Legacy At College Hill

Inspection history (70)

• May 2, 2023 · K

  Citation F0609

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0609 (CMS scope/severity K: pattern, immediate jeopardy) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• May 2, 2023 · E

  Citation F0741

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0741 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• May 2, 2023 · L

  Citation F0600

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0600 (CMS scope/severity L: widespread, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• May 2, 2023 · D

  Citation F0676

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• May 2, 2023 · D

  Citation F0644

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• May 2, 2023 · F

  Citation F0868

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• May 2, 2023 · F

  Citation F0919

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0919 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Make sure that a working call system is available in each resident's bathroom and bathing area. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• May 2, 2023 · E

  Citation F0758

  Federal surveyors cited this nursing home on 2023-05-02 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2023-06-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-05-02.GOV

• October 5, 2021 · F

  Citation F0838

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0838 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · G

  Citation F0692

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0692 (CMS scope/severity G: isolated, actual harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · F

  Citation F0868

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · F

  Citation F0812

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · D

  Citation F0574

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0574 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for The resident has the right to receive notices in a format and a language he or she understands. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · D

  Citation F0757

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0757 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident’s drug regimen must be free from unnecessary drugs. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · F

  Citation F0801

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0801 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · F

  Citation F0867

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0867 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

• October 5, 2021 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2021-10-05 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2021-11-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2021-10-05.GOV

Penalties

Total fines on file: $43,188

Staffing

Latest: 3.82 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Corporation

1. Parent organization: Ks Portfolio Master Snf Holdco, LLC

   parent · PAC 0749580637