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Health Inspection

Legacy At Salina

Inspection Date: September 10, 2025
Total Violations 10
Facility ID 175127
Location SALINA, KS
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Inspection Findings

F-Tag F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-09-10.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-09-10.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-17.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-17.

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F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-09-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-09-10.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0801

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0801 during a standard health inspection conducted on 2025-09-10.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-22.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-10.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0849

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0849 during a standard health inspection conducted on 2025-09-10.

Category: Administration Deficiencies

The facility was found deficient in the following area: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-03.

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F-Tag F0851

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0851 during a standard health inspection conducted on 2025-09-10.

Category: Administration Deficiencies

The facility was found deficient in the following area: Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LEGACY AT SALINA in SALINA, KS for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-10.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 10 deficiencies cited during this inspection of LEGACY AT SALINA.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-20.

📋 Inspection Summary

LEGACY AT SALINA in SALINA, KS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 SALINA, KS, (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 LEGACY AT SALINA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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