All citations for Legend Oaks Healthcare and Rehabilitation Center -

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 -

Last standard health inspection on record

December 4, 2025

Showing 1 to 11 of 11 citations

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

  2. 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

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

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Ensure electrical receptacles or cover plates have distinctive color or marking.

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

    Fire safety citation K-0917, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

  7. 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 September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

    Health citation F-0849, Administration Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

  10. 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 September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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

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

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of September 27, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 20, 2024).

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.