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Nursing HomeMedicaid Top Rated

The Legacy Rehab & Care Center

Strong Medicare quality ratings; families often praise effective physical therapy programs. Still worth an in-person visit.

2812 Silver Creek Road, Bullhead City, AZ 86442120 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.6/5

based on 57 Google reviews

5
4
3
2
1

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What this means for your family

This facility shows strong potential for successful rehabilitation, but the consistency of care is a major concern. Before choosing this facility, ask for a detailed plan on how they manage medication and night-shift staffing, and ensure you have a direct point of contact for daily updates on your loved one's condition.

Google Reviews

Google Reviews

57 reviews on Google
THE LEGACY REHAB & CARE CENTER receives highly polarized feedback, with some families praising the facility for successful rehabilitation outcomes and compassionate staff, while others report severe neglect and communication failures. While many reviewers highlight excellent physical therapy and friendly nursing care, a significant number of families express deep concern regarding understaffing, medication errors, and poor oversight of vulnerable patients. Prospective families should be aware of these inconsistencies and conduct thorough, in-person visits to assess current conditions.

Quality Themes

Tap a score for details
Food6.0Staff5.0Clean6.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective physical therapy programs
  • Professional and friendly nursing staff
  • Clean and well-maintained facility
  • Helpful social work and administrative support

Concerns

  • Chronic understaffing, particularly during night shifts (mentioned by 4 reviewers)
  • Medication management errors and delays (mentioned by 3 reviewers)
  • Poor communication with families regarding patient status and discharge (mentioned by 4 reviewers)
  • Neglect of basic hygiene and patient monitoring (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(1)'16(1)'18(1)'20(1)'22(11)'24(9)'26(4)

Distribution · 58 analyzed

5
32
4
7
3
0
2
1
1
18

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Given that staffing levels can fluctuate, what specific protocols do you have in place to ensure consistent patient monitoring and hygiene care during the night shift?
  • 2I noticed that medication management is a high priority; could you walk me through your double-check process to ensure residents receive the correct doses on time?
  • 3How do you proactively keep families updated on a resident's health status or discharge planning so that we always feel connected to the care team?
  • 4With your strong reputation for physical therapy, how are those sessions integrated into a resident's daily routine to ensure they stay active and engaged?
  • 5Since you have a 5-star health inspection rating, what specific daily practices do you follow to maintain such a high standard of cleanliness and safety throughout the facility?
  • 6How does your administrative and social work team facilitate communication when a family has urgent questions or concerns about their loved one's care?

Personalized based on this facility's data


Key Review Excerpts

The only reason I give it a four is because the place needs to add more staff at night. Those poor nurses were going crazy trying take care of all those patients all by themselves.

Rehab patient · 2025★★★★

Initially, we felt a bit uneasy due to the negative reviews we had encountered, but we faced limited alternatives. Our worries were quickly dispelled. The facility was impeccably clean and well-maintained.

Memory care family member · 2024★★★★★

They didn't have any of my meds, they never had anyone come in to discuss menus, they didn't have proper equipment. They still didn't have my meds until October 29.

Rehab patient · 2021★★★★★
Source: 57 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.33hrs
44%
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.0%
Better than Avg
Here
6.0%
US
19.5%
AZ
20.6%
Mohave
18.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
12.1%
AZ
4.0%
Mohave
2.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
14.4%
AZ
10.6%
Mohave
18.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.2%
Mixed vs Avgs
Here
22.2%
US
15.3%
AZ
13.5%
Mohave
25.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility17.9%
Worse than Avg
Here
17.9%
US
15.5%
AZ
11.2%
Mohave
14.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
AZ
97.0%
Mohave
98.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
79.8%
AZ
87.3%
Mohave
95.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
AZ
91.3%
Mohave
97.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
1.6%
AZ
1.1%
Mohave
0.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (7.6)
1 complaint-triggered

The Legacy Rehab & Care Center has a pattern of safety and operational deficiencies, with fire safety and electrical system issues appearing most frequently across surveys. One complaint was filed by families regarding resident rights documentation. While all deficiencies show correction dates, the facility has struggled with maintaining fire drill procedures, electrical safety, and resident assessment planning across multiple inspections from 2021 to 2023.

Sep 9, 2025Complaint
1
0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Feb 9, 2023Routine
4
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0346Potential for harm · PatternCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Dec 2, 2021Routine
9
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0200Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements.

0300Potential for harm · PatternCorrected

Egress Deficiencies

Meet other general requirements that are deficient.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

State Inspection History

State Inspections

Source: AZ State Licensing Agency

8total
Aug 21, 2025Complaint
CleanReport

An onsite complaint survey was conducted on August 21, 2025 for the investigation of intake #00136784, 00141512, 00128005, 00125944. There were no deficiencies cited.

May 23, 2025Complaint
CleanReport

The complaint survey was conducted on May 23, 2025, with the investigation of intake #: AZ00224499, and 00130308. There were no deficiencies cited:

Apr 15, 2025Complaint
CleanReport

A complaint survey was conducted on April 15, 2025 for the investigation of intake #00126417, 00124931. There were no deficiencies cited.

Jan 28, 2025Other
CleanReport

42 CFR 482.41 Nursing Home The facility must meet the applicable provisions of the 2012 Edition of the Life Safety Code of the National Fire Protection Association This is a recertification survey for Medicare under LSC 2012, Chapter 19, Existing Health Care Occupancies The entire facility was surveyed on February 03, 2025. No apparent deficiencies were found during the survey.

Jan 14, 2025Complaint
CleanReport

The state compliance survey was conducted on January 14, 2025 through January 17, 2025, in conjunction with the investigation of complaints #AZ00219122, AZ00211378, AZ00204532, AZ00201329, AZ00199305, AZ00199004, AZ00197940, AZ00197032, AZ00192173, AZ00198802, AZ00196741, AZ00185029, AZ001850125, AZ00184873, There were no deficiencies cited.

Aug 29, 2024Complaint
CleanReport

An onsite complaint survey was conducted on August 29, 2024 for the investigation of intake # AZ00214899, AZ00213621. There were no deficiencies cited.

Mar 5, 2024Complaint
CleanReport

An onsite complaint survey was conducted on March 5, 2024 for the investigation of intake #s AZ00206968, AZ00207077. There were no deficiencies cited.

Aug 23, 2023Complaint
CleanReport

An onsite survey was conducted on August 23, 2023 for the investigation of AZ00199225. No deficiencies were cited.

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Legacy Rehab & Care Center

Organization Type

for profit

Ownership & Management

Owners

Creative Care INC

Owner · Organization

Collins, Jessica

Owner

Collins, Jillian

Owner

Collins, Joshua

Owner

Lingenfelter, Fred

Owner

Overson, Sara

Owner

Terry, Sandra

Owner

Key personnel

Collins, JessicaManaging Control - Governing BodyNapier, PierreManaging Control - Governing BodyOtt, KristenManaging Control - Governing BodyCollins, JessicaOfficer / DirectorNapier, PierreOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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