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Complaint Investigation

The Legacy Rehab & Care Center

September 9, 2025 · Bullhead City, AZ · 2812 Silver Creek Road
Citations 1
CMS Rating 5/5
Beds 120
Provider ID 035097
Healthcare Facility
The Legacy Rehab & Care Center
Bullhead City, AZ  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

The Legacy Rehab & Care Center in BULLHEAD CITY, AZ — inspection on September 9, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0628
Resident Rights Deficiencies
Potential for More Than Minimal Harm

interventions, and a summary of care, to ensure continuity of care following discharge. If a resident leaves AMA, Staff #24 stated that there is a specific form that is reviewed with the resident and/or family to ensure understanding of the risks of leaving the facility AMA.

The resident is encouraged to sign the document, confirming their understanding of the risks of discharging from the facility AMA.An interview was conducted on September 9, 2025, at 2:45 PM with the Director of Nursing (DON/Staff #22), who stated that the expectation for social services is to notify all responsible parties of all facility discharges.

Staff #22 stated that the responsible parties included APS, law enforcement, if applicable department heads, and the ombudsman through the facility's monthly report for all discharges.

Staff #22 stated that it would not meet the facility's expectations if the notification of discharge to the Ombudsman regarding the Resident #16 had not been made. A policy titled ‘Notice of Discharge' revealed that the facility will provide the Ombudsman a copy of all facility discharge notices as soon as practicable.

The policy also revealed that the facility will send a copy of a discharge notice, including AMA discharges, to a representative of the Office of the State LTC Ombudsman as soon as practicable.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BULLHEAD CITY, AZ, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from The Legacy Rehab & Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.