All citations for Legacy Village 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.

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Last standard health inspection on record

May 15, 2025

Showing 1 to 9 of 9 citations

No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0211, Egress Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (July 13, 2025).
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 May 15, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (June 30, 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.