F
30/100

LEGACY TRANSITIONAL CARE & REHABILITATION Inspection Report, Violations & Safety Grade (ATLANTA, Georgia)

460 AUBURN AVENUE N.E., ATLANTA, Georgia 30312

Phone: 4045231613

CMS Overall:1/5

Overview & Bed Count

Certified Beds
186
Avg Residents/Day
181.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Fulton
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality1/5

Nurse Staffing Check

MetricThis FacilityGeorgia AvgDifference
RN Hours per Resident per Day0.140.50-0.37
Total Nurse Hours per Resident per Day2.993.61-0.61
CMS Staffing Rating1/52.3/5-
Nursing Staff Turnover53.8%46.8%-

Health Citation History

39 health citations on record

DateCategoryDescriptionSeverity
2026-04-17Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-11-17Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-11-17Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesD – Moderate Harm Potential
2025-11-17Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.D – Moderate Harm Potential
2025-04-11Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2025-04-11Resident Rights DeficienciesThe resident has the right to receive notices in a format and a language he or she understands.D – Moderate Harm Potential
2025-04-11Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2025-04-11Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-04-11Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2025-04-11Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D – Moderate Harm Potential
2025-04-11Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-11-08Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-11-08Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.D – Moderate Harm Potential
2024-11-08Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2024-11-08Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D – Moderate Harm Potential
2024-11-08Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2024-11-08Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2024-11-08Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2024-11-08Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.D – Moderate Harm Potential
2024-11-08Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-05-16Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-05-16Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-05-16Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2024-05-16Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2024-05-16Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-05-16Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-05-16Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2024-05-16Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-03-11Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K – Immediate Jeopardy
2024-03-11Administration DeficienciesAdminister the facility in a manner that enables it to use its resources effectively and efficiently.K – Immediate Jeopardy
2024-03-11Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.J – Immediate Jeopardy
2024-03-11Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-03-11Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2024-03-11Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.E – Moderate Harm Potential
2024-03-11Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.D – Moderate Harm Potential
2024-03-11Quality of Life and Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life.D – Moderate Harm Potential
2024-03-11Quality of Life and Care DeficienciesProvide routine and 24-hour emergency dental care for each resident.D – Moderate Harm Potential
2023-10-13Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2023-10-13Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential

Fire Safety Citation History

8 fire safety citations on record

DateCategoryDescriptionSeverity
2026-04-17Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2026-04-17Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.D – Moderate Harm Potential
2025-11-17Egress DeficienciesHave properly located and lighted "Exit" signs.D – Moderate Harm Potential
2025-11-17Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2025-11-17Services DeficienciesHave properly installed electrical wiring and gas equipment.D – Moderate Harm Potential
2025-04-11Smoke DeficienciesConstruct fire resistant interior walls.D – Moderate Harm Potential
2025-04-11Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.D – Moderate Harm Potential
2025-04-11Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$107,075
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-03-11Fine$107,075-

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