last, ask how often the staff will visit your home to check on your loved one. These questions will help you see if a provider fits your family. Write down the answers you get from each call. This makes it much easier to compare your choices later on. Take your time with this process.
Keep Your Family Stories Alive
Your family history is a gift that should be saved for the future. Capture those precious memories today.
Start PreservingOther Hospice Providers Nearby
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Helpful Guides for Families
How to Choose a Hospice Provider: A Family’s Complete Guide
Feeling overwhelmed? Our hospice selection guide helps you compare providers, understand Medicare benefits, and make the best choice for your loved one today.
Choosing a Hospice Provider: A 5-Step Quality Guide
Feeling overwhelmed? Use our expert 5-step guide to choosing a hospice provider that offers the compassionate, high-quality care your loved one deserves.
Starting Difficult Conversations: A Guide for Families
Struggling with end-of-life talks? Learn the best ways for starting difficult conversations with your aging parents to ensure their wishes are honored today.
Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.