All citations for Legend Oaks Healthcare and Rehabilitation - Fort W

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 - Fort W

Last standard health inspection on record

March 5, 2026

Showing 1 to 13 of 13 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that residents are free from significant medication errors.

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

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of June 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 14, 2026).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of April 17, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 27, 2026).

  3. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of March 26, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 22, 2026).

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

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

    Health citation F-0813, Nutrition and Dietary Deficiencies. Inspection of June 23, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 25, 2026).

  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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

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

    Dispose of garbage and refuse properly.

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

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of June 30, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 1, 2026).

  9. 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 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  10. 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 March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  11. 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 March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

  13. 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 March 5, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 6, 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.