Legacy Nursing And Rehabilitation Of Pollock

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

41.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 49.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 49 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 103 beds and averages 88.0 residents a day — about 85% occupied, or roughly 15 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.55 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.20 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.34 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.91 hrs/resident/day on weekends vs 3.81 on weekdays — 24% thinner on weekends — a notable drop. RN hours go from 0.24 to 0.10 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

25 citations, most serious first. The 10 most serious are shown; the remaining 15 are one tap away and print in full.

• Potential for harm · Ecited before2025-10-01 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure Residents who are unable to carry out ADLS (Activities of Daily Living) received the necessary services to maintain good grooming and personal hygiene for 3 (#10, #56, #67) of 4( #10, #56, #67, and #90) Residents reviewed for ADLS. The facility failed to ensure Resident #67 received a bath on his scheduled bath day, and failed to ensure Residents #10 and #56 received appropriate nail care. The total sample size was 37. Findings: Review of the facility's undated policy titled: Nail Care Policy and Procedure read in part.Procedure: (1) care of fingernails and toenails is part of the bath. (2) be certain nails are clean. (4) nails are to be clipped and filed smoothly. (NOTE): the podiatrist or licensed nurse clip nails for diabetic residents and residents with peripheral vascular disease. Resident #10 Review of Resident #10's Electronic Health Record revealed the Resident was admitted to the facility on [DATE] with diagnoses that included in part…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-10-01 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide pharmaceutical services that assured accurate acquiring, receiving, dispensing and/or administration of medications to meet the needs of each resident. The facility had a total census of 86 residents. The facility failed to: 1. Ensure the on-coming nurse (S4 LPN) documented and signed the Narcotic count sheet at the beginning of shift; and 2. Ensure an accurate account for controlled substance medications were completed at the time of administration by S4 LPN on 1 (Cart A) of 2 (Cart A and Cart B) medication carts for Residents #1, #27, #40, #42, #51, #57, #62, #65, #72, #78, and #91.Findings: Review of an undated facility policy on 10/01/2025 at 11:36 a.m. titled, Narcotics Policy and Procedure revised on 10/2019 revealed the following in part .Policy: All controlled substances shall be counted at the change of each shift. The amount of each controlled substance on hand shall be listed on the Narcotic Count Sheet. Procedure: 1. One (1) licensed nurse from the off-going shift and one (1) licensed nurse…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-10-01 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development of communicable diseases and infections by failing to:1. Disinfect reusable medical equipment as required, 2. Maintain soiled linen/soiled items in a sanitary manner;2. Store clean linen in a sanitary manner; and3. Ensure staff were consistent with infection control practices for cleaning/disinfecting the environment. Findings: Review of an undated facility policy titled Infection Prevention and Control- Environmental Services read in part. Environmental Services staff shall follow infection prevention and control procedures applicable to the area he/she is assigned to. Soiled Linen: Soiled linen shall be place in an impervious bag of sufficient strength to contain wet/soiled linen without contaminating the resident environment. Soiled linen shall be bagged, in or near the resident's room, and securely closed prior to transport. Review of an undated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-01 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to promote and facilitate resident self-determination through support of resident choice about aspects of his or her life in the facility that were significant to the resident for 1 (#8) of 37 sampled residents. The facility failed to accommodate Resident #8's choice to have a shower during the mornings instead of during afternoons and evenings.Findings: Review of Resident #8's clinical record revealed an admit date of 01/30/2025 with diagnoses that included: Chronic Obstructive Pulmonary Disease, Major Depressive Disorder, Parkinsonism, Generalized Anxiety Disorder, and Dementia.Review of Resident #8's Quarterly MDS with an ARD of 11/05/2025 revealed a BIMS of 15, which indicated intact cognition. Resident #8 required substantial/maximal assistance with showers and bathing.Review of Resident #8's care plan with a review date of 11/08/2025 revealed Resident #8 required staff assistance with all ADLs. Interventions included in part: I prefer bathing in the tub/whirlpool in the morning. I prefer morning showers.