All citations for Legacy Park Health 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 Legacy Park Health and Rehabilitation

Last standard health inspection on record

August 13, 2025

Showing 1 to 13 of 13 citations

  1. 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 November 15, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2018).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of November 15, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2018).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of November 15, 2018. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 30, 2018).

  4. 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.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 12, 2024).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Ensure services provided by the nursing facility meet professional standards of quality.

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

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

  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.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

  12. 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 January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of January 29, 2020. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 9, 2020).

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.