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Facility profile · CCN 285239

Emerald Nursing & Rehab Legacy Pointe Llc

29 federal citations on record , and 8 federal enforcement actions totaling $56,445.

Record summary

Federal record · Q1 2026
29
Total citations
29
Last 3 years
0
Actual harm+
8
Federal penalties
$56,445
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

29 on record
SurveyF-TagViolationSeveritySource
Nov 20, 2025F880Provide and implement an infection prevention and control program.DComplaint
Nov 18, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 22, 2025F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jul 22, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DComplaint
Jul 22, 2025F679Provide activities to meet all resident's needs.DComplaint
Jul 22, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 22, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
Jul 22, 2025F880Provide and implement an infection prevention and control program.FStandard
Jul 22, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Jul 22, 2025F803Ensure 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.EStandard
Jul 22, 2025F791Provide or obtain dental services for each resident.DStandard
Jul 22, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Jul 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jul 22, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Jul 22, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Nov 19, 2024F880Provide and implement an infection prevention and control program.DComplaint
Nov 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
May 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 23, 2024F584Honor 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.EComplaint
May 23, 2024F761Ensure 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.EStandard
May 23, 2024F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jan 3, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 30, 2023F880Provide and implement an infection prevention and control program.DComplaint
Nov 30, 2023F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.DComplaint
Nov 30, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint
Nov 30, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Nov 30, 2023F758Implement 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.DComplaint
Nov 30, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Nov 30, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint

Federal enforcement history

Federal regulators have imposed 8 enforcement actions against this facility, including 8 civil money penalties totaling $56,445 .

DateTypeFinePayment denial
Feb 20, 2024Fine$4,938
Feb 12, 2024Fine$4,938
Jan 22, 2024Fine$14,814
Jan 8, 2024Fine$4,938
Jan 2, 2024Fine$4,587
Dec 11, 2023Fine$11,645
Nov 6, 2023Fine$3,176
Oct 17, 2023Fine$7,409
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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