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Inspection visit

Non-compliance follow-up

LEGACY SENIOR CARELicense 3459200631 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with care staff during today's visit. Care staff reported administrator was at an appointment during LPA's visit. LPA toured the facility and observed outdoor area, kitchen, resident room, staff room, and common areas. LPA observed all exits were clear. LPA toured kitchen and observed 2-day perishable and 7-day non-perishable amount of food. LPA reviewed 6 of 6 resident records and all appeared to be up to date. LPA reviewed 6 resident medications and observed missing medications. LPA observed R1 has an order for senna once time daily, and medication is not available. LPA observed R2 had two over the counter medications, multivitamin and ferrous sulfate, marked given on MAR but there is no medication available in facility. Deficiencies cited during today's inspection. Citations on 809-D. Civil penalties assessed for repeat violation. Copy of report and appeal rights given.

Citations

3 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • Assist residents with self-administered medication

    87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self administered medications as needed. This requirement is not met as evidenced by: Based on interviews and record review, staff are not providing medications as ordered by physician which poses an immediate health, safety or personal rights risk to persons in care.

  • 87463(a)(b)Type A

    87463 Reappraisals (a) The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal.(b) The reappraisal shall document significant changes in the resident's physical, mental, cognitive, behavioral, or functional condition, including those required to be documented as specified in Section 87466, Observation of the Resident This requirement is not met as evidenced by: Based on interviews and record review the licensee did not meet the needs of resident which poses an immediate health, safety or personal rights risk to persons in care.

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  • 87461(a)(b)Type A

    87461 Mental Condition (a) The facility shall determine the amount of supervision necessary by assessing the mental status of the prospective resident to determine if the individual: (1) tends to wander; (2) is confused or forgetful; This requirement is not met as evidenced by: Based on interviewed and record review the licensee did not provide sufficient supervision which poses an immediate health , safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the May 13, 2026 inspection of LEGACY SENIOR CARE?

This was an other inspection of LEGACY SENIOR CARE on May 13, 2026. 1 citation were issued: 1 Type A (serious).

Were any citations issued to LEGACY SENIOR CARE on May 13, 2026?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care. (a) A plan for incidental medical and dental care shall be developed by each f..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.