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 26 to 37 of 37 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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 March 22, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 26, 2024).

  5. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2023).

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

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

    Health citation F-0636, Resident Assessment and Care Planning Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2023).

  7. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2023).

  8. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2023).

  9. 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 July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2023).

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

    Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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

    Health citation F-0712, Nursing and Physician Services Deficiencies. Inspection of July 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2023).

  11. No harm, with potential for minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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

    Health citation F-0577, Resident Rights Deficiencies. Inspection of May 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2026).

  12. No harm, with potential for 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.

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

    Health citation F-0693, Quality of Life and Care Deficiencies. Inspection of May 15, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 16, 2026).

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.