LEGACY AT COLLEGE HILL
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2026-06-03 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-07-30 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2023-05-02 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-05-02 — IMMEDIATE JEOPARDY (tag F0610, severity L)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2023-05-02 — IMMEDIATE JEOPARDY (tag F0600, severity L)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-05-02 — IMMEDIATE JEOPARDY (tag F0609, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Staffing, from payroll records
Nursing hours / resident / day
3.02
state median 3.05
Weekend staffing gap
−18%
fewer nursing hours on weekends · state median −6%
RN hours / resident / day
0.29
registered nurses only
Contract (agency) staff
2%
share of all nursing hours
Days with zero RN hours reported
8
with residents present
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $43,188 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-12 | Fine | $8,413 |
| 2025-03-12 | Payment Denial | payment denial |
| 2024-07-30 | Fine | $34,775 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the CAMPBELL STREET SERVICES chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Altoona Nursing and Rehabilitation Center (Altoona, IA) —
- Osage Rehab and Health Care Center (Osage, IA) —
- Casa De Paz Health Care Center (Sioux City, IA) —
- Norwalk Nursing and Rehabilitation Center (Norwalk, IA) —
- Cedar Falls Health Care Center (Cedar Falls, IA) —
- Iowa City Rehab & Health Care (Iowa City, IA) —
- Granger Nursing & Rehabilitation Center (Granger, IA) —
- Regency Park Nursing & Rehab Center of Carroll (Carroll, IA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-06-03 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2026-06-03 | F0565 | Resident Rights Deficiencies | E | not recorded |
| 2026-06-03 | F0577 | Resident Rights Deficiencies | C | not recorded |
| 2026-06-03 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2026-06-03 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2026-06-03 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-06-03 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-06-03 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-03 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-03 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2026-06-03 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-03 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-03 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-06-03 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2026-06-03 | F0804 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-05-21 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2025-05-21 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-21 | F0925 | Environmental Deficiencies | F | not recorded |
| 2025-02-13 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2025-02-13 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-13 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-13 | F0699 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-13 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-13 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-13 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-13 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-13 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-02-13 | F0849 | Administration Deficiencies | D | not recorded |
| 2025-02-13 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-02-13 | F0883 | Infection Control Deficiencies | E | not recorded |
| 2025-02-13 | F0921 | Environmental Deficiencies | F | not recorded |
| 2024-07-30 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-30 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-30 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-07-30 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-30 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-30 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-05-02 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-05-02 | F0584 | Resident Rights Deficiencies | F | not recorded |
| 2023-05-02 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2023-05-02 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | K | not recorded |
| 2023-05-02 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | L | not recorded |
| 2023-05-02 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-02 | F0646 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-05-02 | F0676 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-02 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-05-02 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-05-02 | F0700 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-05-02 | F0712 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-05-02 | F0725 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-05-02 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2023-05-02 | F0730 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2023-05-02 | F0741 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-05-02 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-05-02 | F0756 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-05-02 | F0758 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-05-02 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-05-02 | F0835 | Administration Deficiencies | F | not recorded |
| 2023-05-02 | F0868 | Administration Deficiencies | F | not recorded |
| 2023-05-02 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2023-05-02 | F0919 | Environmental Deficiencies | F | not recorded |