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 51 to 75 of 99 citations

  1. 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).

  2. 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).

  3. 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).

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

    Honor the resident's right to manage his or her financial affairs.

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

    Health citation F-0567, Resident Rights Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  5. 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 October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

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

    Ensure the activities program is directed by a qualified professional.

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

    Health citation F-0680, Quality of Life and Care Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  9. 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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  10. 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 October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  11. 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.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of October 9, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (November 20, 2024).

  12. 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 April 23, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 31, 2024).

  13. 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 April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  15. 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 April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

  16. 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.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 22, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

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

    Fire safety citation K-0211, 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).

  19. 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.

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

    Fire safety citation K-0321, 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).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, 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).

  21. 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 April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

  22. 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 April 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 15, 2023).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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

    Fire safety citation K-0761, 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).

  24. 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).

  25. 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).

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.