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-10-01 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to ensure a resident's PRN order for psychotropic medication was limited to 14 days for 1 (Resident #90) of 5 residents (#3, #8, #10, #33, and #90) reviewed for unnecessary medications. Findings:Review of an undated facility policy titled, Psychotropic Medication Use Policy and Procedure, revealed the following in part.16. PRN orders for psychotropic drugs, excluding antipsychotics, are limited to 14 days. A. Except if the attending physician or prescribing practitioner believes that it is appropriate for the PRN order to be extended beyond 14 days based on evaluation of the resident for the appropriateness of that medication. B. the physician shall document the rationale in the resident's medical record and indicate the duration for the PRN order.Review of Resident #90's medical record revealed an admit date of 05/09/2024 with diagnoses that included in part.Epilepsy, Vascular Dementia, Schizophrenia, Generalized Anxiety Disorder, and Major Depression Disorder. Review of Resident #90's 09/2025 physician's orders revealed an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-01 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide respiratory care consistent with professional standards for 1(#14) of 4 (#14, #33, #49, and #75) residents reviewed for respiratory care. The facility failed to ensure respiratory equipment was properly stored. Findings: Review of the facility's undated policy titled, Nebulizer CPAP Machine Cleaning Policy and Procedure read in part . Purpose: To keep nebulizer or CPAP machine and equipment clean. Procedure: 2. Store tubing, mouthpiece, and mask in a plastic bag when not in use. Review of Resident #14's medical record revealed an admit date of 10/24/2023 with diagnoses that included: Quadriplegia, Chronic Obstructive Pulmonary Disease, Type 2 Diabetes Mellitus, and Major Depressive Disorder. Review of Resident #14's 09/2025 Physician Orders read in part 10/24/2023 -Albuterol Sulfate Nebulization Solution (2.5 MG/3ML) 0.083% 1 dose inhale orally via nebulizer every 6 hours as needed for shortness of breath. 09/24/2025-pratropium-Albuterol Inhalation Solution 0.5-2.5 (3) MG/3ML (Ipratropium-Albuterol) 1…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-01 · tag F0744 — failed to care for residents with dementia — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure a Resident with dementia received the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being for 1 (#10) of 5 (#3,#8,#33,#90) Residents reviewed for Dementia. The total sample size was 37. Findings:Review of the facility's undated policy titled: Care Planning Policy and Procedure read in part.Purpose: to provide a comprehensive plan of care addressing resident's needs, strengths, goals, and approaches. Policy: Each resident's care plan will remain current and inform staff of resident's needs, strengths, goals, and approaches. Review of Resident #10's Electronic Health Record revealed Resident #10 was admitted to the facility on [DATE] with diagnoses that included in part. Dementia in other diseases classified elsewhere, mild, without behavioral disturbance, psychotic disturbance, mood disturbance, and Anxiety; Schizoaffective disorder, Depressive type. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-08-25 · tag F0744 — failed to care for residents with dementia — pattern
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure a resident with a diagnosis of dementia received the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. The facility failed to provide 1:1 observation as ordered for 1 (Resident #2) of 3 (Resident #1, Resident #2, and Resident #3) residents reviewed for abuse. This deficient practice had the potential to affect all 17 residents residing in the facility's secured unit.Review of Resident #2's medical record revealed an admission date of 07/24/2025 with diagnoses which included Dementia, Anxiety, and Psychosis.Resident #2's admission MDS with an ARD of 08/06/2025 revealed a BIMS score of 3, indicating severe cognitive impairment. Resident #2 had behavioral symptoms which interfered with activities or social interactions with others, significantly intruded upon the privacy or activity of others, and significantly disrupted care or the living environment. Resident #2's wandering behavior significantly intruded on the privacy…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-02 · tag F0657 — failed to keep the care plan current — pattern
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure a resident's care plan was revised by failing to update fall interventions after each fall for 1 (#2) of 2 (#1 and #2) residents reviewed for falls. Findings: Review of Resident #2's medical record revealed an admit date of 01/30/2025 with diagnoses that included in part .Parkinsonism, Major Depressive Disorder, Atherosclerotic Heart Disease, Unspecified Psychosis not due to a substance or known psychological condition, Unspecified fall, Unspecified Dementia, and Generalized Anxiety. Review of Resident #2's MDS with an ARD of 02/05/2025 revealed a BIMS score of 7, which indicated severe cognitive impairment. Review of the MDS revealed Resident #2 required extensive assistance with bed mobility, eating, toileting and transferring. Review of Resident #2's current care plan revealed a focus area of at risk for falls. The care plan documented the resident had falls on 02/13/2025, 02/28/2025, 03/18/2025, and 03/24/2025 (fall occurred on 03/25/2025). Interventions included Educate me on use of my call light, I need a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-02 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to provide services that meet professional standard of practice for 2 (#1 and #2) of 2 sampled residents with falls. The facility failed to ensure neurological checks were completed for 72 hours after an unwitnessed fall or fall with head injury. Findings: Review of facility's undated policy/procedure titled Incident Report Checklist revealed in part .Neuro checks implemented if head injury . Resident #1 Review of Resident #1's medical record revealed an admit date of 01/27/2025 with diagnoses that included in part .Depression, Acute Embolism and Thrombosis of deep veins of right upper extremity, Mild Protein-Calorie malnutrition, Type 2 DM, and Unspecified Dementia. Review of Resident #1's admission MDS with an ARD of 02/09/2025 revealed a BIMS score of 3, which indicated severe cognitive impairment. Review of the MDS revealed Resident #1 required substantial/maximal assistance with eating and rolling left and right and was dependent on staff with toileting hygiene, sitting to lying, sitting to standing, and chair/bed to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LEGACY NURSING & REHABILITATION — 9 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 17 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA