All citations for Legacy on 10th Avenue

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 on 10th Avenue

Last standard health inspection on record

March 31, 2026

Showing 1 to 22 of 22 citations

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.
Widespread (many residents). CMS level F.
Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
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 31, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for more than minimal harm
Employ staff that are licensed, certified, or registered in accordance with state laws.
Widespread (many residents). CMS level F.
Health citation F-0839, Administration Deficiencies. Inspection of March 31, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for more than minimal harm
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Widespread (many residents). CMS level F.
Health citation F-0925, Environmental Deficiencies. Inspection of March 31, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 13, 2026).
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.
Widespread (many residents). CMS level F.
Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Widespread (many residents). CMS level F.
Fire safety citation K-0211, Egress Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2026).
No harm, with potential for more than minimal harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Widespread (many residents). CMS level F.
Fire safety citation K-0222, Egress Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 18, 2026).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 18, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2026).
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 March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2026).
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 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 18, 2026).
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 March 31, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pattern (more than a few residents). CMS level E.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
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 March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
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 March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 17, 2026).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0511, Services Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (June 18, 2026).
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 March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
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 March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for more than minimal harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Isolated (one or a few residents). CMS level D.
Health citation F-0883, Infection Control Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Widespread (many residents). CMS level C.
Health citation F-0582, Resident Rights Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).
No harm, with potential for minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level C.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (May 13, 2026).

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.