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Legacy Health And Rehabilitation Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Jan 31, 2025 | 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. | E |
| — | Jan 31, 2025 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| — | Jan 31, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| — | Jan 31, 2025 | Provide and implement an infection prevention and control program. | E |
| — | Jan 31, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
0.4 RN Hours / Resident / Day
3.9 Total Nurse Hours / Resident / Day
50.0% RN Turnover Rate
3.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
108.9 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST JAMES NORMAN ESTES JR TR
5% OR GREATER DIRECT OWNERSHIP INTEREST JENNIFER LEE ESTES TR 031093
5% OR GREATER DIRECT OWNERSHIP INTEREST ESTES, JAMES
OPERATIONAL/MANAGERIAL CONTROL GALLAGHER, BEVERLY
OPERATIONAL/MANAGERIAL CONTROL MOORE, MARCIA
OPERATIONAL/MANAGERIAL CONTROL RASCO, LYNN
OPERATIONAL/MANAGERIAL CONTROL TAYLOR, JAMIE
OPERATIONAL/MANAGERIAL CONTROL WHITE, HOLLY
CORPORATE DIRECTOR GALLAGHER, BEVERLY
CORPORATE DIRECTOR RASCO, LYNN
Recent Penalties
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