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.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 72
Staffing 20% 38
Federal penalties 15% 6
Trend 10% 92
Context 5% 0

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-day3.003.48 min · 4.1 strong
RN hours / resident-day0.120.55–0.75
Weekend hours / resident-day2.61≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)6 · $121,894

Inspection citations (46 in the current record)

  • 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

  • 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

  • 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

  • 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

  • Potential for harm · D November 8, 2024 · found via complaint

    Dispose of garbage and refuse properly.

    Corrected December 17, 2024 · Nutrition and Dietary

  • 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

  • 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

  • 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

  • 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

DateTypeAmount / length
March 11, 2024Fine$107,075
August 28, 2023Fine$3,176
August 21, 2023Fine$2,823
August 14, 2023Fine$2,470
August 7, 2023Fine$2,117
July 17, 2023Fine$4,233

Family & resident reviews — a separate signal, never mixed into the score

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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.