The Legacy Rehab & Care Center
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
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.
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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.