All citations for Legacies Nursing and Rehabilitation

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 Legacies Nursing and Rehabilitation

Last standard health inspection on record

March 18, 2026

Showing 1 to 21 of 21 citations

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 14, 2025).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

  11. 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 March 18, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2026).

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

    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 D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 15, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2025).

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

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

    Health citation F-0550, Resident Rights Deficiencies. Inspection of December 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of December 20, 2023. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2024).

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

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 2024).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 20, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 1, 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.