Legacy On 10Th Avenue

Inspection history (55)

• October 9, 2024 · C

  Citation F0576

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0576 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Ensure residents have reasonable access to and privacy in their use of communication methods. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · E

  Citation F0585

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0585 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · E

  Citation F0680

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0680 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure the activities program is directed by a qualified professional. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · E

  Citation F0925

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0925 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · E

  Citation F0689

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · D

  Citation F0553

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0553 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow resident to participate in the development and implementation of his or her person-centered plan of care. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · C

  Citation F0732

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0732 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Post nurse staffing information every day. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · D

  Citation F0758

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0758 (CMS scope/severity D: isolated, 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 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · E

  Citation F0567

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0567 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to manage his or her financial affairs. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · E

  Citation F0679

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0679 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide activities to meet all resident's needs. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• October 9, 2024 · E

  Citation F0880

  Federal surveyors cited this nursing home on 2024-10-09 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-09.GOV

• June 18, 2024 · D

  Citation F0625

  Federal surveyors cited this nursing home on 2024-06-18 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2024-07-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-18.GOV

• June 18, 2024 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2024-06-18 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 2024-07-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-18.GOV

• April 23, 2024 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2024-04-23 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-05-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-23.GOV

• October 25, 2023 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2023-10-25 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 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-25.GOV

• October 25, 2023 · D

  Citation F0691

  Federal surveyors cited this nursing home on 2023-10-25 under CMS tag F0691 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. The deficiency was recorded as corrected on 2023-12-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-25.GOV

• October 2, 2023 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2023-10-02 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 2023-10-27. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-02.GOV

• July 11, 2023 · J

  Citation F0600

  Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0600 (CMS scope/severity J: isolated, 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 2023-08-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOV

• July 11, 2023 · K

  Citation F0610

  Federal surveyors cited this nursing home on 2023-07-11 under CMS tag F0610 (CMS scope/severity K: pattern, immediate jeopardy) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2023-08-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-07-11.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 2.92 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Limited Liability company

1. Parent organization: New Paradigm Solutions INC

   parent · PAC 1658671540