Legacy at Maiden Park

Inspection Reports

Citations

Citations from August 1, 2021 through July 31, 2025

A total of 29 violations resulted from 20 inspections of this facility from August 1, 2021 through July 31, 2025, including 6 inspections resulting in no violations.

Note: Violations under dispute through the Inspection Review Process (IRP) are not displayed below.

Inspections
20
Total violations
29
No-violation inspections
6
Date range
Citations from August 1, 2021 through July 31, 2025
Report Issued: June 30, 2025
Complaint Survey Violations: 2 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
487.5 (f) (10-11)  Resident protections (CFR Code 487.5 (f) (10-11) )
1001.7 (g)(1-3)  Admission and retention standards. (CFR Code 1001.7 (g)(1-3) )
Report Issued: October 3, 2024
Relicensure, Complaint Survey Violations: 5 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
487.4 (a)  Admission standards (CFR Code 487.4 (a) )
487.8 (e) (1)  Food service (CFR Code 487.8 (e) (1) )
487.11 (i) (1)  Environmental standards (CFR Code 487.11 (i) (1) )
1001.7 (k) (2)  Admission and retention standards. (CFR Code 1001.7 (k) (2) )
1001.10 (l)(1)  Medication management. (CFR Code 1001.10 (l)(1) )
Report Issued: August 13, 2024
Complaint Survey Violations: 0 Plan/Notice of Correction Not Required
No violations.
Report Issued: May 2, 2024
Complaint Survey Violations: 0 Plan/Notice of Correction Not Required
No violations.
Report Issued: December 18, 2023
Complaint Survey Violations: 4 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
487.4 (a)  Admission standards (CFR Code 487.4 (a) )
487.4 (m)  Admission standards (CFR Code 487.4 (m) )
487.7 (d) (1) (iv)  Resident services (CFR Code 487.7 (d) (1) (iv) )
1001.10 (j) (1)  Resident services. (CFR Code 1001.10 (j) (1) )
Report Issued: December 21, 2023
Complaint Survey Violations: 0 Plan/Notice of Correction Not Required
No violations.
Report Issued: February 22, 2023
Other Survey Violations: 0 Plan/Notice of Correction Not Required
No violations.
Report Issued: September 28, 2022
Complaint Survey Violations: 4 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
485.5 (f)  Operating certificates (CFR Code 485.5 (f) )
487.4 (c)(12)  Admission standards (CFR Code 487.4 (c)(12) )
487.7 (f) (11) (iii)  Resident services (CFR Code 487.7 (f) (11) (iii) )
1001.10 (j) (1)  Resident services. (CFR Code 1001.10 (j) (1) )
Report Issued: January 3, 2022
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
487.7 (d) (1) (v)  Resident services (CFR Code 487.7 (d) (1) (v) )
Report Issued: August 24, 2021
Other Survey Violations: 0 Plan/Notice of Correction Not Required
No violations.
Report Issued: November 1, 2021
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
487.10 (e) (2)  Records and reports (CFR Code 487.10 (e) (2) )
Report Issued: September 30, 2021
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
485.11 (b)  Records and reports (CFR Code 485.11 (b) )
Report Issued: September 30, 2021
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
485.11 (b)  Records and reports (CFR Code 485.11 (b) )
Report Issued: September 23, 2021
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
485.11 (b)  Records and reports (CFR Code 485.11 (b) )
Report Issued: August 5, 2021
Complaint Survey Violations: 2 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
1001.10 (n) (5) (i-iii)  Supervision in special needs assisted living. (CFR Code 1001.10 (n) (5) (i-iii) )
1001.11 (j)  Personnel. (CFR Code 1001.11 (j) )
Report Issued: June 24, 2021
Relicensure Survey Violations: 4 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
487.7 (f) (5)  Resident services (CFR Code 487.7 (f) (5) )
487.7 (f) (11) (iii)  Resident services (CFR Code 487.7 (f) (11) (iii) )
487.7 (g) (1) (ii-xiv)  Resident services (CFR Code 487.7 (g) (1) (ii-xiv) )
487.8 (c)  Food service (CFR Code 487.8 (c) )
Report Issued: August 12, 2021
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
485.11 (b)  Records and reports (CFR Code 485.11 (b) )
Report Issued: August 5, 2021
Other Survey Violations: 0 Plan/Notice of Correction Not Required
No violations.
Report Issued: July 29, 2021
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
485.11 (b)  Records and reports (CFR Code 485.11 (b) )
Report Issued: July 25, 2021
Other Survey Violations: 1 Plan/Notice of Correction Approved
Regulation Cited Regulation Section
485.11 (b)  Records and reports (CFR Code 485.11 (b) )

Enforcement Actions

Date of Issuance of Stipulation & Order Details
June 6, 2025 Stipulation & Order #: ACF-25-030
August 16, 2022 Stipulation & Order #: ACF-22-042