Facility Name: LEGACY HEALTHCARE CENTER Facility Type: Skilled Nursing Facility Address: 1570 N Fair Oaks Ave, Pasadena, CA 91103 County: LOS ANGELES Phone: (626) 798-0558 Penalty Penalty Type Penalty Type Penalty Class Class Violation Issue Date Details Category Assessed Assessed From Date Initial Final Violation To Date Appealed Total Total Total Associated Disposition Survey Amount Amount Balance Intake ID(s) ID Due Due Due Initial Final Survey Findings 12/10/2019 Administrative 1276.5(a) Penalty DHPPD: 2 DHPPD: 2 - 11 Days - 11 Days N/A 01/01/2018 03/31/2018 No 15000.00 15000 0.00 No complaints found Closed O3HT11 State Enforcement Action Narrative 810015491 Plan of Correction 06/21/2019 Citation Abuse/ Facility Not Self Reported N/A 02/01/2019 02/01/2019 No 2000.00 0.00 CA00630534 Closed JXRH11 State Enforcement Action Narrative 950015178 Plan of Correction T22 DIV5 CH3 ART5-72523(a) T22 DIV5 CH3 ART5-72527(a) (10) 483.12(a) (1) 483.12(c) (1)(4) B 2000 09/12/2018 Administrative 1276.5(a) Penalty DHPPD: 2 AP - 11 Days NHPPD N/A 12/27/2016 03/28/2017 No 15000.00 15000 0.00 No complaints found Closed XRYM11 State Enforcement Action Narrative 950014383 Plan of Correction 12/01/2017 Citation F441 Other B N/A 08/08/2017 08/08/2017 No 2000.00 2000 0.00 CA00546808 Closed P6EM11 State Enforcement Action Narrative 950013666 Plan of Correction 12/01/2017 Citation 72541 Other B N/A 05/25/2017 05/25/2017 No 2000.00 2000 0.00 CA00546808 Closed P6EM11 State Enforcement Action Narrative 950013667 Penalty Penalty Type Penalty Type Penalty Class Class Violation Issue Date Details Category Assessed Assessed From Date Initial Final Violation To Date Appealed Total Total Total Associated Disposition Survey Amount Amount Balance Intake ID(s) ID Due Due Due Initial Final Survey Findings Plan of Correction