Legacy Square
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-10-23 — 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.
Staffing, from payroll records
Nursing hours / resident / day
3.79
state median 2.74
Weekend staffing gap
−9%
fewer nursing hours on weekends · state median −9%
RN hours / resident / day
0.53
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
3
with residents present
Nursing staff turnover
24%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $14,069 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-23 | Fine | $14,069 |
| 2025-10-23 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-01-15 | F0580 | Resident Rights Deficiencies | D | not recorded |
| 2026-01-15 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2026-01-15 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2026-01-15 | F0882 | Infection Control Deficiencies | F | not recorded |
| 2025-10-23 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-10-23 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-10-23 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-10-23 | F0868 | Administration Deficiencies | F | not recorded |
| 2024-09-04 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-09-04 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-09-04 | F0760 | Pharmacy Service Deficiencies | D | not recorded |