Legacy Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Legacy Nursing and Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 12, 2026

  Based on observations, interviews, and record reviews, the facility failed to properly store, prepare, and distribute food in accordance with professional standards for food service safety for 1 of 1 kitchen.1. The facility failed to properly thaw ground beef and turkey in the sink, under running water, in its kitchen on 02/10/2026.2. The facility failed to properly store, label, and date all food items located in the facility refrigerators, freezers and in the dry food pantry area on 02/10/2026 and 02/11/2026. 3. The facility failed to discard outdated food items located in the refrigerator and dry food pantry on 02/10/2026 and 02/11/2026. 4. The facility failed to ensure that dietary staff wore hair restraints (e.g. […]

• No harm, potential for more than minimal, widespreadF812Jun 10, 2022

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety and follow proper sanitation practices for 1 of 1 facility reviewed. There was no cleaning schedule, no soap or paper towels in the wall dispensers for hand washing, no hairnets available, expired food and beverage in the nutrition room refrigerators and freezers, as well as incomplete and missing nutrition room refrigerator and freezer logs, and contaminated and/or broken equipment. This failure could place residents at serious risk for complications from food contamination. […]

• No harm, potential for more than minimal, patternF565Feb 12, 2026

  Based on interview and record review the facility failed to ensure residents had a right to organize and participate in resident groups for six of six confidential residents reviewed for resident council. The facility failed to provide monthly Resident Council meetings for the month of October 2025 and January 2026. This failure could place residents at risk of not being able to exercise their rights to meet as a group. Findings include:Record review of the Resident Council minutes from 09/2025 to 02/2026 reflected the Resident Council did not meet during the months of October 2025 and January 2026. […]

• No harm, potential for more than minimal, patternF679Feb 12, 2026

  Based on observation, interview and record review, the facility failed to provide an ongoing activity program to support residents in their choice of activities, both facility sponsored group and individual activities, and independent activities, designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident, encouraging both independence and interaction in the community for 3 (Residents #41, #50 and #69) of 8 residents reviewed for activities. The facility failed to provide activities for Resident #41, Resident #50, and Resident #69 for the months of January and February 2026.This failure could place residents at risks of boredom, depression, and diminished quality of life and decreased cognitive function. […]

• No harm, potential for more than minimal, patternF761Feb 12, 2026

  Based on observations, interviews, and record review, the facility failed to store all drugs and biologicals in locked compartments under proper temperature controls and permit only authorized personnel to have access to the keys for 2 of 5 medication carts (Medication Cart #1 and Medication Cart #2) reviewed for medication storage.The facility failed to ensure Medication Cart #1 and Medication Cart #2 were locked and medications were secured and not accessible to other staff, residents, or visitors.This failure could place residents at risk of having unauthorized access to prescriptions, biologicals, and over-the counter medications.Findings included:Observation on 02/10/2026 at 9:00 a.m. […]