Legacy Lane Senior Living

The report details an informal meeting held to discuss several areas of concern regarding the facility's compliance. The report explicitly states that no citations were delivered during this meeting, and the facility was advised of potential consequences for failure to correct deficiencies by agreed-upon dates.

The unannounced Case Management visit identified multiple deficiencies related to background clearance and the presence of unassociated individuals. Specifically, the facility failed to ensure proper criminal record clearances for individuals present, constituting immediate health and safety risks. Additionally, the administrator was cited for failing to ensure compliance with background check requirements.

The unannounced Case Management visit identified multiple deficiencies related to background clearance and the presence of unassociated individuals. Specifically, the facility failed to ensure proper criminal record clearances for individuals present, constituting immediate health and safety risks. Additionally, the administrator was cited for failing to ensure compliance with background check requirements.

The facility underwent an unannounced annual required inspection on November 13, 2025. The inspector reviewed various areas, including the physical plant, resident and staff files, and safety equipment. No deficiencies were cited during this inspection visit.

This was an unannounced Case Management POC visit conducted to verify the correction of prior citations. Multiple deficiencies were cited, including immediate risks such as unsecured cleaning supplies in the garage and the lack of a qualified administrator on site. Additionally, non-compliance was noted regarding kitchen equipment and incomplete staff personnel records.