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.
| Cycle | Inspection date | This facility | Tennessee avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-08-13 | 4 | 5.8 | 9.5 | -1.8 better |
| 2 | 2024-05-31 | 19 | 4.6 | 9.8 | +14.4 worse |
| 3 | 2020-01-29 | 14 | 4.6 | 9.3 | +9.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 2 |
| Resident rights | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.27 | 53.8% |
| RN staffing (reported) | 0.49 | 68.8% |
| 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2025-08-13 · Health · corrected 2025-09-15
Potential for more than minimal harm
- 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
- DF0880Provide and implement an infection prevention and control program.2025-08-13 · Health · corrected 2025-08-14
Potential for more than minimal harm
- 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
- 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
- GF0760Ensure that residents are free from significant medication errors.2025-02-27 · Health · corrected 2025-03-28
Actual harm
- 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
- 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
- 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
- DF0641Ensure each resident receives an accurate assessment.2024-05-31 · Health · corrected 2024-06-19
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0814Dispose of garbage and refuse properly.2024-05-31 · Health · corrected 2024-06-19
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- GF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-04-26 · Health · corrected 2023-05-25
Actual harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2020-01-29 · Health · corrected 2020-03-09
Potential for more than minimal harm
- 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
- 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
| Name | Overall | Beds |
|---|---|---|
| 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.