The Legacy Living and Rehabilitation Center
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).
Serious inspection findings
2025-04-15 — ACTUAL HARM (tag F0600, severity G)
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.
2025-01-17 — ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-01-17 — IMMEDIATE JEOPARDY (tag F0600, severity J)
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.
2025-01-17 — 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.
2024-06-19 — ACTUAL HARM (tag F0600, severity G)
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.
2024-05-23 — ACTUAL HARM (tag F0744, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
2024-05-23 — ACTUAL HARM (tag F0600, severity G)
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.
2024-02-27 — ACTUAL HARM (tag F0600, severity G)
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.
Staffing, from payroll records
Nursing hours / resident / day
4.00
state median 3.18
Weekend staffing gap
−7%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.46
registered nurses only
Contract (agency) staff
26%
share of all nursing hours
Nursing staff turnover
71%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
4 enforcement action(s), totaling $115,597 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-15 | Fine | $14,505 |
| 2025-01-17 | Fine | $14,508 |
| 2024-05-23 | Fine | $78,566 |
| 2024-02-27 | Fine | $8,018 |
Ownership
Ownership type: Government - Hospital district.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-03-13 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2026-03-13 | F0628 | Resident Rights Deficiencies | E | not recorded |
| 2026-03-13 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-03-13 | F0679 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-03-13 | F0744 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-09-11 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-09-11 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-09-11 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-09-11 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-04-15 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2025-04-15 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-21 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-01-17 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | J | not recorded |
| 2025-01-17 | F0684 | Quality of Life and Care Deficiencies | G | not recorded |
| 2025-01-17 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-06-19 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-05-23 | F0576 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-23 | F0584 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-23 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2024-05-23 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-23 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-05-23 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-05-23 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-23 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-23 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-23 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-23 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-05-23 | F0744 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-23 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-05-23 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-05-23 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-02-27 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | G | not recorded |
| 2023-09-22 | F0585 | Resident Rights Deficiencies | E | not recorded |
| 2023-09-22 | F0800 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-09-22 | F0802 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2023-09-22 | F0804 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-09-22 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |