Legacy Rehabilitation And Living

Penalties

• May 5, 2026 — Fine ($13,070)

Inspection findings

1. May 5, 2026 Health · 3 findings
   • 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 May 18, 2026 · CMS health inspection

   • Serious Scope/severity J 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 May 18, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0837 Administration Deficiencies

     Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

     Corrected May 18, 2026 · CMS health inspection

2. Jan 21, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

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

     Corrected Jan 23, 2026 · CMS health inspection

3. Sep 9, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Sep 10, 2025 · CMS health inspection

4. Jul 31, 2025 Fire Safety · 4 findings
   • Not serious Scope/severity F

     E0004 Emergency Preparedness Deficiencies

     Develop and maintain an Emergency Preparedness Program (EP).

     Corrected Aug 31, 2025 · CMS fire safety

   • Not serious Scope/severity E

     F0576 Resident Rights Deficiencies

     Ensure residents have reasonable access to and privacy in their use of communication methods.

     Corrected Sep 13, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Sep 13, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Sep 13, 2025 · CMS fire safety

5. Feb 4, 2025 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 Feb 2, 2025 · CMS health inspection

6. Jun 7, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jul 17, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Jul 17, 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 Jul 17, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Jul 17, 2024 · CMS health inspection

   • Not serious Scope/severity E

     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 Jul 17, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Jul 17, 2024 · CMS fire safety

7. May 17, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0576 Resident Rights Deficiencies

     Ensure residents have reasonable access to and privacy in their use of communication methods.

     Corrected Jun 7, 2024 · CMS health inspection

8. Sep 6, 2023 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 Oct 20, 2023 · CMS health inspection

9. Apr 14, 2023 Health · 8 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected May 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

     Corrected May 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0636 Resident Assessment and Care Planning Deficiencies

     Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

     Corrected May 26, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected May 26, 2023 · 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 May 26, 2023 · 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 May 26, 2023 · 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 26, 2023 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 26, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BROWN, RODGER — managing control - governing body, NOT APPLICABLE, since 02/02/2015
• BROWN, RODGER — adp of the snf, NOT APPLICABLE, since 02/02/2015
• BROWN, RODGER — operational/managerial control, NOT APPLICABLE, since 02/02/2015
• BURNAM, SOON — corporate officer, NOT APPLICABLE, since 02/02/2015
• CHUMLEY, RICHARD — corporate officer, NOT APPLICABLE, since 05/01/2007
• KEETCH, CHAD — corporate officer, NOT APPLICABLE, since 03/01/2011
• RANKIN, RON — adp of the snf, NOT APPLICABLE, since 07/28/2020
• RANKIN, RON — managing control - governing body, NOT APPLICABLE, since 07/28/2020
• RANKIN, RON — operational/managerial control, NOT APPLICABLE, since 07/28/2020
• 51ST AVENUE HEALTH HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 02/02/2015
• CARETRUST GP LLC — adp of the snf, NOT APPLICABLE, since 02/02/2015
• CARETRUST REIT INC — adp of the snf, NOT APPLICABLE, since 02/02/2015
• CTR PARTNERSHIP LP — adp of the snf, NOT APPLICABLE, since 02/02/2015
• ENSIGN SERVICES INC — adp of the snf, NOT APPLICABLE, since 08/24/2012
• STRATFORD HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 02/02/2015
• TRADEWIND HEALTHCARE, INC. — adp of the snf, NOT APPLICABLE, since 11/24/2025
• TRADEWIND HEALTHCARE, INC. — operational/managerial control, NOT APPLICABLE, since 02/02/2015