All citations for Legend Oaks Healthcare and Rehabilitation Center G

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 Legend Oaks Healthcare and Rehabilitation Center G

Last standard health inspection on record

April 15, 2026

Showing 1 to 17 of 17 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  2. Harm to a resident

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

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

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

  3. Harm to a resident

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

    Health citation F-0925, Environmental Deficiencies. Inspection of June 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

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

    Ensure each resident receives an accurate assessment.

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

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

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

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  8. 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 January 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  9. 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 June 19, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 16, 2024).

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

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

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

    Health citation F-0563, Resident Rights Deficiencies. Inspection of February 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 21, 2024).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  12. 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 January 24, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  14. 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 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

  15. 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 January 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 23, 2024).

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

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

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 12, 2023).

  17. No harm, with potential for minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of January 24, 2024. Found during a standard inspection.

    A waiver was granted.

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.