Facility profile · CCN 28E173
Legacy Square
9 federal citations on record , including 1 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $21,645.
Record summary
Federal record · Q1 20269
Total citations
7
Last 3 years
1
Actual harm+
2
Federal penalties
$21,645
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
9 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Oct 23, 2025 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Complaint |
| Oct 23, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Oct 23, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Oct 23, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 4, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint |
| Sep 4, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Sep 4, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Jun 30, 2022 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Jun 30, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $21,645 and 1 payment-denial actions spanning 16 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 23, 2025 | Fine | $21,645 | — |
| Oct 23, 2025 | Payment Denial | — | Nov 21, 2025 · 16 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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