Facility profile · CCN 255292
Legacy Manor Nursing And Rehabilitation Center
18 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $27,024.
Record summary
Federal record · Q1 202618
Total citations
7
Last 3 years
3
Actual harm+
2
Federal penalties
$27,024
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
18 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 14, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Sep 9, 2024 | F678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint |
| Sep 9, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint |
| Jun 13, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jun 13, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Jun 13, 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. | D | Standard |
| Jun 29, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Feb 9, 2023 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Feb 9, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 9, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Feb 9, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Feb 9, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 15, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Aug 15, 2019 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 15, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 15, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Aug 15, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 15, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $27,024 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 14, 2025 | Fine | $16,985 | — |
| Sep 9, 2024 | Fine | $10,039 | — |
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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