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 26 to 50 of 99 citations

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 October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 16, 2024).
No harm, with potential for more than minimal harm
Have restrictions on the use of flammable curtains.
Widespread (many residents). CMS level F.
Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2024).
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 October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Widespread (many residents). CMS level F.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2024).
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 October 9, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (December 12, 2024).
No harm, with potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Widespread (many residents). CMS level F.
Health citation F-0801, Nutrition and Dietary Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
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 April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Provide primary/alternate means for communication.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
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 April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
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 April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
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 April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
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 April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
No harm, with potential for more than minimal harm
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0901, Electrical Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 15, 2023).
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).

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.