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 26 to 42 of 42 citations

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  4. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

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

    Provide routine and 24-hour emergency dental care for each resident.

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

    Health citation F-0790, Quality of Life and Care Deficiencies. Inspection of May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  6. 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 May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  7. 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 May 31, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 19, 2024).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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.