All citations for Legacy Health and Rehab

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 Legacy Health and Rehab

Last standard health inspection on record

June 25, 2025

Showing 1 to 25 of 40 citations

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

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2025).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Post nurse staffing information every day.

    Widespread (many residents). CMS level F.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of April 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  5. 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 April 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  6. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 27, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 3, 2021).

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

    Provide properly sized and located linen or trash receptacles.

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

    Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2025).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of October 27, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 3, 2021).

  9. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  10. 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.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  14. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 4, 2025).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 4, 2025).

  16. 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 June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Develop and maintain an Emergency Preparedness Program (EP).

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

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  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 June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 15, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 9, 2025).

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

    Have restrictions on the use of portable space heaters.

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

    Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

  22. 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 June 25, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2025).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of April 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of April 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 2024).

  25. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 15, 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.