All citations for Legendary Health Care 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 Legendary Health Care Center

Last standard health inspection on record

May 20, 2025

Showing 26 to 50 of 74 citations

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 4, 2025).

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

    Meet other general requirements.

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

    Fire safety citation K-0100, Construction Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 4, 2025).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 4, 2025).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 4, 2025).

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

    Meet requirements for the installation and maintenance of electrical systems.

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

    Fire safety citation K-0911, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 20, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 4, 2025).

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

  10. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

  11. 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 August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 3, 2023).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

  17. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

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

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

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

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Meet other general requirements.

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

    Fire safety citation K-0932, Smoke Deficiencies. Inspection of August 11, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 25, 2023).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of December 3, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 17, 2020).

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.