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Facility profile · CCN 445105

Legacy Park Health And Rehabilitation

37 federal citations on record , and 4 federal enforcement actions totaling $184,672.

Record summary

Federal record · Q1 2026
37
Total citations
28
Last 3 years
6
Actual harm+
4
Federal penalties
$184,672
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

37 on record
SurveyF-TagViolationSeveritySource
Aug 13, 2025F880Provide and implement an infection prevention and control program.DStandard
Aug 13, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 13, 2025F641Ensure each resident receives an accurate assessment.DStandard
Aug 13, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Feb 27, 2025F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Feb 27, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Feb 27, 2025F760Ensure that residents are free from significant medication errors.GComplaint
Feb 27, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Feb 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 31, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
May 31, 2024F814Dispose of garbage and refuse properly.DStandard
May 31, 2024F790Provide routine and 24-hour emergency dental care for each resident.DStandard
May 31, 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.DStandard
May 31, 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.DStandard
May 31, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
May 31, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
May 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 31, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
May 31, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
May 31, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
May 31, 2024F641Ensure each resident receives an accurate assessment.DStandard
May 31, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Mar 14, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 26, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.GComplaint
Jun 26, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Apr 26, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.GComplaint
Apr 26, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.GComplaint
Apr 26, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Jan 29, 2020F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Jan 29, 2020F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jan 29, 2020F759Ensure medication error rates are not 5 percent or greater.DStandard
Jan 29, 2020F726Ensure 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
Jan 29, 2020F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 29, 2020F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 29, 2020F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Jan 29, 2020F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Jan 29, 2020F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $184,672 and 2 payment-denial actions spanning 63 days.

DateTypeFinePayment denial
Feb 27, 2025Fine$74,633
Feb 27, 2025Payment DenialMar 29, 2025 · 16 days
Apr 26, 2023Fine$110,039
Apr 26, 2023Payment DenialMay 25, 2023 · 47 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.

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