All citations for Legacy Transitional Care & 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 Transitional Care & Rehabilitation

Last standard health inspection on record

April 17, 2026

Showing 1 to 25 of 26 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  2. Immediate jeopardy to resident health or safety

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

    Health citation F-0835, Administration Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  3. Immediate jeopardy to resident health or safety

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  4. 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 April 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  5. 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 May 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  6. 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 May 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  7. 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 March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  10. 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 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 27, 2023).

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

    The resident has the right to receive notices in a format and a language he or she understands.

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

    Health citation F-0574, Resident Rights Deficiencies. Inspection of April 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  12. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of April 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of April 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of April 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of April 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  16. 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 April 11, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of May 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  19. 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 May 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  20. 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 May 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  21. 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 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

  22. 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 May 16, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 30, 2024).

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

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

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

    Provide medically-related social services to help each resident achieve the highest possible quality of life.

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

    Health citation F-0745, Quality of Life and Care Deficiencies. Inspection of March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

  25. 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 March 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.