Legacy at Town Creek

Certification

Medicare-certified.

Ratings

Inspection history (38)

Records from April 2023 to January 2026.

• January 22, 2024

  Tag F0761

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 14, 2024.

• August 8, 2023

  Tag F0607

  Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 9, 2023.

• April 26, 2023

  Tag F0656

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 16, 2023.

• April 26, 2023

  Tag F0692

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2023.

• April 26, 2023

  Tag F0677

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 27, 2023.

• April 26, 2023

  Tag F0695

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 12, 2023.

• April 26, 2023

  Tag F0552

  Ensure that residents are fully informed and understand their health status, care and treatments.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 19, 2023.

• April 26, 2023

  Tag F0655

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

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 20, 2023.

• April 26, 2023

  Tag F0690

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2023.

• April 26, 2023

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2023.

• April 26, 2023

  Tag F0550

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 12, 2023.

• April 26, 2023

  Tag F0584

  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 19, 2023.

• April 26, 2023

  Tag F0657

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 19, 2023.

• April 26, 2023

  Tag F0758

  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….

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 19, 2023.

• April 26, 2023

  Tag F0921

  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 1, 2023.

• April 26, 2023

  Tag F0755

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

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 12, 2023.

• April 26, 2023

  Tag F0926

  Have policies on smoking.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 15, 2023.

• April 26, 2023

  Tag F0698

  Provide safe, appropriate dialysis care/services for a resident who requires such services.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 12, 2023.

Penalties (2)

Total fines: $294,608

• October 8, 2025 · Fine

  CMS recorded a civil money penalty of $10,358 against this nursing home on October 8, 2025.

• June 6, 2024 · Fine

  CMS recorded a civil money penalty of $284,250 against this nursing home on June 6, 2024.

Staffing

3.20 nurse hours per resident per day in Q2 2026, down from 3.38 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit