Starfile

Starfile / Tennessee

LEGACY PARK HEALTH AND REHABILITATION

7424 MIDDLEBROOK PIKE, KNOXVILLE, TN 37909 · CCN 445105

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★★☆☆☆ 2
Quality measures
★★★★☆ 4
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
176
Avg residents/day
119.5
Phone
4066060026

Inspection history vs Tennessee & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTennessee avgNational avgvs state
12025-08-1345.89.5-1.8 better
22024-05-31194.69.8+14.4 worse
32020-01-29144.69.3+9.4 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Resident assessment and care planning2
Resident rights1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2753.8%
RN staffing (reported)0.4968.8%
Total nurse staffing (adjusted)3.10

Fines & penalties

Total fines
$184,672
Number of fines
2
Number of penalties
4
Payment denials
2

Chain

Chain
THE ENSIGN GROUP
Facilities in chain
329
Chain avg overall
3.20 / 5

Inspection citations (37)6 actual harm

  1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-08-13 · Health · corrected 2025-08-26

    Potential for more than minimal harm

  2. DF0641Ensure each resident receives an accurate assessment.2025-08-13 · Health · corrected 2025-09-15

    Potential for more than minimal harm

  3. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-13 · Health · corrected 2025-08-14

    Potential for more than minimal harm

  4. DF0880Provide and implement an infection prevention and control program.2025-08-13 · Health · corrected 2025-08-14

    Potential for more than minimal harm

  5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-27 · Health · corrected 2025-03-28

    Potential for more than minimal harm

  6. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-02-27 · Health · corrected 2025-03-28

    Potential for more than minimal harm

  7. GF0760Ensure that residents are free from significant medication errors.2025-02-27 · Health · corrected 2025-03-28

    Actual harm

  8. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-27 · Health · corrected 2025-04-14

    Potential for more than minimal harm

  9. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-02-27 · Health · corrected 2025-03-28

    Potential for more than minimal harm

  10. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  11. DF0641Ensure each resident receives an accurate assessment.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  12. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  13. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  14. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  15. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  16. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  17. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  18. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  19. DF0761Ensure 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.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  20. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  21. DF0814Dispose of garbage and refuse properly.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  22. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-05-31 · Health · corrected 2024-06-19

    Potential for more than minimal harm

  23. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-14 · Health · corrected 2024-04-12

    Potential for more than minimal harm

  24. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-06-26 · Health · corrected 2023-07-11

    Actual harm

  25. GF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-26 · Health · corrected 2023-07-11

    Actual harm

  26. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-26 · Health · corrected 2023-07-11

    Actual harm

  27. GF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-26 · Health · corrected 2023-05-25

    Actual harm

  28. GF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-26 · Health · corrected 2023-07-11

    Actual harm

  29. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  30. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  31. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  34. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  35. DF0759Ensure medication error rates are not 5 percent or greater.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  36. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

  37. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2020-01-29 · Health · corrected 2020-03-09

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in KNOXVILLE

NameOverallBeds
SENATOR BEN ATCHLEY STATE VETERANS' HOME★★★★★140
HOLSTON HEALTH & REHABILITATION CENTER★★★★★94
FORT SANDERS TCU★★★★★24
WEST HILLS HEALTH AND REHAB★★★★☆194
CREEKVIEW HEALTH AND REHABILITATION★★★☆☆91

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.