Legacy Transitional Care & Rehabilitation
460 Auburn Avenue N.E. · Atlanta, GA · 30312 · 4045231613
186 certified beds For profit - Corporation Chain: Wellington Health Care Services
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results have improved across recent cycles.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.12 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.12 | 0.55–0.75 |
| Weekend hours / resident-day | 2.61 | ≈ weekday level |
| Nursing turnover / year | 56% | median 45% |
| Fines (3-yr window) | 6 · $121,894 |
Inspection citations (46 in the current record)
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Potential for harm · D April 17, 2026
Provide and implement an infection prevention and control program.
Corrected May 26, 2026 · Infection Control
-
Potential for harm · D November 17, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 11, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D November 17, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 11, 2025 · Resident Rights
-
Potential for harm · D November 17, 2025 · found via complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected December 11, 2025 · Environmental
-
Potential for harm · D April 11, 2025 · found via complaint
The resident has the right to receive notices in a format and a language he or she understands.
Corrected May 20, 2025 · Resident Rights
-
Potential for harm · D April 11, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 20, 2025 · Resident Rights
-
Potential for harm · D April 11, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 11, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 20, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D April 11, 2025 · found via complaint
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected May 20, 2025 · Quality of Life and Care
-
Potential for harm · F April 11, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 20, 2025 · Nutrition and Dietary
-
Potential for harm · D April 11, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected May 20, 2025 · Infection Control
-
Potential for harm · D November 8, 2024 · found via complaint
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected December 17, 2024 · Resident Rights
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Potential for harm · D November 8, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected December 17, 2024 · Resident Rights
-
Potential for harm · D November 8, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected December 17, 2024 · Resident Rights
-
Potential for harm · D November 8, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 17, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 8, 2024 · found via complaint
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected December 17, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D November 8, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 17, 2024 · Quality of Life and Care
-
Potential for harm · F November 8, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 17, 2024 · Nutrition and Dietary
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Potential for harm · D November 8, 2024 · found via complaint
Dispose of garbage and refuse properly.
Corrected December 17, 2024 · Nutrition and Dietary
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Potential for harm · D November 8, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 17, 2024 · Infection Control
-
Potential for harm · E May 16, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 30, 2024 · Resident Rights
-
Potential for harm · D May 16, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 16, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 30, 2024 · Quality of Life and Care
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Potential for harm · D May 16, 2024 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected June 30, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 11, 2024 | Fine | $107,075 |
| August 28, 2023 | Fine | $3,176 |
| August 21, 2023 | Fine | $2,823 |
| August 14, 2023 | Fine | $2,470 |
| August 7, 2023 | Fine | $2,117 |
| July 17, 2023 | Fine | $4,233 |
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 115585 · certified since July 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.