The nursing home failed to ensure residents were free from significant medication errors. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
LEGACY PARK HEALTH AND REHABILITATION
KNOXVILLE, TN · Medicare-certified · 176 beds
Needs attention
For-profitChain member
1 of 5 overall
Legacy Park Health and Rehabilitation in Knoxville has a 1-star overall rating, with especially weak staffing at 1 star and nurse staffing below the federal benchmark (3.26 vs. 4.1 hours per resident per day). It also has a recent federal penalty and $74,633 in fines over the last 24 months, while health inspections are 2 stars and quality measures are 4 stars.
Facility ratings
Health inspections
Staffing
3.2628 hrs/resident/day
Quality measures
Last inspection: August 13, 2025Penalties, last 24 months: $74,633recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2628.
Staffing detail
- Registered nurses
- 0.35
- Licensed practical nurses
- 1.01
- Nurse aides
- 1.90
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 60%
Registered nurse turnover: 64%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
10.6%Improving
Residents with a fall causing major injury
2.4%Steady
Residents with pressure ulcers (bedsores)
5.3%Improving
Residents with a urinary tract infection
1%Improving
Residents who lost too much weight
14.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.5%Worsening
Residents whose ability to walk got worse
9.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
29.6%Worsening
Short-stay residents newly given an antipsychotic
3%Worsening
Residents with a long-term catheter
1.2%Improving
Residents with new or worsening incontinence
19.5%Worsening
Residents with depressive symptoms
12.7%Worsening
Long-stay residents given the seasonal flu vaccine
96.2%Steady
Long-stay residents given the pneumonia vaccine
83.7%Improving
Short-stay residents given the seasonal flu vaccine
76.5%Steady
Short-stay residents given the pneumonia vaccine
84.9%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited June 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: G
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $74,633 was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 13 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $74,633 in total fines · 1 payment denial.
- 16 days
Medicare/Medicaid payment denial
Feb 27, 2025
- $74,633
Federal fine
Feb 27, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of THE ENSIGN GROUP · 338 homes · 3.2 stars avg
- Occupancy
- 124.5 residents on an average day (71% of 176 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 53 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.