All citations for Legend Oaks Healthcare and Rehabilitation - West S

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 - West S

Last standard health inspection on record

January 29, 2026

Showing 1 to 7 of 7 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 April 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2024).

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

    Assure that each resident’s assessment is updated at least once every 3 months.

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

    Health citation F-0638, Resident Assessment and Care Planning Deficiencies. Inspection of September 15, 2023. Found during a standard inspection.

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

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of September 15, 2023. Found during a standard inspection.

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

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

    PASARR screening for Mental disorders or Intellectual Disabilities

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

    Health citation F-0645, Resident Assessment and Care Planning Deficiencies. Inspection of September 15, 2023. Found during a standard inspection.

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

  6. 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 September 15, 2023. Found during a standard inspection.

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

  7. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 15, 2023. Found during a standard inspection.

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

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.