Facility profile · CCN 115585
Legacy Transitional Care & Rehabilitation
45 federal citations on record , including 3 at the Immediate Jeopardy level, and 8 federal enforcement actions totaling $131,958.
Record summary
Federal record · Q1 202645
Total citations
45
Last 3 years
3
Actual harm+
8
Federal penalties
$131,958
Total fines
—
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
45 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 17, 2025 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint |
| Nov 17, 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 | Complaint |
| Nov 17, 2025 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Apr 11, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Apr 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Apr 11, 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 |
| Apr 11, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Apr 11, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Apr 11, 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 | Complaint |
| Apr 11, 2025 | F574 | The resident has the right to receive notices in a format and a language he or she understands. | D | Complaint |
| Nov 8, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Nov 8, 2024 | F814 | Dispose of garbage and refuse properly. | D | Complaint |
| Nov 8, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Nov 8, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Nov 8, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Nov 8, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Nov 8, 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 | Complaint |
| Nov 8, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint |
| Nov 8, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint |
| May 16, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| May 16, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| May 16, 2024 | F761 | Ensure 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. | D | Complaint |
| May 16, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint |
| May 16, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint |
| May 16, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| May 16, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| May 16, 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. | E | Complaint |
| Mar 11, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Mar 11, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint |
| Mar 11, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint |
| Mar 11, 2024 | F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint |
| Mar 11, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Complaint |
| Mar 11, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint |
| Mar 11, 2024 | F641 | Ensure each resident receives an accurate assessment. | J | Complaint |
| Mar 11, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Mar 11, 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. | E | Complaint |
| Oct 13, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Oct 13, 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. | E | Complaint |
| Aug 10, 2023 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Aug 10, 2023 | F761 | Ensure 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. | E | Complaint |
| Jun 16, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Complaint |
| Jun 16, 2023 | F814 | Dispose of garbage and refuse properly. | F | Complaint |
| Jun 16, 2023 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Jun 16, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jun 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. | E | Complaint |
Federal enforcement history
Federal regulators have imposed 8 enforcement actions against this facility, including 8 civil money penalties totaling $131,958 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 11, 2024 | Fine | $107,075 | — |
| Aug 28, 2023 | Fine | $3,176 | — |
| Aug 21, 2023 | Fine | $2,823 | — |
| Aug 14, 2023 | Fine | $2,470 | — |
| Aug 7, 2023 | Fine | $2,117 | — |
| Jul 17, 2023 | Fine | $4,233 | — |
| Jun 16, 2023 | Fine | $5,032 | — |
| Jun 16, 2023 | Fine | $5,032 | — |
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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