Legacy Park Health and Rehabilitation
7424 Middlebrook Pike · Knoxville, TN · 37909 · 8656903411
176 certified beds For profit - Limited Liability company Chain: The Ensign Group Part of a CCRC
Why this verdict
- Federal penalties on record: $74,633 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$74,633 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.26 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.85 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $74,633 |
Inspection citations (34 in the current record)
-
Potential for harm · D August 13, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected August 26, 2025 · Resident Rights
-
Potential for harm · D August 13, 2025
Ensure each resident receives an accurate assessment.
Corrected September 15, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 13, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 14, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D August 13, 2025
Provide and implement an infection prevention and control program.
Corrected August 14, 2025 · Infection Control
-
Actual harm · G February 27, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 28, 2025 · Pharmacy Service
-
Potential for harm · D February 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 28, 2025 · Quality of Life and Care
-
Potential for harm · D February 27, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected March 28, 2025 · Pharmacy Service
-
Potential for harm · E February 27, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 14, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D February 27, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 28, 2025 · Administration
-
Potential for harm · D May 31, 2024
Honor 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.
Corrected June 19, 2024 · Resident Rights
-
Potential for harm · D May 31, 2024
Ensure each resident receives an accurate assessment.
Corrected June 19, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 31, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 19, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 31, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 19, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D May 31, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 19, 2024 · Quality of Life and Care
-
Potential for harm · D May 31, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 19, 2024 · Quality of Life and Care
-
Potential for harm · D May 31, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 19, 2024 · Quality of Life and Care
-
Potential for harm · D May 31, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected June 19, 2024 · Quality of Life and Care
-
Potential for harm · D May 31, 2024
Implement 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.
Corrected June 19, 2024 · Pharmacy Service
-
Potential for harm · D May 31, 2024
Ensure 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.
Corrected June 19, 2024 · Pharmacy Service
-
Potential for harm · D May 31, 2024
Provide routine and 24-hour emergency dental care for each resident.
Corrected June 19, 2024 · Quality of Life and Care
-
Potential for harm · D May 31, 2024
Dispose of garbage and refuse properly.
Corrected June 19, 2024 · Nutrition and Dietary
-
Potential for harm · D May 31, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 19, 2024 · Infection Control
-
Potential for harm · D March 14, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 12, 2024 · Pharmacy Service
-
Actual harm · G June 26, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G June 26, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 11, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 27, 2025 | Fine | $74,633 |
| February 27, 2025 | Payment Denial | 16 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 445105 · certified since March 26, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.