Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 175113

Legacy On 10th Avenue

45 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $103,737.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
45
Total citations
27
Last 3 years
3
Actual harm+
2
Federal penalties
$103,737
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights14 Quality of Care10 Medication & Pharmacy5 Infection Control3 Environment & Safety3

Most common F-tags at this facility

F6893 F5843 F8802 F9252 F6232

Citation history

45 on record
SurveyF-TagViolationSeveritySource
Jul 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 9, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Oct 9, 2024F880Provide and implement an infection prevention and control program.EComplaint
Oct 9, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Oct 9, 2024F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FComplaint
Oct 9, 2024F758Implement 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
Oct 9, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Oct 9, 2024F732Post nurse staffing information every day.CComplaint
Oct 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Oct 9, 2024F680Ensure the activities program is directed by a qualified professional.EComplaint
Oct 9, 2024F679Provide activities to meet all resident's needs.EComplaint
Oct 9, 2024F585Honor 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.EComplaint
Oct 9, 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
Oct 9, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 9, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.CComplaint
Oct 9, 2024F567Honor the resident's right to manage his or her financial affairs.EComplaint
Oct 9, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 9, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Jun 18, 2024F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Jun 18, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Apr 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Oct 25, 2023F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint
Oct 25, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 2, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Jul 11, 2023F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Jul 11, 2023F610Respond appropriately to all alleged violations.KComplaint
Jul 11, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Apr 18, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Apr 18, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint
Apr 18, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FComplaint
Apr 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Apr 18, 2023F584Honor 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
Apr 18, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Apr 18, 2023F880Provide and implement an infection prevention and control program.FStandard
Apr 18, 2023F761Ensure 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
Apr 18, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Apr 18, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Apr 18, 2023F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
Apr 18, 2023F692Provide enough food/fluids to maintain a resident's health.DStandard
Apr 18, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 18, 2023F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard
Oct 25, 2021F924Put firmly secured handrails on each side of hallways.EStandard
Oct 25, 2021F881Implement a program that monitors antibiotic use.FStandard
Oct 25, 2021F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 25, 2021F584Honor 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.EStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $103,737 and 1 payment-denial actions spanning 79 days.

DateTypeFinePayment denial
Apr 18, 2023Fine$103,737—
Apr 18, 2023Payment Denial—May 17, 2023 · 79 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 On 10th Avenue?

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
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.