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Inspection visit

Follow-up on corrections

LEGACY SENIOR CARE IILicense 3459200841 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a required annual inspection when LPA observed a following deficiency. LPA met with staff and explained the purpose of the visit. Administrator was unable to make it to this visit. Based on interview, LPA was informed today's census is three residents in care. LPA was additionally informed two residents are at the hospital for evaluation. LPA was informed R1 was sent out on April 1, 2025 and R2 was sent out on April 17, 2025. LPA was unable to locate any submitted incident reports submitted by Licensee. Deficiencies cited. Exit interview and a copy of report and appeal rights was emailed.

Citations

2 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.

  • 87458(c)(1)(A)Type B

    Based on file review, the licensee did not comply with the section cited above as two out of five residents did not have tuberculosis testing documented on LIC602 which poses a potential risk for residents in care.

  • 87211(a)(1)(D)Type B

    87211 Reporting Requirements(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement is not met as evidenced by: Based on file review, Licensee did not comply as LPA was made aware that R1 and R2 are at the hospital but no incident reports observed which poses a potential risk for residents in care.

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FAQ · About this visit

Common questions about this visit

What happened during the April 25, 2025 inspection of LEGACY SENIOR CARE II?

This was a other inspection of LEGACY SENIOR CARE II on April 25, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to LEGACY SENIOR CARE II on April 25, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "Based on file review, the licensee did not comply with the section cited above as two out of five residents did not have..."

What type of inspection was this?

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

SourceView on CCLDView original report

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