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 202629
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| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 20, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 18, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Jul 22, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Jul 22, 2025 | F688 | Provide 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. | D | Complaint |
| Jul 22, 2025 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Jul 22, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 22, 2025 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
| Jul 22, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jul 22, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Jul 22, 2025 | F803 | 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. | E | Standard |
| Jul 22, 2025 | F791 | Provide or obtain dental services for each resident. | D | Standard |
| Jul 22, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Jul 22, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Jul 22, 2025 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard |
| Jul 22, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Nov 19, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 19, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| May 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| May 23, 2024 | F584 | 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. | E | Complaint |
| May 23, 2024 | F761 | 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. | E | Standard |
| May 23, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard |
| Jan 3, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Nov 30, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 30, 2023 | F847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Complaint |
| Nov 30, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint |
| Nov 30, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Nov 30, 2023 | F758 | 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. | D | Complaint |
| Nov 30, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Nov 30, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 8 enforcement actions against this facility, including 8 civil money penalties totaling $56,445 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Feb 20, 2024 | Fine | $4,938 | — |
| Feb 12, 2024 | Fine | $4,938 | — |
| Jan 22, 2024 | Fine | $14,814 | — |
| Jan 8, 2024 | Fine | $4,938 | — |
| Jan 2, 2024 | Fine | $4,587 | — |
| Dec 11, 2023 | Fine | $11,645 | — |
| Nov 6, 2023 | Fine | $3,176 | — |
| Oct 17, 2023 | Fine | $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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