Facility profile · CCN 265508
Legendary Health Care Center
42 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $93,208.
Record summary
Federal record · Q1 202642
Total citations
40
Last 3 years
2
Actual harm+
4
Federal penalties
$93,208
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
42 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 7, 2026 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint |
| Jan 7, 2026 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| May 20, 2025 | F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E | Standard |
| May 20, 2025 | F908 | Keep all essential equipment working safely. | E | Standard |
| May 20, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| May 20, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 20, 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 |
| May 20, 2025 | F729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard |
| May 20, 2025 | F728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | Standard |
| May 20, 2025 | F699 | Provide care or services that was trauma informed and/or culturally competent. | G | Standard |
| May 20, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| May 20, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| May 20, 2025 | F605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard |
| May 20, 2025 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard |
| May 20, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard |
| May 20, 2025 | F577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard |
| May 20, 2025 | F575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard |
| May 20, 2025 | F572 | Give residents a notice of rights, rules, services and charges. | C | Standard |
| May 20, 2025 | F568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard |
| May 20, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Mar 4, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint |
| Nov 16, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Oct 12, 2023 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint |
| Aug 11, 2023 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 11, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Aug 11, 2023 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard |
| Aug 11, 2023 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Aug 11, 2023 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard |
| Aug 11, 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 | Standard |
| Aug 11, 2023 | 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. | E | Standard |
| Aug 11, 2023 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard |
| Aug 11, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Aug 11, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 11, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Aug 11, 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 | Standard |
| Aug 11, 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 | Standard |
| Aug 11, 2023 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard |
| Aug 11, 2023 | F570 | Assure the security of all personal funds of residents deposited with the facility. | C | Standard |
| Aug 11, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Standard |
| Aug 11, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Dec 3, 2019 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Dec 3, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
Federal enforcement history
Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $93,208 and 2 payment-denial actions spanning 41 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| May 20, 2025 | Fine | $55,443 | — |
| May 20, 2025 | Payment Denial | — | Jun 26, 2025 · 8 days |
| Mar 4, 2025 | Fine | $37,765 | — |
| Aug 11, 2023 | Payment Denial | — | Nov 11, 2023 · 33 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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