All citations for Legends Care Rehabilitation and Nursing 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 Legends Care Rehabilitation and Nursing Center

Last standard health inspection on record

June 5, 2025

Showing 1 to 25 of 71 citations

  1. Immediate jeopardy to resident health or safety

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 20, 2025. Found during a complaint inspection.

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

  2. Immediate jeopardy to resident health or safety

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of March 20, 2025. Found during a complaint inspection.

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

  3. Harm to a resident

    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 G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of May 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

  4. Harm to a resident

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2022).

  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.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of June 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Widespread (many residents). CMS level F.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of May 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of May 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

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

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Widespread (many residents). CMS level F.

    Health citation F-0835, Administration Deficiencies. Inspection of May 14, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 17, 2024).

  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.

    Widespread (many residents). CMS level F.

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

    The home gave a date the problem would be corrected (November 30, 2023).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Widespread (many residents). CMS level F.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2019).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of October 18, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2019).

  12. 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 January 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 13, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

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

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

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

    Health citation F-0582, Resident Rights Deficiencies. Inspection of October 21, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 23, 2022).

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

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

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

    Health citation F-0576, Resident Rights Deficiencies. Inspection of May 4, 2026. Found during a complaint inspection.

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

  16. 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 May 4, 2026. Found during a complaint inspection.

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

  17. 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 March 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 10, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Give the resident's representative the ability to exercise the resident's rights.

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

    Health citation F-0551, Resident Rights Deficiencies. Inspection of January 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

  21. 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 January 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

  23. 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 January 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Ensure medication error rates are not 5 percent or greater.

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

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of January 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

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

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

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

    Health citation F-0776, Administration Deficiencies. Inspection of January 22, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 2, 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.