All citations for Legacy Post Acute Care

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 Post Acute Care

Last standard health inspection on record

January 9, 2025

Showing 1 to 17 of 17 citations

  1. 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 October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2022).

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

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

  3. 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 October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2022).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2022).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, Egress Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2022).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 14, 2022).

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

    List the names and contact information of those in the facility.

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

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Provide emergency officials' contact information.

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

    Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

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

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

  15. 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.

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

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 14, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 29, 2022).

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.