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 26 to 37 of 37 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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 August 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2019).

  6. 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 August 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2019).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of August 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 16, 2019).

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

    Include a process for Emergency Preparedness collaboration.

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

    Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of August 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2019).

  9. 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 August 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2019).

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

    Provide primary/alternate means for communication.

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

    Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of August 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2019).

  11. 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 August 16, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2019).

  12. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 27, 2025).

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.