Facility profile · CCN 195613
Legacy Nursing At St. Christina
60 federal citations on record , and 6 federal enforcement actions totaling $656,474.
Record summary
Federal record · Q1 202660
Total citations
51
Last 3 years
7
Actual harm+
6
Federal penalties
$656,474
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
60 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 10, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Dec 10, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 30, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 30, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Aug 20, 2025 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Complaint |
| Aug 20, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jul 23, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint |
| Jul 23, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Jul 23, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Jun 25, 2025 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| Jun 25, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Jun 25, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Jun 25, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Feb 27, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Feb 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Jan 28, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard |
| Jan 28, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Jan 28, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 28, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Jan 28, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 28, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jan 28, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Jan 28, 2025 | 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 |
| Oct 25, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Oct 25, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Mar 18, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 18, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Feb 26, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jan 19, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Jan 19, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint |
| Nov 16, 2023 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Nov 16, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Nov 16, 2023 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Nov 16, 2023 | F727 | 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. | E | Standard |
| Nov 16, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Nov 16, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Nov 16, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Nov 16, 2023 | 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 |
| Nov 16, 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 |
| Nov 16, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard |
| Nov 16, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard |
| Nov 16, 2023 | F585 | 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. | D | Standard |
| Nov 16, 2023 | 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 |
| Nov 16, 2023 | F565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard |
| Nov 16, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Oct 3, 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 |
| Aug 3, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Aug 3, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint |
| May 25, 2023 | F760 | Ensure that residents are free from significant medication errors. | E | Complaint |
| May 25, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Apr 27, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint |
| Mar 29, 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. | E | Complaint |
| Mar 29, 2023 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 29, 2023 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint |
| Oct 19, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 19, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Oct 19, 2022 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Standard |
| Oct 19, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 19, 2022 | 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 |
| Oct 19, 2022 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
Federal enforcement history
Federal regulators have imposed 6 enforcement actions against this facility, including 5 civil money penalties totaling $656,474 and 1 payment-denial actions spanning 61 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 30, 2025 | Fine | $27,250 | — |
| Feb 27, 2025 | Fine | $34,753 | — |
| Oct 25, 2024 | Fine | $319,992 | — |
| Feb 26, 2024 | Fine | $64,344 | — |
| Nov 16, 2023 | Fine | $210,135 | — |
| Nov 16, 2023 | Payment Denial | — | Dec 15, 2023 · 61 days |
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.
Concerned about care at Legacy Nursing At St. Christina?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys