Legend Oaks Healthcare and Rehabilitation Center -

Inspection history (32)

Records from July 2023 to May 2026.

• May 15, 2026 · B

  Citation F0577

  Federal surveyors cited this nursing home on 2026-05-15 under CMS tag F0577 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. The deficiency was recorded as corrected on 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-15.GOV

• May 15, 2026 · D

  Citation F0558

  Federal surveyors cited this nursing home on 2026-05-15 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 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-15.GOV

• May 15, 2026 · D

  Citation F0583

  Federal surveyors cited this nursing home on 2026-05-15 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-15.GOV

• May 15, 2026 · D

  Citation F0573

  Federal surveyors cited this nursing home on 2026-05-15 under CMS tag F0573 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Let each resident or the resident's legal representative access or purchase copies of all the resident's records. The deficiency was recorded as corrected on 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-15.GOV

• May 15, 2026 · B

  Citation F0693

  Federal surveyors cited this nursing home on 2026-05-15 under CMS tag F0693 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. The deficiency was recorded as corrected on 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-15.GOV

• May 15, 2026 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2026-05-15 under CMS tag F0689 (CMS scope/severity D: isolated, 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 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-15.GOV

• May 15, 2026 · D

  Citation F0805

  Federal surveyors cited this nursing home on 2026-05-15 under CMS tag F0805 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2026-05-16. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-05-15.GOV

• December 4, 2025 · E

  Citation F0690

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0690 (CMS scope/severity E: pattern, 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 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• December 4, 2025 · D

  Citation F0812

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0812 (CMS scope/severity D: isolated, 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 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• December 4, 2025 · D

  Citation F0554

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0554 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Allow residents to self-administer drugs if determined clinically appropriate. The deficiency was recorded as corrected on 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• December 4, 2025 · D

  Citation F0759

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• December 4, 2025 · D

  Citation F0583

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• December 4, 2025 · D

  Citation F0641

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• December 4, 2025 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• December 4, 2025 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2025-12-04 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-12-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-12-04.GOV

• September 27, 2024 · D

  Citation F0698

  Federal surveyors cited this nursing home on 2024-09-27 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-27.GOV

• September 27, 2024 · E

  Citation F0700

  Federal surveyors cited this nursing home on 2024-09-27 under CMS tag F0700 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. The deficiency was recorded as corrected on 2024-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-27.GOV

• September 27, 2024 · E

  Citation F0812

  Federal surveyors cited this nursing home on 2024-09-27 under CMS tag F0812 (CMS scope/severity E: pattern, 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 2024-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-27.GOV

• September 27, 2024 · D

  Citation F0690

  Federal surveyors cited this nursing home on 2024-09-27 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 2024-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-27.GOV

• September 27, 2024 · D

  Citation F0849

  Federal surveyors cited this nursing home on 2024-09-27 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2024-10-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-09-27.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.62 nurse staffing hours per resident per day (2026Q1)

Ownership

Non profit

1. Parent organization: Ensign Services INC

   parent · PAC 3577089093

Recent changes to this listing

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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

1. Sep 1, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

2. Sep 1, 2026Ownership changed

   The source now records ownership as "For profit - Individual".

   Reported by CMS nursing homes (provider info)

3. Aug 6, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)

4. Jul 24, 2026Ownership changed

   The source now records ownership as "For profit - Individual".

   Reported by CMS nursing homes (provider info)

5. Jul 24, 2026Ownership changed

   The source now records ownership as "Non profit".

   Reported by CMS nursing homes (ownership)