All citations for Emerald Nursing & Rehab Legacy Pointe llc

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Emerald Nursing & Rehab Legacy Pointe llc

Last standard health inspection on record

July 22, 2025

Showing 1 to 25 of 35 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

  2. No harm, with potential for more than minimal harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

  3. No harm, with potential for more than minimal harm

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

    Widespread (many residents). CMS level F.

    Health citation F-0843, Administration Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

  4. No harm, with potential for more than minimal harm

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Widespread (many residents). CMS level F.

    Health citation F-0867, Administration Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  6. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

  7. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of June 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

  8. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  9. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  10. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of May 23, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  11. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 23, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  12. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 20, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 4, 2026).

  13. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of November 18, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 28, 2025).

  14. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of July 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  15. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  16. No harm, with potential for more than minimal harm

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0628, Resident Rights Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  17. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of July 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  18. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of July 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  19. No harm, with potential for more than minimal harm

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  20. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of July 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  21. No harm, with potential for more than minimal harm

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  22. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of July 22, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  23. No harm, with potential for more than minimal harm

    Provide or obtain dental services for each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0791, Quality of Life and Care Deficiencies. Inspection of July 22, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 22, 2025).

  24. No harm, with potential for more than minimal harm

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

  25. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 10, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.