Legacy Square

Henderson, NE 2025 Assisted Living / Long-Term Care
CMS Documentation Failure Immediate Jeopardy Infection Control Medication Error Resident Neglect
Penalty
$21,645

Outcome

Legacy Square in Henderson, NE was fined $21,645 by CMS following 9 deficiency citations identified during federal surveys.

Details

Legacy Square (Henderson, NE) — $21,645 in CMS Fines

Outcome: Legacy Square in Henderson, NE was fined $21,645 by CMS following 9 deficiency citations identified during federal surveys.

Deficiency areas cited:


  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • Respond appropriately to all alleged violations.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  • Ensure medication error rates are not 5 percent or greater.

  • Ensure that residents are free from significant medication errors.

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • Provide and implement an infection prevention and control program.

How Crucible Prevents This

Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.

Source: CMS Nursing Home Penalties Dataset — Legacy Square

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