Legacy Nursing And Rehabilitation

Penalties

• Jan 15, 2026 — Fine ($12,375)

Inspection findings

1. Jul 2, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Aug 7, 2026 · CMS health inspection

2. Feb 5, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Feb 6, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0699 Quality of Life and Care Deficiencies

     Provide care or services that was trauma informed and/or culturally competent.

     Corrected Feb 6, 2026 · CMS health inspection

3. Jan 15, 2026 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 9, 2026 · CMS health inspection

4. Dec 4, 2025 Health · 2 findings
   • Not serious Scope/severity E Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Dec 5, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 5, 2025 · CMS health inspection

5. Jun 11, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0644 Resident Assessment and Care Planning Deficiencies

     Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

     Corrected Jul 10, 2025 · CMS health inspection

6. May 14, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Jun 13, 2025 · CMS health inspection

7. May 8, 2025 Health · 14 findings
   • Not serious Scope/severity D

     F0655 Resident Assessment and Care Planning Deficiencies

     Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jun 18, 2025 · CMS fire safety

8. Mar 29, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0638 Resident Assessment and Care Planning Deficiencies

     Assure that each resident’s assessment is updated at least once every 3 months.

     Corrected Apr 24, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Apr 19, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Apr 22, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 Quality of Life and Care Deficiencies

     Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

     Corrected Apr 24, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Apr 30, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0804 Nutrition and Dietary Deficiencies

     Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

     Corrected Apr 30, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected May 3, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 3, 2024 · CMS health inspection

9. Dec 7, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jan 5, 2024 · CMS health inspection

10. Jan 27, 2023 Health · 9 findings
    • Not serious Scope/severity D

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0770 Administration Deficiencies

      Provide timely, quality laboratory services/tests to meet the needs of residents.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0803 Nutrition and Dietary Deficiencies

      Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0804 Nutrition and Dietary Deficiencies

      Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0805 Nutrition and Dietary Deficiencies

      Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0814 Nutrition and Dietary Deficiencies

      Dispose of garbage and refuse properly.

      Corrected Mar 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Mar 3, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• CLARK, JUSTA — corporate officer, NOT APPLICABLE, since 09/01/2025
• CLARK, JUSTA — managing control - governing body, NOT APPLICABLE, since 09/01/2025
• DYMOCK, MATHEW — operational/managerial control, NOT APPLICABLE, since 12/03/2025
• DYMOCK, MATHEW — adp of the snf, NOT APPLICABLE, since 09/01/2025
• GUM, VICTOR — operational/managerial control, NOT APPLICABLE, since 09/01/2025
• GUM, VICTOR — adp of the snf, NOT APPLICABLE, since 09/01/2025
• HAYNES, BILLIE — corporate officer, NOT APPLICABLE, since 09/01/2025
• HAYNES, BILLIE — managing control - governing body, NOT APPLICABLE, since 01/01/2016
• HOLYFIELD, MYLES — adp of the snf, NOT APPLICABLE, since 09/01/2025
• KLEIN, PETE — corporate director, NOT APPLICABLE, since 09/01/2025
• LYTLE, LARRY — corporate director, NOT APPLICABLE, since 09/01/2025
• SHAW, MAX — corporate director, NOT APPLICABLE, since 09/01/2025
• SPRABERRY, DAVID — managing control - governing body, NOT APPLICABLE, since 01/01/2016
• SPRABERRY, DAVID — corporate officer, NOT APPLICABLE, since 09/01/2025
• STONE, DIANA — operational/managerial control, NOT APPLICABLE, since 09/01/2025
• STONE, DIANA — adp of the snf, NOT APPLICABLE, since 09/01/2025
• VEST, BARBARA — corporate officer, NOT APPLICABLE, since 09/01/2025
• WILSON, TERI — corporate director, NOT APPLICABLE, since 09/01/2025
• ANSON HOSPITAL DISTRICT — 5% or greater direct ownership interest, since 09/01/2025
• ANSON HOSPITAL DISTRICT — operational/managerial control, NOT APPLICABLE, since 09/01/2025
• BRYAN OPCO LLC — operational/managerial control, NOT APPLICABLE, since 09/01/2025
• BRYAN OPCO LLC — adp of the snf, NOT APPLICABLE, since 09/01/2025
• BRYAN PROPCO, L.L.C. — indirect ownership interest, NOT APPLICABLE, since 09/01/2025
• BRYAN PROPCO, L.L.C. — adp of the snf, NOT APPLICABLE, since 09/24/2025
• DGPREJEAN, LLC — adp of the snf, NOT APPLICABLE, since 09/01/2025
• JDGUM, LLC — adp of the snf, NOT APPLICABLE, since 09/01/2025
• LP HOLDINGS, LLC — adp of the snf, NOT APPLICABLE, since 09/01/2025
• MYLESH, LLC — adp of the snf, NOT APPLICABLE, since 09/01/2025
• VDG LLC — indirect ownership interest, NOT APPLICABLE, since 09/01/2025