LEGEND OAKS HEALTHCARE AND REHABILITATION CENTER -
State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-04-23 — IMMEDIATE JEOPARDY (tag F0689, severity K)
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.
2024-04-23 — IMMEDIATE JEOPARDY (tag F0656, severity K)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing, from payroll records
Nursing hours / resident / day
2.72
state median 2.67
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.23
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
2
with residents present
Nursing staff turnover
71%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
1 enforcement action(s), totaling $39,045 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-23 | Fine | $39,045 |
Ownership
Ownership type: For profit - Limited Liability company. Part of the THE ENSIGN GROUP chain.
Other facilities under the same ownership, with their CMS overall ratings:
- THE HEALTHCARE CENTER OF EASTVIEW (BIRMINGHAM, AL) —
- Polaris Extended Care (ANCHORAGE, AK) —
- THE HEALTH CENTER AT RESEARCH PARK (HUNTSVILLE, AL) —
- POLARIS TRANSITIONAL CARE (ANCHORAGE, AK) —
- Desert Terrace Healthcare Center (PHOENIX, AZ) —
- PUEBLO SPRINGS REHABILITATION CENTER (TUCSON, AZ) —
- CASAS ADOBES POST ACUTE REHAB CENTER (TUCSON, AZ) —
- MISSION PALMS POST ACUTE (MESA, AZ) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-12-01 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-12-01 | F0694 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-12-01 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2025-12-01 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2025-12-01 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-12-01 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-06 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-06-06 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-06-06 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-06-06 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-06-06 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-06-06 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-02-28 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-28 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-05-10 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-04-23 | F0656 | Resident Assessment and Care Planning Deficiencies | K | not recorded |
| 2024-04-23 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2023-03-02 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-03-02 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-03-02 | F0755 | Pharmacy Service Deficiencies | E | not recorded |