Facility profile · CCN 676312
Legend Oaks Healthcare And Rehabilitation - West S
12 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $8,632.
Record summary
Federal record · Q1 202612
Total citations
10
Last 3 years
1
Actual harm+
1
Federal penalties
$8,632
Total fines
5
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
12 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 9, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Complaint |
| Oct 31, 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 |
| Oct 31, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Standard |
| Apr 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Apr 12, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Sep 15, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Sep 15, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 15, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Sep 15, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Sep 15, 2023 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| Jul 15, 2022 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Jul 15, 2022 | F578 | Honor 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. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $8,632 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 12, 2024 | Fine | $8,632 | — |
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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