Facility profile · CCN 676048
Legend Oaks Healthcare And Rehabilitation Center -
35 federal citations on record , including 7 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $124,559.
Record summary
Federal record · Q1 202635
Total citations
28
Last 3 years
9
Actual harm+
6
Federal penalties
$124,559
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
35 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 29, 2026 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jan 21, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 12, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 12, 2025 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Standard |
| Feb 12, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard |
| Feb 12, 2025 | 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 | Standard |
| Feb 12, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 12, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Oct 23, 2024 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Oct 23, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint |
| Oct 23, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint |
| Oct 23, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Jun 19, 2024 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | G | Complaint |
| Jun 19, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Feb 22, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Feb 22, 2024 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | H | Complaint |
| Feb 22, 2024 | F563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D | Complaint |
| Jan 24, 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. | E | Complaint |
| Jan 24, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint |
| Jan 24, 2024 | 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. | D | Standard |
| Jan 24, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| Jan 24, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Jan 24, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Jan 24, 2024 | 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 |
| Jan 24, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Jan 24, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Sep 13, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Sep 13, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Nov 8, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Nov 8, 2022 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Nov 8, 2022 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard |
| Nov 8, 2022 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | J | Standard |
| Nov 8, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Nov 8, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard |
| Nov 8, 2022 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 6 enforcement actions against this facility, including 6 civil money penalties totaling $124,559 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Oct 23, 2024 | Fine | $16,801 | — |
| Oct 23, 2024 | Fine | $16,801 | — |
| Oct 23, 2024 | Fine | $16,801 | — |
| Oct 23, 2024 | Fine | $16,801 | — |
| Jun 19, 2024 | Fine | $43,070 | — |
| Sep 13, 2023 | Fine | $14,285 | — |
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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