Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 366085

Legends Care Rehabilitation And Nursing Center

67 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $313,640.

Abuse Icon Special Focus Status 2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
67
Total citations
47
Last 3 years
4
Actual harm+
3
Federal penalties
$313,640
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care21 Resident Rights13 Abuse & Neglect9 Medication & Pharmacy7 Care Planning5

Most common F-tags at this facility

F5804 F6844 F8804 F6893 F7593

Citation history

67 on record
SurveyF-TagViolationSeveritySource
Jan 22, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Jan 22, 2026F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint
Jan 22, 2026F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jan 22, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jan 22, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jan 22, 2026F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 22, 2026F551Give the resident's representative the ability to exercise the resident's rights.DComplaint
Jun 5, 2025F759Ensure medication error rates are not 5 percent or greater.DStandard
Jun 5, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jun 5, 2025F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 6, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 20, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
Mar 20, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Mar 20, 2025F610Respond appropriately to all alleged violations.DComplaint
Mar 20, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Mar 20, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 16, 2024F880Provide and implement an infection prevention and control program.DComplaint
Jul 16, 2024F759Ensure medication error rates are not 5 percent or greater.DComplaint
Jul 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 16, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jun 18, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jun 18, 2024F808Ensure 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.DComplaint
Jun 18, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 18, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 14, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 14, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FComplaint
May 14, 2024F761Ensure 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.DComplaint
May 14, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
May 14, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 14, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 14, 2024F610Respond appropriately to all alleged violations.DComplaint
May 14, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 14, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
May 14, 2024F585Honor 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.FComplaint
May 14, 2024F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DComplaint
Apr 2, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 2, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Apr 2, 2024F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint
Apr 2, 2024F622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint
Apr 2, 2024F610Respond appropriately to all alleged violations.DComplaint
Apr 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Dec 9, 2023F585Honor 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.DComplaint
Nov 13, 2023F880Provide and implement an infection prevention and control program.EComplaint
Nov 13, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Nov 13, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 11, 2023F727Have 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.FComplaint
Aug 3, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 21, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 21, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 21, 2022F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Oct 21, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 21, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Oct 21, 2022F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Oct 21, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.EStandard
Oct 21, 2022F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Oct 21, 2022F578Honor 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.DStandard
Oct 18, 2019F880Provide and implement an infection prevention and control program.FStandard
Oct 18, 2019F758Implement 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.DStandard
Oct 18, 2019F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Oct 18, 2019F693Ensure 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.DStandard
Oct 18, 2019F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 18, 2019F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Oct 18, 2019F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Oct 18, 2019F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Oct 18, 2019F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Oct 18, 2019F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Oct 18, 2019F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $313,640 and 1 payment-denial actions spanning 34 days.

DateTypeFinePayment denial
Mar 20, 2025Fine$222,635—
May 14, 2024Fine$91,005—
May 14, 2024Payment Denial—Jun 13, 2024 · 34 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.

Concerned about care at Legends Care Rehabilitation And Nursing Center?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.